The home health nurse has been caring for a 90-year-old patient who remains independent in her home setting. This patient has reached a point where she needs help to remain at home
The nurse meets with the family to discuss the situation and develop a plan of care for this patient. The family is arguing about who is going to provide that care or who will pay for it. What would the nurse's plan of care focus on?
A) Determining who is going to be involved in the care of the patient so that assignments can be given
B) Allowing the patient to negotiate the situation with her family to create trust and understanding
C) Providing family access to a professional problem solver, such as an attorney, to provide legal advice to the woman
D) Assessing and facilitating family-member communication and designing interventions that focus on coping behaviors
Ans: D
Chapter: 7
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Page and Header: 103, Family Health and Distress
Feedback: The plan of care would need to assess family functioning to determine how the particular family will cope with the women's changing health and increased family responsibilities. If the family is chaotic or disorganized, promoting coping behaviors becomes a priority in the plan of care. Option A, assessing who is going to be involved in the care of the patient is a good start, but "giving assignments" is inappropriate. Option B is incorrect; the nurse should always work as an agent for the patient to help to facilitate a plan of care, especially when the family is not coping well. Option C is incorrect; the professional problem solver in this case needs to be the nurse.
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