The nurse has formulated a nursing diagnosis of interrupted family processes for the family of a child who sustained a brain injury during an automobile accident
Which of the following interventions planned by the nurse would have the highest priority? 1. Teach the family the importance of using seatbelts
2. Refer the family to support services in the community
3. Encourage the family to ask questions and express feelings
4. Explain rules for visiting in the intensive care unit
3. Encourage the family to ask questions and express feelings
Rationale:
While families may need education about seatbelts and sources of support, it is not the optimal time to implement such teaching at this point in the crisis. It is optimal to find out what the family's perception is of what is going on and what they feel their needs are. The best way to determine this is to encourage them to ask questions and express their feelings. Timelines for visitation are appropriate but are not the priority.
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