A nurse is caring for a male who has been informed of a prognosis of only several months before death. He wants to return to his home with hospice care. He has a wife and two daughters who do not support this decision.
Which of the following communication principles should guide the nurse during this family situation? 1. A nurse guides families by staying focused solely on the patient's needs and wishes.
2. Families need to be informed that they are unable to provide the quality care needed in the home.
3. Exploring the family's beliefs about hospice, death, and their role can help families make decisions.
4. Helping family members understand the benefits of a patient dying at home produces the best outcomes.
Question 2
Julie is a 42-year-old wife and mother who has recently experienced a mastectomy for breast cancer. The nurse enters the room to check vital signs and sees tears in the eyes of Julie and her husband.
Which of the following statements by the nurse reflect accurate understanding of approaches to communication in a therapeutic relationship? 1. I know this is a difficult time for you and your family. It is probably best if we wait and talk about your concerns when you a little stronger.
2. I think it will be helpful if you both remain hopeful and stay focused on the positive.
3. I know this is a stressful time for you; would you like to visit with the chaplain?
4. You seem to be troubled, which is understandable. In what ways can I be the most helpful to you at this time?
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