Test Bank Holistic Nursing A 10th Morton Critical Care Edition Approach Fontaine


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A client has been admitted after experiencing multiple trauma and is intubated and sedated. When the five members of the immediate family arrive, they are anxious, angry, and very demanding. They all speak loudly at once and ask for many services and answers. What is the best nursing response?
A) Ask the family to leave until visiting hours begin.
B) Take them to a private area for initial explanations.
C) Page security to have them removed from unit.
D) Show them to the client’s bedside and leave them alone.
The client has been in the CCU for several weeks and has been very unstable. One family member stays at the bedside constantly and even naps in a bedside chair. The nurse understands that the family member is exhibiting which family member response to critical illness?
A) Exhibiting extreme distrust of the healthcare team
B) Seeking evidence for future legal or punitive action
C) Trying to maintain a level of control over the situation
D) Experiencing extreme fatigue from constant stress
The nurse is caring for a very seriously ill patient in the CCU. The family visits sporadically, stays for only a short time, and does not ask many questions. How could the nurse best begin to involve the family in the patient’s care?
A) Ask one family member to assist with the patient’s bath.
B) Encourage family members to stay longer at each visit.
C) Focus nursing efforts on the patient’s legal next of kin.
D) Ask the family to complete the Critical Care Family Needs Inventory.
As part of the admission process, the nurse asks several questions about family relationships. The nurse bases these actions on which rationale?
A) Assessing family relationships is an initial step in including the family in patient care.
B) These questions are part of the admission assessment tool required by this CCU.
C) The nurse has a natural curiosity and wishes to know how the family members relate for her own knowledge.
D) There is an ongoing research study to identify variant family patterns related to disease incidence.
On their first visit to a critically ill patient, family members stand in the doorway of the room, making no effort to approach the patient. What is the most appropriate nursing action?
A) Instruct the family where the patient can be touched and what to say.
B) Engage the family in social conversation to ease them into the milieu.
C) Use visiting hours to explain to the family the general status of the patient.
D) Leave the family to adjust to the situation when they are ready.
A critically ill patient is not expected to survive this admission. The family asks the nurse how the patient is doing. When answering this question, what should the nurse include?
A) Emphasize that the patient is young and strong and may still survive.
B) Refer the family to the physician for all details and answers.
C) Give specific information such as descending trends in parameters.
D) Ask if the family has determined which funeral home will be called.
A patient’s family is exhibiting increasingly impaired coping as the patient’s condition deteriorates. The nurse asks the family to state the biggest concern from their perspective. What is the most important rationale for this question?
A) The question indicates active listening on the part of the nurse.
B) The question is used as a way to validate the family’s knowledge.
C) The question clarifies the nurse’s understanding of current family needs.
D) The question promotes problem definition, which helps define the degree of family understanding.

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