Key assumptions of family systems therapy are wholeness, feedback, equifinality, and circular causality.

Correct Answer: A

Rationale: In the context of family systems therapy, the key assumptions of wholeness, feedback, equifinality, and circular causality are indeed foundational principles. Choosing option A, TRUE, is correct because these assumptions underpin the theoretical framework of family systems therapy. Wholeness refers to the idea that families are viewed as complete systems where the whole is greater than the sum of its parts. Feedback emphasizes the ongoing communication and interactions within a family system. Equifinality suggests that different paths can lead to the same outcome within a family system. Circular causality highlights the notion that behaviors and interactions among family members are mutually influencing. Option B, FALSE, is incorrect because the stated assumptions are integral to family systems therapy and differentiates it from other therapeutic approaches. Options C and D are not applicable as the correct answer is A. Understanding these key assumptions is crucial for nurses and healthcare professionals practicing family-centered care as it helps them appreciate the interconnectedness of family dynamics and how these dynamics can impact health outcomes. By recognizing these principles, nurses can better support families in achieving improved health and well-being through a holistic and systemic approach.

Correct Answer: B

Rationale: Enactments in family-centered care refer to the interactions and activities that occur within the family unit. Enactments can indeed be spontaneous, created, or curated depending on the context and purpose. However, the statement in the question is not entirely accurate. Enactments in family-centered care are more likely to be spontaneous or created rather than curated. Option A, TRUE, suggests that enactments can be spontaneous, created, or curated, which is partially correct but not entirely accurate as discussed above. Option B, FALSE, is the correct answer because while enactments can be spontaneous or created, they are not typically curated in the context of family-centered care. Educationally, understanding the nuances of enactments in family-centered care is crucial for nursing professionals as it impacts their ability to engage effectively with families. By recognizing the spontaneity and creativity involved in enactments, nurses can better support families in their unique dynamics and interactions. This knowledge enhances the nurse's ability to provide individualized, holistic care that respects and integrates the family unit into the care process.

Correct Answer: D

Rationale: In this scenario, the priority role of the nurse is advocacy (Option D). Advocacy in nursing involves standing up for the rights of patients, ensuring they receive the best possible care and supporting their autonomy and self-determination. In this situation, the nurse must advocate for the pregnant client's overall well-being, considering both the mother and fetus in a high-risk situation. Choosing the other options would not be appropriate in this critical scenario: A) Case manager focuses on coordinating services and resources, which may not be the most urgent need at this time. B) Collaborator involves working with other healthcare team members, which is important but not the priority in this life-threatening situation. C) Coordinator of care involves organizing care delivery, which is essential but not the primary role when immediate life-saving decisions are at stake. Educationally, this question highlights the crucial role of advocacy in nursing, especially in complex and ethically challenging situations where the nurse must prioritize the well-being of the patient while considering multiple factors and stakeholders. It underscores the importance of understanding and applying ethical principles in nursing practice.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) A prosthetist. Collaborating with a prosthetist is crucial for a pediatric client who has experienced a traumatic amputation because prosthetists are specialized healthcare professionals who design, fit, and provide prosthetic devices. These professionals have the expertise to assess the residual limb, recommend appropriate prosthetic solutions, and ensure proper fitting and function of the prosthesis. Option A) A Pedorthist focuses on footwear and supportive devices for the feet, which may not be the primary need for a client with a traumatic amputation. Option B) A pediatric nurse practitioner plays a vital role in providing comprehensive healthcare to pediatric clients but may not have the specialized knowledge and skills related to prosthetic care. Option C) A trauma certified clinical nurse specialist is essential in providing expert nursing care to patients with traumatic injuries, but they may not have the specific expertise in prosthetic care required in this situation. Educationally, understanding the roles of different members of the multidisciplinary team is crucial for nurses to provide holistic care to their patients. By recognizing when to collaborate with specialists such as prosthetists, nurses can ensure that their pediatric clients receive comprehensive care tailored to their individual needs, promoting better outcomes and quality of life.

Correct Answer: A

Rationale: In the context of Family Centered Care in nursing, legal prohibitions against sharing passwords are primarily based on the Security Rule. This rule, established under the Health Insurance Portability and Accountability Act (HIPAA), mandates safeguards to protect patients' confidential information. Sharing passwords compromises the security and confidentiality of patient data, violating HIPAA regulations and potentially leading to legal consequences. The American Nurses Association's Code of Ethics emphasizes the importance of confidentiality and privacy but does not specifically address password sharing. The American Hospital's Patients' Bill of Rights focuses on patients' rights to information and decision-making but does not pertain to password sharing among healthcare providers. The Autonomy Rule relates to patient self-determination and informed consent, not password security. In the context of nursing practice, understanding and adhering to legal regulations such as the Security Rule is crucial for ensuring patient privacy and maintaining trust in the healthcare system. Nurses must be aware of these regulations to protect patient information and uphold ethical standards in their practice. Violating password security protocols can have serious implications for patient care and the nurse's professional integrity.