A nurse interviews a homeless parent with two teenage children. To best assess the familys use of resources, the nurse should ask:

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: 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.

Correct Answer: D

Rationale: The correct answer, D, "There is an inattention to power differences in family and in the community regarding interpretations," is the best choice because it highlights a significant pitfall of Ecosystems Theory. Understanding power dynamics within families and communities is crucial for effective intervention and support, as power imbalances can greatly impact relationships and decision-making processes. Option A is incorrect because valuing the status quo and avoiding change can indeed be a pitfall, as it may hinder growth and development within the family system. Option B is also incorrect as accepting existing circumstances without challenging them can lead to stagnation and limit potential progress. Option C is not the best choice because while mastering interventive skills across system levels can be challenging, it is not necessarily a pitfall of the theory. In an educational context, understanding the pitfalls of Ecosystems Theory is essential for students studying family healthcare. By recognizing these potential shortcomings, future practitioners can develop a more nuanced and critical approach to working with families and communities, ultimately leading to more effective and impactful interventions.

Correct Answer: A

Rationale: Building a case plan as a case manager is a crucial aspect of providing effective family health care. Option A, "Assess needs, set goals, identify resources, monitor," is the correct choice. This option aligns with best practices in case management as it involves a comprehensive approach to addressing the needs of the family. Assessing needs is the initial step in understanding the unique challenges and strengths of the family. Setting goals collaboratively with the family ensures that the plan is client-centered and achievable. Identifying resources involves connecting the family with appropriate services and supports to meet their needs. Monitoring progress allows for adjustments to be made as needed to ensure the plan remains effective. Options B, "Dictate goals, enforce rules, evaluate compliance," is incorrect as it does not involve a collaborative approach with the family, which is essential for successful case management in family health care. Option C, "Focus only on individual issues, ignore family," is incorrect because family health care involves considering the dynamics and interactions within the family unit, as they significantly impact health outcomes. Option D, "Refer out all tasks to specialists," is also incorrect as case managers play a key role in coordinating care and services for the family, which goes beyond simply referring tasks to specialists. In an educational context, understanding how to build a case plan is fundamental for case managers working in family health care settings. It requires a holistic approach that considers the needs of the entire family unit and involves collaboration, goal-setting, resource identification, and ongoing monitoring to ensure the best possible outcomes for the family.