Examkin

Soru

Zorluk: ZorFamily Dynamics

A nurse in the neonatal intensive care unit (NICU) is caring for a premature infant. The infant's 16-year-old mother is visiting alongside the maternal grandmother. The grandmother frequently interrupts the adolescent mother during feeding attempts, stating, "You are holding him wrong," and insists on taking over the feeding. The adolescent mother responds by becoming silent, looking down, and withdrawing from the bedside. Which of the following nursing actions are appropriate to address this family dynamic? (Select all that apply.)

  1. Acknowledge the grandmother's desire to support the infant while explicitly reinforcing the adolescent mother's role as the primary caregiver.Cevap
  2. Model positive reinforcement by praising the adolescent mother's specific efforts and successes when she interacts with the infant.Cevap
  3. C
    Inform the grandmother that her criticisms are causing psychological harm and request she wait in the family lounge during care times.
  4. D
    Direct the majority of the infant discharge teaching to the grandmother because the adolescent is not developmentally capable of retaining the information.
  5. Arrange a private moment with the adolescent mother to explore her feelings about the caretaking dynamic and assess her learning needs.Cevap

Cevap

The correct actions include acknowledging the grandmother's supportive intentions while reinforcing the adolescent's role, modeling positive reinforcement for the adolescent mother, and arranging private time to assess the adolescent's feelings and learning needs.
The nurse must empower the adolescent mother to assume her maternal role while maintaining a therapeutic alliance with the family support system. Acknowledging the grandmother's intentions, providing positive reinforcement to the adolescent, and exploring the adolescent's feelings privately promote role attainment, build confidence, and establish healthy family boundaries without alienating the support system.

Adım Adım Çözüm

1
Analyze the family dynamic presented in the clinical vignette.
The dynamic involves role confusion and boundary crossing, where the grandmother is taking over and the adolescent mother is withdrawing, threatening maternal role attainment.
Identifying the root cause of the psychosocial issue dictates the appropriate therapeutic intervention.
2
Evaluate interventions that promote the adolescent's maternal identity.
Praising the mother's efforts and interviewing her privately empower her and assess her needs without direct interference.
Adolescent mothers are at high risk for impaired parenting and require targeted support to build self-efficacy.
3
Determine the best approach to manage the grandmother's behavior.
Validating the grandmother's intent while setting boundaries preserves the relationship; confronting her aggressively or kicking her out destroys the therapeutic alliance.
The grandmother is a crucial long-term support system for the adolescent and infant, so interventions must be inclusive and therapeutic, not punitive.

Anahtar Kavram

Therapeutic management of family dynamics and role attainment in adolescent parenting
Bu soruyu puanla

Konular

Family Dynamics

Bu konudan daha fazla soru