Exam 10: Family-Focused Care in Acute Settings

Juanita was brought to the hospital by her daughter-in-law, Alejandra, who lives within a few miles of her in a remote area of the state. Juanita will be kept in a semi-private room for overnight observation and Alejandra plans to stay at Juanita's bedside for a couple of hours so she can find out what is going on before she leaves to check into a motel for the night. Juanita's nurse checks in on her patient and asks Alejandra what her relationship is to Juanita. Upon learning this information, what is the best response by the nurse?

When nurses are trying to determine whether patients and families need more information, they often ask, Do you have any questions? Which of the following statements best explains why this approach is flawed?

Which of the following statements about the value of nurse-family meetings in the acute care setting is inaccurate?

Family members of critically ill hospitalized adults often have a well-defined, predictable set of needs. Which of the following are accurate representations of these needs?

You are a nurse caring for a patient who is having a GI bleed. You say to his wife: It is so fortunate that you brought him to the emergency room. You were right in thinking that he needed immediate medical attention. This is a therapeutic statement for which of the following reasons?

You are caring for a 58-year-old woman who had a bilateral mastectomy 48 hours ago. When you meet the patient she tells you that her husband will not attend the discharge teaching meeting as planned. She also mentions that he has not been to the hospital since the surgery. Which of the following responses by the nurse practicing family-focused care is most appropriate?

You are caring for an eight-year-old who is in the emergency room with need for a closed-reduction of an arm fracture. The on-call orthopedic physician will be performing the procedure using conscious sedation. You are about to move the child to a different room to start an IV when the child's father asks you if you think that they should be seeking a second opinion. Because you know that families often feel the need to protect loved ones during hospitalization, what would your first response be to the parent?

Which of the following statements made by a nursing student indicates the need for further education about family-focused nursing?

Which of the following statements is the best rationale for allowing a family member to be present during cardiopulmonary resuscitation of another family member?

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?

Which of the following concepts is important to the provision of family-centered nursing care in the acute care setting?

The family of an 88-year-old man with an acute exacerbation of chronic obstructive lung disease is at his bedside. He is experiencing dyspnea and placement on a ventilator is suggested. The patient is DNR and does not want extreme measures taken, but is unable to speak for himself. One daughter supports placement on a ventilator while the other believes that it will only add to his suffering. Which of the following statements by a nurse might facilitate communication between these family members?

Kathy is the parent of 13-year-old Meg, who has cerebral palsy. In the medical record, it is noted that in a previous hospitalization Kathy complained that Meg was forced to wear an oxygenation saturation monitor although the physician had said it was not needed. After you introduce yourself as the nurse, which of the following statements might best help build a positive nurse-family partnership?

Which of the following is an accurate statement about circular questions?

Which of the following represents a barrier to the provision of family-focused nursing care in the acute care setting?

Aiza is the wife of 52-year-old Hasan, who has been hospitalized for pneumonia. Aiza has spent the day by her husband's bedside and decides to leave his side to have dinner in the hospital cafeteria. When she returns to his room she finds Hasan is having difficulty breathing and notices that his oxygen saturation monitor is beeping and that the monitor is displaying 88% rather than the 94% it has been during the day. Aiza runs to get Hasan's nurse who is at a nearby computer charting. Which of the following statements made by Aiza best reflects the uncertainty of family illness?

Based on current research, which of the following statements about family presence in the acute care setting is accurate?