A 24-year-old couple with two young children tell the nurse in the pediatric department that they have been struggling with raising them
They state, "We just don't know what we are doing sometimes and feel we are not always making good decisions for our children. It is time we sit down and figure this out." The nurse arrives at a nursing diagnosis of Family Processes: Readiness for Enhanced Parenting. Which nursing intervention(s) are most appropriate for this family? Select all that apply.
a. Collaborate with family in problem solving and decision making
b. Assign specific roles for each family member.
c. Encourage family members to verbalize concerns, fears, and perceptions.
d. Obtain a comprehensive family health assessment.
A, C
The most appropriate interventions for this family are to collaborate with them in problem-solving and decision making and to encourage each member to verbalize his concerns, fears, and perceptions. Roles for each member should not be "assigned" by the nurse, as this should be a collaborative process between the nurse and family. Obtaining a comprehensive health history is not indicated at this time, as there are no health issues identified and a health history is usually only relevant for a family assessment if it affects an individual family member.
Although it is not given as an option, conducting a comprehensive "family" assessment may be indicated. That would include identifying data; family composition; family history and developmental stage; environmental data; family structure; family function; health beliefs, values, and behaviors; family stressors and coping; and abuse and violence within the family.
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