The Juarez Family Includes Maria, Age 76, Juan, Age 72

question 12

Multiple Choice

The Juarez family includes Maria, age 76, Juan, age 72, and three adult children. Maria has been managing a diagnosis of heart failure for approximately 10 years. Documentation suggests the family has had a great deal of stress with recent hospitalizations and caregiving in their home. The adult children voice their concerns about Maria's decision to complete an advanced directive. Which of the following demonstrate an insufficient understanding of family-focused nursing care and communication?

• A) A nurse should make a statement such as, Your family has had a great deal of distress lately; why don't you just let Maria make her own decisions.
• B) A nurse's questioning techniques may help identify the family's beliefs and understandings about advanced directives.
• C) A nurse should make a statement such as, Your family has done a good job of caring for each other during this lengthy illness.
• D) A nurse should attempt to clarify misunderstandings and share accurate information about the health status of the patient.

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Definitions:

Constructionist Perspective

A sociological approach emphasizing how social phenomena are created through collective definitions and social interactions.

Voluntary Act

A behavior or action undertaken by an individual willingly, without coercion.

Observable

Capable of being seen or noticed through direct observation.

Constructionists

Advocates of constructionism, a theory that suggests knowledge and reality are not objective but constructed by societal or cultural contexts.