Involving families with the client's treatment is an important ...

[olgavictoria]

Involving families with the client's treatment is an important aspect of family nursing. It is important to involve them as much as appropriate for the formulation and implementation of:
 
  1. Family identity.
  2. Hope, support, and happiness.
  3. Behavioral contracts.
  4. Positive client behavior.

Question 2

A nurse wants to assess a client's level of anxiety in order to determine how much of an anti-anxiety drug to administer prior to performing a painful dressing change for a deep tissue burn.
 
  Which question would give the nurse the most accurate assessment of the client's level of anxiety? 1. Are you ready for this change of dressing?
  2. Did you find the medication helpful that you received before the dressing change yesterday?
  3. How are you feeling today?
  4. On a scale of one to five, with one being none and five being panic, can you rate your level of anxiety right now?

[Eunice618]

Answer to Question 1

3
Rationale: Family involvement is a powerful and useful catalyst for promoting and maintaining behavioral change. Significant others, particularly those with whom the client resides or will reside, are likely to provide important input regarding the level of contract adherence. It is, therefore, important to involve them as much as appropriate in the formulation and implementation of the behavioral contract. If the details of the contract do not work for the involved family, they will not work for the client.

Answer to Question 2

4
Rationale: Asking the client to rate the level of anxiety allows the client to give a concrete response about a subjective phenomenon on which the nurse can base the decision about the dose of anti-anxiety agent medication to administer. Asking how the client is feeling today is too general to elicit the information necessary to determine dosing. Asking if the client is ready for the change of dressing will not elicit the information necessary to determine dosing. While asking about yesterday's response to medication may be an important assessment, today's anxiety might be substantially different (in either direction) than yesterday's.