A nurse is visiting a patient who has been discharged to home for ...

[mwit1967]

A nurse is visiting a patient who has been discharged to home for a follow-up evaluation. The patient was diagnosed with diabetes many years ago. She has been hospitalized multiple times with infections and renal insufficiency.
 
  She now needs dialysis on a regular basis. Which of the following actions would support a therapeutic relationship between the nurse and family? 1. The nurse needs to limit the time given to the family to tell their story to stay focused on the patient.
  2. The wound care and weight assessments are the priorities during this visit.
  3. Using linear questioning techniques will help the family share their understandings of the situation.
  4. Spending time assessing the patient's symptoms and the family's experiences will produce best outcomes.

Question 2

The nurse refers the client to a website on smoking cessation after evaluating its contents. Which factor increases the probability that the website is appropriate for the client?
 
  1. The site is written in technical language and has comprehensive chemical diagrams for credibility.
  2. The site has a current revision date and a URAC accreditation seal that the site meets quality standards.
  3. The site is sponsored by a pharmaceutical company that manufactures a smoking cessation medication.
  4. The site has a list of broadly generalized indications for smoking cessation.

[mmj22343]

Answer to Question 1

4

Feedback
1 Technical skills and relationship skills can be blended during nursing care. Limiting the time with the family may disrupt the future relationship. Telling the illness story may give the nurse essential information needed for future care.
2 The wound and weight gain are a priority, but family information may also be necessary at this time to determine future directions.
3 Circular questioning techniques are more likely to help a family share their understandings.
4 Family-focused care identifies the patient and the family as the recipients of care. Assessing the patient's symptoms and the family's experience creates a therapeutic conversation and relationship.

Answer to Question 2

2
Rationale: Established websites should include revision dates of all pages and be written at the appropriate comprehension level of the intended audience. Additionally, a URAC accreditation seal that the site meets quality standards increases the site's credibility. The consumer should be wary of bias, poorly referenced materials, and broad generalizations of facts.