A parent became unemployed 6 months ago. The parent has subsequently been verbally abusive toward the spouse and oldest child. The child ran away twice, and the spouse has become depressed. What is the most appropriate nursing diagnosis for this family?

Correct Answer: D

Rationale: The most appropriate nursing diagnosis for this family situation is D) Disabled family coping related to insecurity secondary to loss of family income. This option addresses the core issue affecting the entire family unit, which is the loss of income leading to insecurity and subsequent dysfunctional coping mechanisms. Option A) Impaired parenting related to verbal abuse of oldest child focuses solely on the parent-child relationship and does not encompass the broader family dynamics and stressors involved. Option B) Impaired social interaction related to disruption of family bonds fails to capture the root cause of the issue, which is the economic instability leading to dysfunctional coping mechanisms within the family. Option C) Ineffective community coping related to fears about economic stability is not as comprehensive as option D, as it does not specifically address the impact on family functioning and coping mechanisms. By selecting option D, the nurse can address the underlying cause of the family's struggles and work towards implementing interventions to support the family in developing healthier coping strategies and resilience in the face of economic hardship. This diagnosis allows for a holistic approach to addressing the family's needs within the Family Centered Care Nursing Model, emphasizing the importance of considering the family as a unit in providing care and support.

Correct Answer: C

Rationale: In the context of the Family Centered Care Nursing Model, it is crucial to recognize that families come in various forms and structures beyond just biological or immediate nuclear relatives. Option C, including those emotionally tied or influential in defining a family system, is the most appropriate choice. Choosing only biological relatives (Option A) could exclude important individuals who play significant roles in a person's life and support system. Similarly, limiting inclusion to whoever lives in the household (Option B) may overlook key relationships that are not based on cohabitation but are essential for the individual's well-being. The immediate nuclear family (Option D) may not fully capture the complexity of familial relationships and support networks that contribute to a person's health and healing process. By considering those emotionally tied or influential, healthcare providers can better understand the dynamics and resources available within a patient's broader support system. Educationally, it is essential for healthcare professionals to have a holistic view of the family system to provide effective and patient-centered care. By recognizing and including all individuals who hold emotional significance or influence in a patient's life, nurses can tailor care plans that address the unique needs and dynamics of each family, promoting better health outcomes and patient satisfaction.

Correct Answer: B

Rationale: In the context of family-centered care in nursing, the correct answer is B) FALSE. While the child is an important part of the assessment process, they are not always the main source of information. Family-centered care emphasizes the involvement of the entire family unit in decision-making and care planning. Therefore, information gathering should involve not only the child but also parents, caregivers, and other family members. Option A) TRUE is incorrect because it oversimplifies the assessment process by solely focusing on the child as the main source of information. This disregards the valuable input and perspectives that other family members can provide, which is essential in family-centered care. Educationally, understanding the principles of family-centered care is crucial for nursing students and healthcare professionals. It involves recognizing the family as a unit of care, respecting their beliefs and values, and collaborating with them to provide holistic and patient-centered care. By involving the entire family in the assessment process, nurses can gain a more comprehensive understanding of the child's health needs and tailor care plans accordingly.

Correct Answer: C

Rationale: In the context of the Family Centered Care Nursing Model, understanding Kuhn's elements in the Social System Model is crucial for nurses to effectively engage with families. The correct answer, option C) Reflector - helping clients see the options clearly, is not one of Kuhn's elements. Kuhn's elements include Detector (gathering information), Selector (screening information), and Effector (constructing a plan of action). The Reflector role, though important in facilitating client decision-making, is not explicitly part of Kuhn's model. Educationally, this question reinforces the importance of understanding different models within nursing practice. By knowing these elements, nurses can better assess, plan, and implement care strategies within the Family Centered Care framework. This knowledge enhances their ability to engage with families and provide holistic, individualized care.

Correct Answer: B

Rationale: In the context of the Family Centered Care Nursing Model, the correct answer is B) Speaks to the meaning and significance of the current family structure. This option aligns with the core principles of family-centered care, which emphasize understanding the unique dynamics, relationships, and values within a family to provide holistic and individualized care. Option A) Theorizes which structural issues affect this family is incorrect because it focuses more on identifying problems rather than understanding the current family structure in its entirety. Option C) Clarifies the historical background of the family and how it relates to the present is incorrect as it delves into the past rather than focusing on the current family dynamics, which is essential for immediate care provision. Option D) Describes boundaries, alignment, and power related to the focal issue is also incorrect as it addresses specific aspects of family dynamics rather than speaking to the overall meaning and significance of the family structure. Educationally, understanding the rationale behind choosing the correct answer is crucial for nurses and healthcare professionals to effectively engage with families, promote shared decision-making, and provide culturally sensitive care that respects and incorporates the values and beliefs of the family unit. By recognizing and valuing the current family structure, healthcare providers can build trusting relationships and support families in achieving optimal health outcomes.