pdf

School

Walden University *

*We aren’t endorsed by this school

Course

MISC

Subject

Nursing

Date

Nov 24, 2024

Type

pdf

Pages

1

Uploaded by SuperHumanFrogMaster1106

Report
kept in the medical record. Data are also easily retrievable by anyone who needs to know this information. Informal documentation is often kept to assist in follow-up and change-of-shift reporting; however, this strategy is not recommended, as data collected are likely to vary and not be part of a permanent record. Although the charge nurse often has some information regarding families, the primary responsibility for assessment and follow-up belongs to the bedside nurse. Family information should be shared at change of shift using a standardized format, not “try to remember to discuss….” DIF: Cognitive Level: Application OBJ: Discuss the impact of critical care hospitalization on the patient and family. TOP: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 18. The wife of a patient who is hospitalized in the critical care unit following resuscitation for a sudden cardiac arrest at work demands to meet with the nursing manager. She states, “I want you to reassign my husband to another nurse. His current nurse is not in the room enough to make sure he is okay.” The nurse recognizes that thi s response most likely is due to what unspoken need? a. Desire to pursue a lawsuit if the assignment is not changed. b. Inability to participate in the husband’s care. c. Lack of prior experience in a critical care setting. d. Sense of loss of control of the situation. ANS: D Demanding behaviors often occur when the family member has a sense of loss of control or has had adverse outcomes in a previous hospitalization. Prevention of a lawsuit is not relevant to this scenario. No information is provided regarding whether the family member is participating in care or not. It is not known if she had a prior negative experience or not. DIF: Cognitive Level: Analysis OBJ: Discuss the impact of critical care hospitalization on the patient and family. TOP: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 19. Which statement reflects adherence to current recommendations concerning open visitation policies?
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