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 B
Explanation
Choice A rationale
Administering a nebulizer treatment would be more appropriate for respiratory conditions such as asthma or COPD, not for angina pectoris.
Choice B rationale
Obtaining an EKG reading is the most appropriate initial action when a patient reports a new onset of angina pectoris. An EKG can help determine if the patient is experiencing a myocardial infarction (heart attack), which is a life-threatening condition.
Choice C rationale
While reviewing the patient’s surgical history is important in a comprehensive assessment, it is not the most immediate action needed when a patient presents with angina.
Choice D rationale
Recording the patient’s weight is not the most immediate action needed when a patient presents with angina.
Correct Answer is C
Explanation
Choice A rationale
Delegation refers to the process of assigning responsibility or authority to another person to carry out specific activities. It is not the process of developing a shared governance structure within nursing.
Choice B rationale
Distribution refers to the process of making a product or service available for the consumer or business user who needs it. It is not the process of developing a shared governance structure within nursing.
Choice C rationale
Decentralization is the process of distributing or dispersing functions, powers, people or things away from a central location or authority. In the context of nursing, it refers to the process of developing a shared governance structure within nursing.
Choice D rationale
Dissemination refers to the act of spreading something, especially information, widely. It is not the process of developing a shared governance structure within nursing.
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