Which assessments are appropriate when caring for a stroke patient living with a spouse and two children using the family as context?

A) Assess the stroke patient for self-care abilities.
B) Assess the ability of the spouse and two children to help feed and bathe the patient.
C) Assess communication processes among family members.
D) Assess the spouse's ability to emotionally comfort the patient.
E) Assess how the spouse is dealing with parenting issues of the two children.

When you view the family as context,your primary focus is on the health and development of an individual member existing within a specific family environment.Although you focus the nursing process on an individual,you also assess the extent to which a family helps the individual meet basic needs.You also need to consider a family caregiver's ability to help a patient meet psychological needs as well.Assessing communication processes among family members and assessing how the spouse is dealing with parenting issues is caring for the family as patient,not family as context.