An ICU nurse has had many discussions with fellow nursing colleagues about allowing patient families to visit as often as the patient’s condition will allow.

Which patient and family need is the nurse considering in these conversations?

Trust.

Social Support.

Environmental considerations.

Dependence.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While trust is an important aspect of the patient-family relationship, it’s not the primary need being considered in this scenario. The nurse is discussing allowing patient families to visit as often as the patient’s condition will allow. This is more about providing emotional and social support to the patient, rather than building trust.
Choice B rationale
Social support is the primary need being considered in these conversations. Evidence shows that the unrestricted presence and participation of a support person (i.e., family as defined by the patient) can improve the safety of care and enhance patient and family satisfaction. This is especially true in the ICU, where patients are often unable to speak for themselves.
Choice C rationale
While environmental considerations are important in any care setting, they’re not the primary need being considered in this scenario. The nurse is discussing the frequency of family visits, which is more about providing social support to the patient.
Choice D rationale
Dependence is not the primary need being considered in this scenario. The nurse is discussing the frequency of family visits, which is more about providing social support to the patient.
While patients in the ICU may be dependent on medical staff for their physical needs, the presence of family can provide emotional and social support.

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Correct Answer is D

Explanation

Choice A rationale
Intuition refers to understanding or knowing something without the need for conscious reasoning. It doesn’t fit in this context as the nurse’s actions are deliberate and based on the patient’s needs.
Choice B rationale
Apathy refers to a lack of interest, enthusiasm, or concern. It is the opposite of what the nurse is demonstrating. The nurse is showing concern for the patient’s situation and taking action to help.
Choice C rationale
Empathy refers to the ability to understand and share the feelings of another. While empathy may motivate the nurse’s actions, it does not fully describe the action of contacting a social worker to assist the patient.
Choice D rationale
Advocacy refers to the act of pleading for, supporting, or recommending a course of action. The nurse is advocating for the patient by recognizing their needs and seeking assistance from a social worker.

A. “I noticed you got angry at me in the operating room when I was handing you the instruments for the procedure.”. B. “I’m concerned about how you expressed your concern in front of the other staff members and the patient. It made me feel uncomfortable in front of them.”. C. “In the future, if you have an issue with how I do things, please pull me aside privately to discuss your concern.”. D. “If we cannot agree on this alternative, we’ll have to escalate this issue.”.

Correct Answer is B

Explanation

Choice A rationale
This statement is more about describing the specific situation (the “D” in DESC) rather than expressing the nurse’s concerns (the “E” in DESC). It’s important to note that the DESC tool stands for Describe, Express, State, and Consequences. In this context, the nurse is merely stating what happened, not expressing how it made them feel or the impact it had on them.
Choice B rationale
This statement accurately represents the “E” component of the DESC tool, which stands for "Express your concerns"12. In this scenario, the nurse is expressing their feelings about the physician’s behavior and its impact on them. They’re stating how the physician’s actions made them feel uncomfortable, especially in front of other staff members and the patient. This is a crucial step in the DESC process as it allows the individual to express their feelings and concerns about the situation.
Choice C rationale
This statement is more aligned with the “S” component of the DESC tool, which stands for "State other alternatives"12. Here, the nurse is suggesting a different way for the physician to express their concerns in the future. While this is an important part of the DESC process, it does not represent the “E” component.
Choice D rationale
This statement represents the “C” component of the DESC tool, which stands for "Consequences stated"12. In this context, the nurse is outlining the potential outcomes if they cannot agree on an alternative approach. While this is a crucial step in the DESC process, it does not represent the “E” component.

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An ICU nurse has had many discussions with fellow nursing colleagues about allowing patient families to visit as often as the patient’s condition will allow. Which patient and family need is the nurse considering in these conversations?

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An ICU nurse has had many discussions with fellow nursing colleagues about allowing patient families to visit as often as the patient’s condition will allow.

Which patient and family need is the nurse considering in these conversations?