A nurse is caring for a patient with a terminal diagnosis of a ...

[ETearle]

A nurse is caring for a patient with a terminal diagnosis of a brain tumor. The family and patient wish for him to be in their home during the end of his life. The family has decided hospice will become involved.
 
  Which of the following nursing actions address priority core processes at this time?
  1. Determine the number of family members available to participate in care.
  2. Helping the family determine the ways they will celebrate holidays after the death.
  3. Discuss the communication patterns and emotional bonds of the family at this time and prior to the illness.
  4. Identify the health routines of the family that need to be modified so family health can be regained.

Question 2

Which of the following statements indicate a nurse needs further education about family nursing using core family processes?
 
  1. Core processes can provide a framework when family is the unit of care, rather than the individual with an illness.
  2. Exploring core processes can help nurses find ways to empower and support families.
  3. Core processes offers directions for family-focused nursing actions that intentionally include the family.
  4. Core processes provide ways to approach family care that include both assessment and nursing actions.

[LegendaryAnswers]

Answer to Question 1

ANS: 3

Feedback
1 The number of family members is not a priority.
2 Celebrations are most likely not the focus of the family at this time.
3 Prior communication and cathexis processes will be important to family during this time of care at end of life.
4 Modifying the family health routines would not be a priority at this time

Answer to Question 2

ANS: 1

Feedback
1 Core processes provide a framework for caring for individual and family.
2 Core processes provides direction for empowering and supporting families.
3 Core processes deliberatively direct nursing attention to family.
4 Core processes provide a framework for assessment and nursing action.