A client is critically ill and in shock. The large, extended family has gathered in the waiting room. Important interventions the nurse can use when working with this family include (Select all that apply)
a. allow the family to ask questions and express concerns.
b. avoid explaining a lot of equipment so as not to worry the family.
c. encourage the family to participate in decision making.
d. let the family visit the client as much as possible.
e. provide frequent explanations of what is happening with the client.
A, C, D, E
Psychosocial care of the client and family is vital to professional nursing, especially when the client is in a life-threatening situation. It is easy to forget this side of nursing, but interventions to support the client and family are critical. All options except b are supportive. Ignorance or mi-sunderstanding the purpose of equipment does nothing to allay anxiety, and in fact can increase it.
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Most people who have mitral valve prolapse never have any symptoms. Other patients with the diagnosis of mitral valve prolapsed do have symptoms. What symptoms might a patient have with mitral valve prolapse? (Mark all that apply.)
A) Anxiety B) Fatigue C) Shoulder pain D) Hyperpnea E) Palpitations
The nurse prepares to insert a urinary catheter into a female client. Place the interventions for inserting a urinary catheter in the proper order
1. Assess urine. 2. Insert catheter. 3. Drape the client. 4. Test the balloon. 5. Apply sterile gloves. 6. Cleanse the perineum.
A parent of a child with a psychosocial disorder states, "I don't know how my child developed this problem.". The nurse should base a response on which information?
a. Neurobiological, family, and sociocultural factors can contribute to the development of psychosocial disorders in children. b. Like many conditions affecting children, the etiology of psychosocial disorders is unknown. c. The majority of psychosocial disorders have a clear pattern of genetic inheritance. d. Dysfunctional family patterns are usually identified as the cause of a psychosocial disorder.
The nurse needs to assess the client's elimination patterns. Which client will most likely deny the urge to defecate?
A) Client with anxiety and depression B) Client who consumes >30 g of fiber C) Client who has a colostomy D) Client 3 days' postvaginal delivery