Author Question: The Juarez family includes Maria, age 76, Juan, age 72, and three adult children. Maria has been ... (Read 116 times)

washai · **on:** Jul 8, 2018

The Juarez family includes Maria, age 76, Juan, age 72, and three adult children. Maria has been managing a diagnosis of heart failure for approximately 10 years.

Documentation suggests the family has had a great deal of stress with recent hospitalizations and caregiving in their home. The adult children voice their concerns about Maria's decision to complete an advanced directive. Which of the following demonstrate an insufficient understanding of family-focused nursing care and communication?
1. A nurse should make a statement such as, Your family has had a great deal of distress lately; why don't you just let Maria make her own decisions.
2. A nurse's questioning techniques may help identify the family's beliefs and understandings about advanced directives.
3. A nurse should make a statement such as, Your family has done a good job of caring for each other during this lengthy illness.
4. A nurse should attempt to clarify misunderstandings and share accurate information about the health status of the patient.

Question 2

A nurse is caring for a family with apparent language barrier. The nurse is preparing to discharge the patient who has been recently started on insulin and just learning to administer the medication and follow the dietary regime.

Which of the following statements by the nurse reflects an understanding of communication in this context?
1. I know this is a great deal of information to learn as you prepare for Mr. H to return home. If it's okay with you, I will come back later and we can review the information again.
2. You probably have many questions. But they will get answered as you read these materials.
3. Families have different ways of approaching the chronic disease of diabetes, but it is important for your family to understand the right way to approach this disease.
4. I know it is difficult for Mr. H to accept this diagnosis, but it needs to be his disease to manage, rather than depend on you as his family.

shaquita · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: 1

Feedback
1 This statement fails to recognize the role of a family in decision-making. Even though maintaining patient autonomy is important, a family-focused nurse should also address the family's concerns.
2 This statement is correct because understanding the family's beliefs will require questioning techniques to provide family-focused nursing care.
3 This statement is correct because family-focused care commends a family for their strengths.
4 This statement is correct because family-focused care provides information about the status of an ill family member to a family.

Answer to Question 2

ANS: 1

Feedback
1 This response demonstrates understanding that a new diagnosis and treatment regime may require repetition of information and time for acquisition of knowledge.
2 Assuming that a family can read and understand written materials does not consider health literacy.
3 Being directive with the way to manage an illness does not reflect an understanding of a family's need to partner with a nurse in identifying the directions.
4 Illness is a family experience and affair. The family is a system where an illness impacts the entire family and needs to be addressed by family system.