The nurse collecting family assessment data asks, 'Who is in your family and where do they live?' Which of the following is the nurse attempting to identify?

Correct Answer: A

Rationale: The nurse is attempting to identify family boundaries by asking about who is in the family and where they live. Boundaries define who is considered part of the family system and their physical proximity. This information helps the nurse understand the structure and dynamics of the family. Ethnicity (B), relationships (C), and triangles (D) are not directly related to the specific information being gathered here. Ethnicity pertains to cultural background, relationships refer to the connections within the family, and triangles are a concept in family systems theory involving three people. Therefore, the correct answer is A as it aligns with the purpose of the question in identifying family boundaries.

Correct Answer: D

Rationale: The correct answer is D: Direct confrontation to solve problems. This Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups because direct confrontation can be perceived as aggressive or disrespectful in many non-Western cultures. It may lead to misunderstandings, conflict, and hinder effective communication and collaboration in healthcare settings. In contrast: A: Interdependence is a valued trait in many cultures and fosters cooperation. B: Present orientation can be beneficial for focusing on the immediate needs of patients. C: Flexible perception of time can accommodate different cultural views on punctuality and time management.

Correct Answer: D

Rationale: The correct answer is D: Use a holistic approach, including mind, body, and spirit. A holistic approach is essential for Native American patients as it considers their cultural beliefs and values. Native Americans often have a strong connection to their community, nature, and spirituality, so addressing all aspects of their well-being is crucial. This approach acknowledges the interconnectedness of the mind, body, and spirit in promoting healing and overall wellness. Explanation for other choices: A: Psychopharmacological and somatic therapies focus solely on biological aspects and may overlook the importance of cultural and spiritual factors in Native American healing practices. B: While childhood trauma may be a contributing factor, focusing solely on psychoanalytical approaches may not address the holistic needs of the patient. C: Treating depression and alcohol abuse concurrently is important, but it does not address the underlying cultural and spiritual needs of the patient.

Correct Answer: B

Rationale: The correct answer is B, the older, mature registered nurse. This nurse is likely to have more experience and maturity, making them better equipped to handle discussions on medication management for a culturally diverse group. Older nurses may have encountered a wider range of cultural practices and beliefs, allowing them to provide more informed and sensitive care. The other choices lack the depth of experience and maturity needed for leading such a session. Choice A (very young nurse) may lack sufficient experience, choice C (newly licensed nurse) may not have enough practical knowledge, and choice D (very thin nurse) is unrelated to the ability to lead the session effectively.

Correct Answer: D

Rationale: The correct answer is D because determining whether an interpreter is needed is crucial in ensuring effective communication with the patient, which is essential for providing safe and quality care. Without proper communication, it can lead to misunderstandings, errors, and potential harm to the patient. Assessing immunizations (A) can be important but not the priority at this stage. Religious preferences (B) and specific ethnic group (C) are also important but do not directly impact the immediate assessment and care as much as the need for an interpreter.