A nurse asked a family if they’d work with her to create a family genogram. The mother asked, “Why would you want to know so much about our family?” Which of the following would be the most appropriate response by the nurse?
a. “A genogram helps you see how some problems run in families. Your children will need to know this.”
b. “If you’re willing to share, we can discuss family history and possibly some hereditary health issues.”
c. “Please be assured you don’t have to answer any question you don’t want to answer.”
d. “Why would you want to keep your family members secret? Is there some problem?”
ESSAYBID ANSWER
ANS: B
A genogram is an excellent opening to the discussion of family history and possible hereditary health problems. It may also point to a need for health education. Some families may be sensitive to the sharing of such information, but obviously any patient can answer with however much or little he or she wishes to share.
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