Which of the following represents a barrier to the provision of family-focused nursing care in the acute care setting?
1. Nurse's beliefs that family members often interfere with the ability to provide quality care to the hospitalized family member
2. Family beliefs about the need to protect their hospitalized member by being involved with decisions about nursing care
3. Nurse's successful mastery of technology and electronic medical record allowing the nurse time to answer questions of family members
4. Nurse's focus on family involvement in discharge planning at the time of hospital admission
ANS: 1
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1 Nurses often believe that the focus of their care is on the ill individual rather than considering the family aspect; this belief can become a barrier to family-focused care. Nurses consider the acute care setting to be their domain and they are sometimes unskilled at partnering with families to provide care to the ill individual.
2 Vigilance and the need to protect a family member is common and should be supported in providing family-focused nursing care.
3 Being able to operate bedside equipment within the hospital setting and to use the electronic medical record in an efficient way allows more time for the nurse to ask important questions and share information while operating equipment.
4 Preparation for discharge should not take place at the time of discharge but rather begins when initially assessing the patient and family at the time of admission.
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