A nurse is assessing the impact of a severe health crisis, such as a chronic illness or major accident, on a family unit. The family is experiencing significant stress due to the health crisis, which has altered their daily routines and responsibilities. Considering the potential effects of such a crisis, which of the following is the major effect on the family structure that the nurse should be aware of?
A decrease in family members' emotional support needs and a reduction in family conflict
Improved family communication and strengthened family bonds as a result of the crisis
Enhanced family stability and a shift towards more equitable distribution of household tasks
Increased financial strain and potential changes in family roles and responsibilities
The Correct Answer is D
Rationale:
A. A severe health crisis typically increases emotional support needs and can exacerbate family conflict rather than decrease them.
B. While some families may experience strengthened bonds, crises often lead to increased stress and conflict.
C. Crises often disrupt family stability and can lead to more uneven distribution of tasks rather than enhancing stability.
D. A major health crisis usually results in increased financial strain and changes in family roles and responsibilities, reflecting the significant impact on the family structure.
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Correct Answer is A
Explanation
Rationale:
A. The presence of a gun in the home is associated with a higher risk of severe injury or death in cases of domestic violence.
B. While trying to leave can be risky, it does not directly indicate a higher risk of mortality compared to other factors.
C. Repeated hospitalizations indicate ongoing abuse but are not as directly related to immediate risk of mortality as the presence of a gun.
D. Having a plan could indicate awareness and preparation, which may not directly correlate with immediate risk of mortality.
Correct Answer is B
Explanation
Rationale:
A. A survey might provide some information but is less comprehensive and interactive than an interview.
B. The interview is the most appropriate method for a basic family assessment as it allows for a detailed and interactive exploration of family dynamics, health issues, and needs.
C. A poll is generally used for gathering opinions from a group rather than conducting a detailed assessment of an individual's or family's needs.
D. The physical assessments are important for evaluating health status but do not provide the comprehensive understanding of family dynamics and functioning needed for a basic family assessment.