The Juarez family includes Maria, age 76, Juan, age 72, and three adul

The Juarez family includes Maria, age 76, Juan, age 72, and three adult children. Maria has been managing a diagnosis of heart failure for approximately 10 years.

Documentation suggests the family has had a great deal of stress with recent hospitalizations and caregiving in their home. The adult children voice their concerns about Maria’s decision to complete an advanced directive. Which of the following demonstrate an insufficient understanding of family-focused nursing care and communication?
1. A nurse should make a statement such as, “Your family has had a great deal of distress lately; why don’t you just let Maria make her own decisions.”
2. A nurse’s questioning techniques may help identify the family’s beliefs and understandings about advanced directives.
3. A nurse should make a statement such as, “Your family has done a good job of caring for each other during this lengthy illness.”
4. A nurse should attempt to clarify misunderstandings and share accurate information about the health status of the patient.

ESSAYBID ANSWER

ANS: 1

Feedback
1 This statement fails to recognize the role of a family in decision-making. Even though maintaining patient autonomy is important, a family-focused nurse should also address the family’s concerns.
2 This statement is correct because understanding the family’s beliefs will require questioning techniques to provide family-focused nursing care.
3 This statement is correct because family-focused care commends a family for their strengths.
4 This statement is correct because family-focused care provides information about the status of an ill family member to a family.