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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Discrimination refers to the unjust or prejudicial treatment of different categories of people, especially on the grounds of race, age, or sex. In this case, the physician is refusing to use a translator and only provides materials in English to patients who may not understand the language. This action can be seen as discriminatory because it denies these patients the same level of care that English-speaking patients receive.
Choice B rationale
Ethnocentrism is the belief in the inherent superiority of one’s own ethnic group or culture. While the physician’s actions may seem ethnocentric, as they are not considering the cultural needs of their patients, the scenario does not provide enough information to definitively label the behavior as such.
Choice C rationale
Stereotyping involves generalized and oversimplified beliefs about a particular group. The physician’s actions do not necessarily indicate that they are stereotyping their patients, but rather that they are not providing equitable care.
Choice D rationale
Acculturation is the process of adopting the cultural traits or social patterns of another group. The physician’s actions do not demonstrate acculturation. Instead, they show a lack of willingness to accommodate the cultural and linguistic needs of their patients.
Correct Answer is C
Explanation
Choice A rationale
The dosage of Methadone 40.0 mg orally twice a day does not seem unusually low. Methadone is a potent opioid medication used for pain management and the treatment of opioid dependence. Its dosage should be individualized based on the patient’s condition and response to treatment16.
Choice B rationale
The abbreviation “BID” is not listed as a “Do not use” abbreviation. It is a commonly used medical abbreviation that stands for “bis in die,” which means “twice a day” in Latin16.
Choice C rationale
Trailing zeros should be avoided when writing medication orders. Writing “40.0 mg” instead of “40 mg” can lead to dosing errors if the decimal point is not seen, potentially resulting in a tenfold overdose16.
Choice D rationale
There is a need to contact the provider to clarify the order due to the potential for dosing errors associated with the use of trailing zeros16.
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