A nurse working with a person whose spouse recently died uses cheer and humor to lift the persons spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct?

Correct Answer: D

Rationale: Clinical supervision will review the nurses actions and thoughts and help the nurse arrive at a more therapeutic approach. Attempts at cheering up a patient who is depressed serve only to emphasize the disparity between the patients mood and that of others. Active listening should be the technique used by the nurse. The incorrect options suggest the approach is therapeutic when it is not.

Correct Answer: C

Rationale: In the context of Patient and Family Centered Care Nursing, a nurse's legal responsibility when child abuse or neglect is suspected is to report the suspicion according to state regulations, which is option C. This is crucial because reporting ensures the safety and well-being of the child, as well as complies with legal and ethical obligations to protect vulnerable individuals. Option A is incorrect because discussing findings with the child's parent may further endanger the child if the parent is the abuser. In cases of suspected abuse, it is important to prioritize the safety of the child over parental relationships. Option B is incorrect as solely documenting observations in the medical record without reporting the suspicion to the appropriate authorities does not fulfill the legal obligation to protect the child from harm and intervene in cases of abuse or neglect. Option D is incorrect as continuing the assessment without taking action to address the suspected abuse neglects the immediate need for protection and intervention in cases where a child's safety may be at risk. Educationally, understanding the legal and ethical responsibilities in cases of suspected child abuse or neglect is essential for nurses to ensure they act in the best interest of the child and uphold their duty to protect vulnerable populations. By reporting suspicions according to state regulations, nurses play a crucial role in safeguarding the well-being of children and advocating for their rights.

Correct Answer: C

Rationale: An extended family has members from three or more generations living together. Nuclear family refers to a couple and their children. A blended family is one made up of members from two or more unrelated families. An alternative family can consist of a same-sex couple or an unmarried couple and children.

Correct Answer: C

Rationale: In the context of patient and family-centered care nursing, asking the family to describe how they successfully handled one family problem (Option C) is the best question to assess their ability to cope. This question allows the nurse to gain insight into the family's past experiences, coping strategies, and resilience. By sharing a specific example, the family can demonstrate their strengths and effective coping mechanisms, providing valuable information for the nurse to build upon and support. Option A is not as effective because simply asking about the family's strengths may not necessarily reveal how they cope with challenges. Option B is less specific and may not elicit detailed information about coping mechanisms. Option D focuses more on seeking advice rather than assessing the family's current coping abilities, which may not provide a clear understanding of their coping strategies. In an educational context, this question helps nurses develop a holistic understanding of the family dynamics and empowers them to provide individualized support that aligns with the family's strengths and coping mechanisms. It also fosters a collaborative approach where families are active participants in their care, promoting a sense of empowerment and partnership in the healthcare process.

Correct Answer: C

Rationale: In the context of patient and family-centered care nursing, the therapeutic relationship and personal ecosystems resources account for approximately 60% of client system change. This percentage reflects the significant impact that the quality of the nurse-client relationship and the support from personal ecosystems have on promoting positive health outcomes and facilitating holistic healing. The correct answer, option C (60%), is supported by research in nursing and healthcare that emphasizes the importance of building strong therapeutic relationships with patients and involving their families and support systems in the care process. This approach recognizes that clients are not isolated individuals but are influenced by their social environments, relationships, and personal resources. Option A (10%) is too low to adequately capture the influence of the therapeutic relationship and personal ecosystems on client system change. While other factors may play a role in health outcomes, research consistently demonstrates the central role of the nurse-client relationship and the support from personal networks in promoting recovery and well-being. Option B (30%) is also insufficient in capturing the depth of impact that the therapeutic relationship and personal ecosystems have on client system change. While this percentage may acknowledge some influence, it underestimates the comprehensive nature of patient and family-centered care and the holistic approach needed in nursing practice. Option D (80%) overestimates the percentage attributed to the therapeutic relationship and personal ecosystems resources in client system change. While these factors are crucial, other elements such as medical interventions, environmental factors, and individual characteristics also contribute to overall client outcomes. In nursing education, understanding the significance of the therapeutic relationship and personal ecosystems in patient care is essential for fostering effective, compassionate, and patient-centered nursing practice. Educating future nurses on the impact of these factors can help them develop the skills and awareness needed to provide holistic care that addresses the complex needs of individuals within their social contexts.