A patient has been in the ICU for 20 days with a diagnosis of sepsis and acute respiratory distress syndrome
The patient is ready for transfer to the step-down unit but is apprehensive. The patient has communicated to the nurse that he does not want to leave the ICU because he is afraid that his needs will not be met on the step-down unit. Which educational objective would be best to use in this situation?
a. The patient will state two reasons why he is being transferred by the end of the day.
b. The patient will confront his fears and deal with them within 1 day of transfer.
c. The patient will state the name of his "new" nurse by the end of the day.
d. The patient will be introduced to at least two of his "new" caregivers by the time of transfer.
D
The patient needs to trust the new caregivers on the step-down unit. Introducing the new caregivers will help decrease his anxiety about an unfamiliar environment. Objectives must be realistic in expectation and timeline. Anxiety and fear of change will decrease the patient's cognitive level.
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