While assessing a family system, the nurse is aware that which of the following can alter the family dynamic?
Change in employment status
Coping with a chronic medical condition
Daily activities of living
Addition of a new family member
A crisis to a family member.
Correct Answer : A,B,D,E
Rationale:
A. A change in employment status can significantly impact family roles, finances, and emotional dynamics.
B. Coping with a chronic medical condition affects family routines, emotional health, and caregiving responsibilities.
C. Daily activities of living typically do not cause significant alterations in family dynamics unless they are part of a larger issue.
D. The addition of a new family member can alter family roles, dynamics, and relationships significantly.
E. A crisis affecting a family member can dramatically change family dynamics due to emotional stress and shifts in responsibilities.
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Correct Answer is D
Explanation
Rationale:
A. Assuming the client will follow the standard care plan without considering cultural beliefs shows a lack of cultural competence. Each client's cultural context should be considered.
B. Requesting conformity to the nurse's beliefs disregards the client’s cultural preferences and is not respectful of their personal values.
C. Avoiding discussion of cultural practices can hinder understanding and appropriate care; addressing cultural practices is important for providing respectful and effective care.
D. Inquiring about the client's cultural beliefs and incorporating them into the care plan ensures that care is respectful, relevant, and tailored to the client's needs and values.
Correct Answer is B
Explanation
Rationale:
A. Physical hazards involve environmental factors that cause physical harm, such as unsafe structures or hazardous materials, but cholera is not classified under this.
B. Biologic hazards are related to living organisms or their byproducts, such as bacteria or viruses. Cholera, caused by the bacterium Vibrio cholerae, is a biological hazard.
C. Chemical hazards involve substances that can cause harm through chemical reactions or toxicity, which does not apply to cholera.
D. Psychosocial hazards relate to mental and social factors impacting health, not applicable to the cholera epidemic.