A nurse is caring for an older adult patient when conflict regarding treatment arises between the family and the health care provider. What can the nurse do to resolve this conflict? (Select all that apply.)
a. Defend the health care provider's treat-ment and try to explain it to the family.
b. Try to convince the family that the health care provider knows what is best for the patient.
c. Allow the family to participate in the de-cision-making process for their loved one.
d. Encourage the family to speak directly to the health care provider regarding treat-ments.
e. Clarify the health care provider's order with the family.
C, D, E
The nurse should avoid defending the health care provider's treatment and convincing the family that the health care provider knows what is best. Instead the nurse should allow the family to participate in the decision-making process, encourage the family to speak directly to the health care provider regarding treatments, and clarify orders with the family.
You might also like to view...
The adolescent client newly placed in traction says, "Laying in this bed all the time is going to turn my body into mush. Is there any way I could exercise while I'm in traction?" Which response by the nurse is the most appropriate?
1. "Many people worry about muscle weakness when they are confined to bed. You could perform range of motion, isometric, and specific exercises." 2. "Don't worry about your muscles, because you can get them back after you get out of traction." 3. "You're young and in great shape. Your muscles won't weaken with a few weeks in bed." 4. "I'll put a referral in for physical therapy to come and work with you."
Which action by the psychiatric-mental health nurse best indicates use of Hildegard Peplau's nursing theory when caring for a patient with mental illness?
1. Establishing a therapeutic nurse-patient relationship 2. Assessing patient interactions with the environment 3. Intervening to enhance the patient's abilities to perform self-care 4. Evaluating the effectiveness of the patient's coping and adaptation skills
A child has been using combination hydrocortisone–neomycin–polymyxin B eardrops for otitis externa but complains of difficulty hearing. The nurse observes redness and swelling of the canal
Which development is most likely responsible for this scenario? 1. Worsening of the otitis externa 2. Allergy to the nonantibiotic component of the drops 3. Neomycin toxicity 4. Development of otitis media
A client, age 45, who has schizophrenia was admitted to the hospital 1 month after his last hos-pitalization
He demonstrates psychotic behaviors. He lives alone and has not taken the oral haloperidol (Haldol) that was prescribed. Which intervention would promote medication compliance? 1. Instructing the client to have friends monitor his medications 2. Begin administration of haloperidol (Haldol) decanoate 3. Writing instructions in detail for the client to follow 4. Changing haloperidol to an atypical antipsychotic