When planning care to meet the needs of family members of a critically ill patient, the nurse should include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Expressing an attitude of hope, honesty, open communication, and caring
2. Stating specific facts about the patient's condition in timely manner
3. Planning regular times for family visits throughout the day
4. Limiting the number of visitors to significant others
5. Communicating to a single family member to cut down time wasted repeating information to all visitors
1,2,3
Rationale 1: This is an appropriate approach when meeting the family needs of the critically ill patient.
Rationale 2: This is an appropriate approach when meeting the family needs of the critically ill patient.
Rationale 3: This is an appropriate approach when meeting the family needs of the critically ill patient.
Rationale 4: Although some number limitations are needed, the persons are not to be screened by staff. If the patient wants the visitor to come in, then the visit will be therapeutic for the patient. If the visitor (family or friend) increases problems with the patient, then the visitor should be restricted access until the condition improves.
Rationale 5: Although communicating with a single person will minimize the repeating of information, a core group of individuals can be used to distribute information to other family members, particularly if a large population is present. Therefore, restricting to one person is too limiting but a minimal core group can be helpful in other situations, especially if the nurse is needed at the bedside. A case manager, clergy, or staff support person could also be used to pass on information when the nursing staff is too busy caring for the patient.
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