Which family nursing approach did Nurse Alex use? A. Family as the context B. Family as the client C. Family as a system D. Family as a component of society
Marty B. is a 55-year-old accountant and father of three children; he has been married to his wife, Joanne, for the past 25 years. Marty’s children are Joshua, age 20, Mary, age 17, and Kyle, age 14. Marty’s mother, Delia, has lived in the B. household since her husband, Martin, passed away four years ago from lung cancer. A few months ago, Marty B. was given a diagnosis of bladder cancer. After surgery and chemotherapy were completed, the cancer still had not receded. The family physician estimates that Marty has only five months to live. Alex H. is the hospice nurse who is working with the B. family. Nurse Alex explains to the B. family that his goal is to work with the whole family in coping with Marty’s illness. Nurse Alex asks each family member, “How do you feel Marty’s illness will affect the way in which the members of your family function and interact with one another?” Joanne B. responds, “Right now, we do not talk about Marty being sick. It is the elephant in the room. I am afraid that if Marty does not get better, the whole family will fall apart and never see each other.” Delia B. shared, “I do not know where I will live. We don’t talk about it. I don’t know if I’m welcome to stay if Marty’s not here.” Marty encourages his family, “I know my illness is hard to accept now, but we have been through tough times in the past and the family stayed together then. Remember when I lost my job? We all made sacrifices for the family and were a stronger family as a result.” Questions 1. Which family nursing approach did Nurse Alex use? A. Family as the context B. Family as the client C. Family as a system D. Family as a component of society 2.By using the family systems theory, what interventions can Nurse Alex employ to assist this family to cope? 3. Create a genogram for the B. family

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