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 C
Explanation
Rationale:
A. Appendicitis is a common condition and does not inherently increase the risk of fatal abuse.
B. A fractured humerus may be concerning but is not as high-risk for fatal abuse as younger children with significant disabilities.
C. A child with cerebral palsy, especially at a young age, is at higher risk of fatal abuse due to increased dependency and vulnerability.
D. Varicella (chickenpox) is a contagious disease but does not significantly increase the risk of fatal abuse.
Correct Answer is D
Explanation
Rationale:
A. Contacting the employer could potentially put the patient at further risk if the trafficker becomes aware of her location or intentions.
B. Encouraging the patient to return to her home town might not address immediate safety concerns and could place her at greater risk.
C. Providing job agency information does not address the immediate safety and health needs of the patient.
D. Ensuring the patient's immediate safety and addressing any urgent medical needs is the top priority. This includes assessing for immediate threats and providing necessary medical care.