Question 1

A client is newly admitted to the intensive care unit for an acute illness. Which of the following family needs do the client's family require during this time? Select all that apply.

Accepted Answer

Comfort, proximity, assurance, and information are all family needs that are required during this time.

Question 2

A client is recently admitted to a medical-surgical care area. Which action should the nurse take to help reduce the family's stress? Select all that apply.

Accepted Answer

Clarifying information helps ensure the family understands the situation. Facilitating a family conference allows for open communication. Providing time for visits helps maintain family connections. Recognizing the family's uniqueness shows respect and understanding of their specific needs.

Question 3

What research information should the nurse manager use as evidence to increase the amount of family involvement in the care of a hospitalized client?

Accepted Answer

Research has shown that family involvement in the care of a hospitalized client improves outcomes. This can include improved patient satisfaction, reduced lengths of stay, and improved patient safety.

Question 4

The nurse notes that a client has an advance directive stating that no cardiopulmonary resuscitation (CPR) should be performed if the heart stops. Which type of prescription should the nurse expect to be placedon this client's medical record?

Accepted Answer

A Do Not Resuscitate (DNR) order is the most appropriate prescription for a client who has an advance directive stating no CPR should be performed if the heart stops. This order informs healthcare providers that resuscitation measures (e.g., chest compressions, intubation, defibrillation) should not be initiated if the client experiences cardiopulmonary arrest.

Question 5

Which of the following are considered advantages to the family being present during resuscitative efforts? Select all that apply.

Accepted Answer

The answer of Which of the following are considered advantages...

Question 6

What should the nurse consider when determining the degree of family involvement in discharge planning?

Accepted Answer

The nurse should consider the family's education and information needs when determining the degree of family involvement in discharge planning. This will help ensure that the family is adequately prepared to provide care and support to the client after discharge. The other options may also be important considerations, but they do not directly relate to the degree of family involvement.

Question 7

What factor should be considered when determining hospital visiting policies? Select all that apply.

Accepted Answer

Hospital visiting policies should consider client and family preferences, nursing care needs, and visitor health status to ensure the safety and wellbeing of patients, staff, and visitors. The location of waiting rooms may also be considered, but it is not as critical as the other factors listed.

Question 8

How should the nurse categorize a family who is willing to discuss withdrawal of treatment, has good communication with other family members, uses facts and family wishes to make decisions, and is able to identify a time and date to withdraw treatment?

Accepted Answer

The family described is making progress in their ability to communicate and make decisions regarding withdrawal of treatment. They are using facts and family wishes to inform their decisions, which demonstrates a willingness to consider different perspectives. Additionally, they are able to identify a time and date to withdraw treatment, which indicates a level of readiness to move forward with this decision.

Question 9

What type of communication from nurses do families find as being the most helpful?

Accepted Answer

Families find honest communication from nurses to be the most helpful. This includes providing clear and accurate information about the patient's condition, treatment plan, and prognosis. Vague or limited communication can lead to confusion and anxiety for families. Brief communication is important, but it should still be honest and informative.

Question 10

Which emotion might a family experience when a family member is in the intensive care unit (ICU)? Select all that apply.

Accepted Answer

Families may feel fear for the health and survival of their loved one in the ICU, sadness because of their loved one's health condition, and helplessness because they cannot do anything to immediately improve their loved one's health. Peace and relief may not be common emotions in this situation.

Question 11

The nurse provides care to a client who is experiencing an acute illness. What information about family-centered care should the nurse keep in mind when planning this client's care?

Accepted Answer

Family-centered care recognizes the family's role in the client's recovery and encourages involving them in all aspects of care.

Answer: D 
 Discharge planning should begin as soon as possible to ensure a smooth transition to post-acute care and to prevent readmission.

Question 12

The nurse cares for a client with a life-threatening illness. Which need should the nurse address with this client's family? Select all that apply.

Accepted Answer

When caring for a client with a life-threatening illness, it is important to address the needs of their family as well. Providing visiting hours is important, but it is not the most critical need. However, giving reassurance, offering realistic hope, conveying honest answers, and assessing the level of anxiety are all important needs that the nurse should address with the client's family.

Question 13

For which reason might a nurse experience role ambiguity when caring for a critically ill client and the family?

Accepted Answer

The answer of For which reason might a nurse experience...

Question 14

A family accompanies a client to the hospital for treatment of an acute illness. Which characteristic is likely to increase the degree of family stress? Select all that apply.

Accepted Answer

All of these characteristics are likely to increase the degree of family stress in this situation. Feeling alone and unsure of their role can lead to feelings of isolation and helplessness. Feeling chaos and loss of control can exacerbate anxiety and uncertainty. Neglecting personal health needs can lead to physical and emotional exhaustion. Being comforted by staff interventions may help to alleviate some of the stress, but it is not listed as a characteristic likely to increase it.

Question 15

Nurses can anticipate which family reaction as a family member is transferred from intensive care to the regular medical-surgical care area? Select all that apply.

Accepted Answer

The answer of Nurses can anticipate which family reaction as...

Quiz 14: Family Nursing in Acute Care Adult Settings