The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent's view about family rules. Which intervention is most appropriate?

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. Remaining objective: It is important for the nurse to stay neutral and unbiased in order to facilitate effective communication and problem-solving within the family. 2. Encouraging mutual negotiation: By encouraging mutual negotiation, the nurse promotes a collaborative approach where all family members can express their views and work towards consensus. 3. Respecting autonomy: This approach respects the autonomy of all family members, including the adolescent, while still promoting a healthy resolution of conflicts. 4. Building healthy communication: Encouraging negotiation helps improve communication skills within the family and fosters a sense of understanding and cooperation. Summary of why other choices are incorrect: A: Aligning with the adolescent as the scapegoat is not appropriate as it may perpetuate dysfunctional family dynamics. B: Encouraging parents to adopt more realistic rules may not address the underlying issues and may not involve the adolescent in the decision-making process. C: Encouraging the adolescent to comply with

Correct Answer: D

Rationale: The correct answer is D because identifying strategies that fit within the cultural context of the patient is essential for providing culturally competent care. This involves understanding the patient's beliefs, values, and practices to tailor interventions accordingly. A: Accurately interpreting the thinking of individual patients may not necessarily address their cultural needs. B: Predicting how a patient may perceive treatment interventions is important but does not guarantee culturally competent care. C: Formulating interventions to reduce the patient's ethnocentrism may not be appropriate or effective in all cultural contexts.

Correct Answer: A

Rationale: The correct answer is A because in traditional Asian American families, the father typically holds the authority in decision-making. This cultural norm influences how care decisions are made within the family. The father's role as the authority figure means that his opinions and decisions are highly regarded and often determine the course of action. This dynamic can impact the entire family's approach to care, including healthcare choices, financial decisions, and overall well-being. Choice B is incorrect because it goes against the traditional gender roles in Asian American families where the father usually holds the primary authority. Choice C is incorrect as it focuses on individual decision-making, which may not align with the collective decision-making process often seen in Asian American families. Choice D is incorrect because emotional communication styles, while important, may not be the primary factor influencing decision-making about care in Asian American families.

Correct Answer: C

Rationale: The correct answer is C: Western, biomedical. The patient's focus on returning to work and managing emails indicates a perspective aligned with Western biomedical views, which prioritize physical health and treatment over spiritual or holistic approaches. This is evident in the patient's concern about productivity and work responsibilities, reflecting a biomedical understanding of illness as a disruption to daily life activities. Choices A, B, and D are incorrect as they do not align with the patient's emphasis on work and productivity, which are more in line with Western biomedical perspectives.

Correct Answer: C

Rationale: The correct answer is C because it acknowledges the unit rules without dismissing the client's request. By informing the client that they can make the call the next day, the nurse ensures that the client's needs are addressed while also upholding the unit's policies. Option A enables the rule-breaking behavior, which is inappropriate. Option B shames the client, which is not therapeutic. Option D minimizes the client's request and assumes they are not capable of making decisions, which is not empowering. Option C is the most appropriate response as it respects both the client's needs and the unit's rules.