A client is admitted to the neurology unit after a moderate cerebrovascular accident (CVA), resulting in right-sided hemiparesis. The client's adult child and spouse are present in the room. The child approaches the nurse privately in the hallway and states, 'My mother is completely overwhelmed and in denial about the extent of his deficits. You must tell her that he requires transfer to an inpatient rehabilitation facility instead of returning home.' Which response by the nurse demonstrates an understanding of therapeutic family dynamics?
- It sounds like you have significant concerns about his safety at home. Let us sit down together with your parents to discuss everyone's perspective on the discharge plan.Cevap
- BI understand your concern. I will speak with your mother privately to assess her readiness to manage his physical limitations.
- CThe care management team will perform a comprehensive evaluation to determine if going home is a safe option.
- DIt is common for spouses to experience temporary denial after a sudden illness. Give her a few days to process these changes.
Cevap
The most appropriate response is to acknowledge the adult child's concerns while proposing a joint discussion that includes both parents, thereby facilitating open and direct family communication.
The correct response demonstrates an understanding of family systems theory, specifically addressing triangulation. Triangulation occurs when one family member tries to draw a third party (in this case, the nurse) into a conflict to reduce tension or avoid direct communication. By acknowledging the child's concern and proposing a joint discussion that includes both parents, the nurse sets a therapeutic boundary, refuses to act as a secret-keeper, and facilitates open, direct communication within the family unit.
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Triangulation and Therapeutic Boundaries in Family Systems
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