A nurse is caring for a male who has been informed of a prognosis of only several months before death. He wants to return to his home with hospice care. He has a wife and two daughters who do not support this decision
Which of the following communication principles should guide the nurse during this family situation? 1. A nurse guides families by staying focused solely on the patient's needs and wishes.
2. Families need to be informed that they are unable to provide the quality care needed in the home.
3. Exploring the family's beliefs about hospice, death, and their role can help families make decisions.
4. Helping family members understand the benefits of a patient dying at home produces the best outcomes.
3
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1 At times the nurse guides a family by helping a family understand the unique needs and wishes of the entire family. This often helps resolve family conflicts and increase awareness of multiple perceptions in a family.
2 Taking the approach of telling a family the action to take limits their choices and support for a decision.
3 Examining families' beliefs is important to family decision-making. The unique beliefs of the family members must be explored for a family to reach consensus.
4 At times a family member's choices related to end-of-life care are best met at home, and at other times they are best met by the health-care system.
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