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. Nurses are mandated reporters and must report suspicions of abuse or neglect, regardless of concrete evidence or verbal admission.
B. A verbal admission from the victim is not required; suspicions alone are sufficient to make a report.
C. While notifying a supervisor may be part of internal protocols, it is not a legal requirement for making a report.
D. Notifying the parents may not be safe or appropriate in cases of abuse, and it is not a requirement for reporting abuse or neglect.
Correct Answer is D
Explanation
Rationale:
A. Bruises from a sports injury are less likely to indicate intimate partner violence without additional context.
B. Stress from work is a general issue and does not directly suggest intimate partner violence.
C. A fall down the stairs could be an accident; however, further context is needed to assess if this is related to violence.
D. Fear at home and reluctance to discuss it could indicate underlying intimate partner violence, requiring further assessment and intervention.