A nurse cared for a terminally ill patient for over a month and always looked forward to spending time with the patient. When the patient died, the nurse experienced sadness and felt mildly depressed. Eventually, the nurse explains these feelings to a mentor. The mentor should counsel the nurse:

Correct Answer: C

Rationale: The correct answer is C) about the experience of disenfranchised grief. In this scenario, the nurse is experiencing grief over the loss of a patient, which is a normal response to death, especially for someone they have cared for over an extended period. Disenfranchised grief refers to feelings of loss that are not openly acknowledged or socially supported. In this case, the nurse may feel their grief is not valid or acceptable due to professional boundaries or societal expectations, hence the mentor should address this aspect. Option A) about stress-reduction strategies is incorrect because the nurse's feelings are more related to grief than stress. Option B) to seek therapy for dysfunctional grief is incorrect as the nurse's reaction is a natural response to loss and does not indicate dysfunctional grief. Option D) to consider taking a leave of absence to pursue healing is not necessary at this stage as the nurse can benefit from understanding and processing their grief with appropriate support. Educationally, this question highlights the importance of recognizing and addressing disenfranchised grief in healthcare professionals, who may experience complex emotions due to their roles. It also underscores the significance of providing a supportive environment for healthcare workers to process their emotions and seek guidance when needed. Understanding the nuances of grief can improve the quality of care provided by healthcare professionals.

Correct Answer: B

Rationale: In this scenario, Option B, "What community agencies have you found helpful in the past?" is the best choice for assessing the family's use of resources. This question allows the nurse to gather specific information about the resources the family has utilized previously, providing insight into their coping mechanisms and support systems. By knowing which community agencies have been helpful, the nurse can better understand the family's current needs and potential gaps in services. Option A is not the best choice because asking about a problem successfully resolved does not necessarily provide information about the family's current resources or support systems. Option C focuses on the emotional aspect of being homeless rather than practical resources. Option D is too direct and may not elicit as much detailed information about the specific resources the family has accessed. In an educational context, this question highlights the importance of assessing a family's resources in a holistic manner. Understanding the community agencies that have been beneficial to the family can guide the nurse in providing targeted support and referrals, ultimately improving the family's overall health and well-being. It also emphasizes the significance of a strengths-based approach to family assessment, recognizing the resources and resilience that families may possess.

Correct Answer: B

Rationale: In the context of family health care, common Level 2 issues typically involve more complex challenges that may require professional intervention. Option B, including marital conflict, alcoholism, or gambling, is the correct answer because these issues can significantly impact the overall health and functioning of a family unit. Marital conflict can lead to emotional distress for all family members, while alcoholism and gambling can create financial instability and emotional turmoil. Option A, which includes triangles, alliances, and boundaries, is more related to family systems theory and dynamics but is not typically categorized as Level 2 issues in family health care. These concepts are more about understanding family relationships and interactions rather than addressing serious health or behavioral issues. Option C, focusing on inner conflicts and problems with intimacy, may be important in individual therapy but is not specific to family health care on a Level 2 scale. These issues are more personal in nature and may not directly involve the entire family unit. Option D, executive capacity issues, is more aligned with cognitive functioning and decision-making abilities rather than common Level 2 issues in family health care. While important, this option does not directly address the interpersonal dynamics and challenges that often arise within families. In an educational context, understanding the different levels of issues that can arise in family health care is crucial for healthcare professionals to provide effective support and interventions. By recognizing and categorizing issues into appropriate levels, professionals can tailor their approaches to meet the specific needs of families facing diverse challenges. This knowledge helps in prioritizing interventions and ensuring the best possible outcomes for families in need of care and support.

Correct Answer: C

Rationale: The correct answer is C) Families with children. This demographic is the fastest-growing element of homelessness in the US due to a variety of factors. One of the main reasons is the high cost of housing, which has outpaced wage growth in many areas, leading families to struggle with housing instability and ultimately homelessness. Additionally, factors such as job loss, domestic violence, and lack of affordable healthcare contribute to family homelessness. Option A) Those with substance-abuse issues, while a significant issue in homelessness, is not the fastest-growing demographic. Substance abuse can indeed contribute to homelessness, but it is not the primary driver behind the increasing number of homeless families. Option B) Young men between the ages of 18-24 are a vulnerable population for homelessness, but they are not the fastest-growing demographic. Factors such as lack of affordable housing, limited job opportunities, and inadequate support systems play a role in their homelessness, but the rate of family homelessness is rising at a faster pace. Option D) Persons struggling with mental health issues are also disproportionately affected by homelessness. While mental health challenges can contribute to homelessness, the fastest-growing element is families with children, as they face unique challenges related to housing stability and financial security. In an educational context, understanding the demographic trends in homelessness is crucial for healthcare providers and social workers to effectively address the needs of vulnerable populations. By recognizing the specific challenges faced by homeless families, professionals can advocate for policies and services that address the root causes of family homelessness and work towards sustainable solutions.

Correct Answer: D

Rationale: The correct answer is D because it goes against the principles of Fellin's multicultural perspective. Fellin's perspective emphasizes the interconnectedness of all family members and subcultures within the broader societal context. It stresses the importance of understanding the complex dynamics and relationships within families and subcultures, rather than viewing these relationships in a linear, one-on-one manner. Option A is incorrect because it aligns with Fellin's perspective by emphasizing inclusivity and interdependence. Option B is incorrect as it acknowledges the diversity of relationship patterns within US society, which is in line with Fellin's perspective. Option C is also consistent with Fellin's perspective as it acknowledges the evolving nature of US society influenced by various subcultures. In an educational context, understanding Fellin's multicultural perspective is crucial for social workers and healthcare professionals working with diverse families. It helps professionals appreciate the complexity of family dynamics, cultural influences, and societal contexts when providing effective and culturally sensitive care. By recognizing the interconnectedness of all family members and subcultures, professionals can better address the unique needs and challenges faced by individuals within diverse family structures.