A patients fiance died in an automobile accident several days ago. The patient reports crying and experiencing feelings of guilt and anger. This behavior is characteristic of which stage of acute grief?

Correct Answer: C

Rationale: As denial fades, an awareness of the finality of the loss develops and is accompanied by painful feelings of loss, anger with others, and guilt for taking or not taking specific actions. Reorganization implies the movement toward healing. Denial is manifested by the inability to believe the reality of an event. Preoccupation with the lost object would involve the patient dwelling on thoughts of the deceased.

Correct Answer: C

Rationale: Injuries such as immersion or cigarette burns, facial fractures, whiplash, bite marks, traumatic injuries, bruises, and fractures in various stages of healing suggest the possibility of abuse. In older children, vague complaints such as back pain may also be suspicious. Ear infections, diarrhea, and abdominal pain are problems that were unlikely to have resulted from violence.

Correct Answer: B

Rationale: In the context of family-centered care in nursing, the highest priority for healthy family functioning when a nurse assesses a family is physical maintenance and safety, making option B the correct answer. Ensuring the physical well-being and safety of family members is fundamental for their overall health and functioning. Without a safe and healthy environment, other aspects of family life such as allocation of resources, order, authority, and reproduction become secondary. Option A, allocation of family resources, while important for sustainability, cannot be achieved effectively if the family's physical safety is compromised. Option C, maintenance of order and authority, is also crucial for a well-functioning family, but it is secondary to physical safety because without safety, maintaining order becomes challenging. Option D, reproduction of new family members, is not the highest priority as the safety and well-being of existing family members take precedence. In an educational context, nurses need to prioritize physical safety and well-being when assessing families to promote healthy family functioning. By ensuring a safe environment, nurses can support families in addressing other challenges and tasks that contribute to their overall well-being. This rationale underscores the foundational role of physical safety in family-centered care and highlights its impact on family dynamics and functioning.

Correct Answer: B

Rationale: In the context of the Family Centered Care Model in nursing, understanding dynamics like scapegoating is crucial for providing effective care. The correct answer, B, best illustrates scapegoating within a family by describing the situation where family members project the family's problems onto one particular member. This behavior often leads to that individual being unfairly blamed for issues beyond their control, creating a sense of isolation and unfair treatment. Option A, where the identified patient sends messages of aggression to selected family members, does not inherently demonstrate scapegoating. It may indicate individual challenges but not the systemic dynamics of scapegoating. Option C, where the identified patient threatens separation, points more towards emotional manipulation rather than scapegoating dynamics. Option D, where family members give conflicting verbal and nonverbal messages to the identified patient, highlights communication issues but not specifically scapegoating. Educationally, understanding scapegoating within families helps nurses identify and address dysfunctional dynamics that can impact patient care and well-being. By recognizing scapegoating behaviors, nurses can intervene by promoting healthy communication, setting boundaries, and fostering a supportive environment for both the identified patient and their family members.

Correct Answer: A

Rationale: In the context of the Family Centered Care Model in nursing, it is crucial for healthcare providers to understand and apply the principles laid out by Bieztek in the Helping Relationship. The correct answer, A) Cultural competence, was NOT one of Bieztek's original seven principles. This is because cultural competence, while essential in healthcare delivery, was not specifically outlined by Bieztek as one of the core principles in the Helping Relationship. On the other hand, options B, C, and D - Self-determination, Purposeful expression of feelings, and Controlled emotional involvement - were all part of Bieztek's original seven principles. Self-determination emphasizes the importance of respecting patients' autonomy and involving them in decision-making. Purposeful expression of feelings encourages open communication and emotional expression in therapeutic relationships. Controlled emotional involvement stresses the need for healthcare providers to manage their emotions effectively to maintain professionalism and provide quality care. From an educational perspective, understanding these principles is fundamental for nurses and healthcare providers to establish effective therapeutic relationships with patients and families. By recognizing and applying these principles, caregivers can enhance communication, promote trust, and ultimately improve patient outcomes within the Family Centered Care Model.