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 D
Explanation
Rationale:
A. Establishing rapport with both the victim and the abuser might not be appropriate in an abusive situation where the victim’s safety is a priority.
B. Requesting a security guard may be necessary but should be considered after ensuring the interview environment is safe and private.
C. Contacting legal services is important but should come after addressing immediate privacy and safety concerns.
D. Ensuring privacy for the interview is crucial to provide the victim with a safe environment where they can speak freely without fear of the abuser’s presence or intervention.
Correct Answer is C
Explanation
Rationale:
A. Discussing fears with anyone is not the most immediate question to ask when assessing for safety; it may be relevant later but does not directly address immediate safety concerns.
B. Fears about the spouse could be a part of the assessment but are more specific than asking about overall safety.
C. Asking if the client feels safe in the home is a direct and straightforward question that addresses immediate safety concerns and can provide crucial information about the presence of abuse.
D. Recommending a safe place may be helpful but should come after establishing the client’s current safety and assessing immediate risks.