A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?
A middle adult experiences physical changes.
A young adult develops a close, personal relationship
A young adult focuses on their career.
A middle adult assumes their parent's responsibilities.
The Correct Answer is D
A. A middle adult experiences physical changes: While physical changes are a normal part of aging, they do not necessarily indicate a change in the family system. Stressors affecting the family dynamic are more evident in relational shifts or roles.
B. A young adult develops a close, personal relationship: This is a developmental milestone for a young adult and does not suggest a change in the family system. Relationships are important, but this behavior is not typically a sign of stressors impacting the family structure.
C. A young adult focuses on their career: Career development is a normal developmental task for a young adult and may not indicate a change in the family system. It is a personal growth milestone rather than a response to family stress.
D. A middle adult assumes their parent's responsibilities: This behavior, known as the "sandwich generation" phenomenon, occurs when a middle adult takes on caregiving roles for aging parents while possibly still caring for their own children. This shift in roles is a significant indicator of stressors affecting the family system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I'm sure your family will be here soon.": While this response tries to reassure the client, it does not address the client’s current feelings or provide immediate support. It might also come across as dismissive since the nurse cannot be sure when the family will arrive.
B. "I will be available for you until your family arrives.": This response acknowledges the client’s anxiety and offers support in the meantime. It shows the nurse’s availability and commitment to making the client feel safe and supported while waiting for their family.
C. "Why do you think your family is delayed?": This question might make the client feel pressured or defensive and focuses on the delay rather than offering reassurance or emotional support. It does not directly address the client’s emotional needs.
D. "You'll feel better once this procedure is over.": While this response aims to reassure the client, it might minimize their current feelings of anxiety. It focuses on the future rather than addressing the immediate emotional needs of the client.
Correct Answer is D
Explanation
A. Speech therapy referral: A speech therapy referral is appropriate for a client with dysphagia following a stroke. Speech therapists can assess the severity of swallowing difficulties and provide strategies to improve swallowing function. This is standard care.
B. Dietitian consult: A dietitian consult is essential to ensure proper nutritional intake and modify the client's diet for safe swallowing. A dietitian can help adjust the texture of foods and recommend alternatives to reduce the risk of aspiration.
C. Oral suction at the bedside: Oral suctioning is a precautionary measure for clients with dysphagia to clear any potential obstructions from the airway. It’s essential to have suction equipment available at the bedside in case of choking or aspiration.
D. Clear liquids: Clear liquids are not recommended for clients with dysphagia because they pose a higher risk for aspiration. Clear liquids can be difficult for individuals with swallowing difficulties to control and may lead to choking or aspiration pneumonia.
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