A nurse educator is discussing National Patient Safety Goals (NPSG) at orientation for new nurse graduates.

For each potential intervention aimed at addressing various National Patient Safety Goals (NPSG), click to specify which intervention is appropriate for each goal.

A. Encourage the family's expression of their feelings. The father’s statement reflects emotional shock and denial, which are common initial reactions to devastating news. Encouraging the family to express their emotions helps them begin processing their grief and provides emotional support during a difficult time. Active listening and validating their feelings are essential first steps in therapeutic communication.
B. Explore effective ways of family coping. Assessing how the family copes with stress is important, but it is not the immediate priority when the father is in emotional distress. Before discussing coping strategies, the nurse should first provide a safe space for emotional expression.
C. Instruct the family about anticipatory grieving. While anticipatory grieving education is important, the father is still in the early stages of shock and numbness. Addressing grief education too soon may feel overwhelming. The nurse should first focus on emotional support.
D. Discuss the disease and its manifestations with family members. Providing information about the disease is important for understanding what to expect, but at this moment, the father is struggling with his emotions. Education should be provided gradually, once the family is emotionally ready to process medical information.

A. Supporting the client's wish to refuse prescribed medications. Autonomy refers to the right of individuals to make their own decisions regarding their healthcare. If a client chooses to refuse medication, the nurse must respect this decision, as long as the client is deemed competent to make informed choices.
B. Explaining unit rules and policies regarding unacceptable behaviors. This action supports a structured therapeutic environment but does not specifically relate to autonomy. It aligns more with beneficence (acting in the client’s best interest) and justice (ensuring fairness in care).
C. Making sure the client understands expectations for client participation. Ensuring understanding of treatment expectations promotes informed participation but does not directly uphold the ethical principle of autonomy, which emphasizes the right to make personal choices.
D. Encouraging client feedback about satisfaction with the facility experience. Seeking client feedback supports patient-centered care but does not specifically demonstrate autonomy, which involves the right to accept or refuse medical interventions.