Often, the admission of a family member to the hospital creates conflict and stress for family members
This is the case for the White family, who ask the nurse caring for an elderly family member multiple questions and for explanations about their father's recent admission to the hospital for pancreatitis. Which of the following environmental factors is supportive of family-focused nursing care? 1. Prior family priorities and routines assist the health-care team to concentrate on the family's perceptions of priorities of care.
2. Multiple questions suggest that family members are not absorbing the information that is being provided to them; they need to be provided with more online resources to use at times that are convenient for them.
3. The family is likely to be disagreeing with one another about what should be happening with the care of their father; the nurse should seek out a key family member to discuss concerns rather than meeting with the entire family.
4. Information needs to be given in understandable language, with the use of pictures drawn to illustrate concepts starting at the time of admission to the hospital.
1, 4
Rationale:
Family priorities for care may be different from those of the health-care team; being able to share these is supportive of family-focused nursing care. Online resources are helpful to augment information being provided by nurses and other health-care team members, however it may not be at the reading level of the family member or directly address the questions in understandable language for the family. Hospitalization of a family member is a family experience and, as such, all of those affected by the hospitalization should be included in discussions about care, rather than connecting with one member of the family. Beliefs about which family members should be present during decision-making are to be respected by health-care providers. The information provided to families by nurses needs to be tailored to the family's health literacy level and be consistent among members of the health-care team. Diagrams can be very helpful to facilitate family understanding of an illness condition.
You might also like to view...
An emergency department nurse cares for a middle-aged mountain climber who is confused and exhibits bizarre behaviors. After administering oxygen, which priority intervention should the nurse implement?
a. Administer dexamethasone (Decadron). b. Complete a mini-mental state examination. c. Prepare the client for computed tomography of the brain. d. Request a psychiatric consult.
A client is scheduled to have a laparoscopic cholecystectomy as an outpatient. The client asks the nurse when he will be able to resume normal activities. What information should the nurse provide?
A) Normal activities may be resumed the day after surgery. B) Normal activities may be resumed in 1 week. C) Normal activities may be resumed in 2 weeks. D) Normal activities may be resumed in 1 month.
Which of the following best defines a tethered PHR?
1. A tethered PHR is inextricably linked to a single entity or health system. 2. A tethered system is a stand alone system. 3. A tethered system can be found on a thumb drive. 4. A tethered system cannot access a patient portal.
Which of the following are reasons the nursing process and critical thinking are included in the LPN/LVN curriculum? (Select all that apply.)
a. Both are needed to identify patient problems, issues, and risks. b. They foster making evidence-based judgments. c. Clearer communication between RN and LPN can take place. d. Job stress and burnout are diminished. e. Patient safety is adversely affected.