Author Question: The registered nurse (RN) has been caring for a terminally ill client. The RN has developed a close ... (Read 29 times)

dakota nelson · **on:** Jul 22, 2018

The registered nurse (RN) has been caring for a terminally ill client. The RN has developed a close relationship with the family of the client.

Which of the following nursing interventions will the RN avoid in dealing with the family during this difficult time? 1. Making decisions for the family
2. Encouraging family discussion of feelings
3. Accepting the family's expressions of anger
4. Facilitating the use of spiritual practices identified by the family

Question 2

The registered nurse (RN) gives an inaccurate dose of a medication to a client. Following an assessment of the client, the nurse completes an incident report.

The RN notifies the nursing su-pervisor of the medication error and calls the physician to report the occurrence. The nurse who administered the inaccurate medication dose understands that the: 1. Error will result in suspension.
2. Incident will be reported to the board of nursing.
3. Incident will be documented in the personnel file.
4. Incident report is a method of promoting quality care and risk management.

Benayers · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Maintaining effective and open communication among family members affected by death and grief is of utmost importance. The RN needs to maintain and enhance communication, as well as preserve the family's sense of self-direction and control. Encouraging family discus-sion of feelings is likely to enhance communications. Accepting the family's expressions of anger is also an effective technique, and the family needs to know that someone will be there who is supportive and nonjudgmental. Facilitating the use of spiritual practices identified by the family is also an effective intervention, because spiritual practices give meaning to life and have an impact on how people react to crisis. Making decisions for the family removes autonomy and decision making from the family at a time when they are already experiencing feelings of loss of control. This is an ineffective intervention that can impair communication.

Answer to Question 2

4

Rationale: Documentation of unusual occurrences, incidents, and accidents and the nursing ac-tions taken as a result is maintained by the institution or agency and allows the RN and admin-istration to review the quality of care and determine any potential risks. Based on the information provided in the question, the RN's error will not result in suspension nor will it be documented in the personnel file. The error and the situation presented in the question are not a reason for noti-fying the board of nursing.