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Soru

Zorluk: KolayFamily Dynamics

A nurse in the intensive care unit is caring for a critically ill adult client who does not have an advance directive. Two of the client's adult siblings begin arguing loudly in the hallway regarding who should make the medical decisions. Which nursing actions are appropriate to manage this family dynamic? (Select all that apply.)

  1. Invite the siblings into a quiet consultation room to discuss their concerns.Cevap
  2. B
    Inform the siblings which medical treatments would be best to resolve their disagreement quickly.
  3. Acknowledge their distress and validate that having a critically ill family member is overwhelming.Cevap
  4. D
    Call hospital security immediately to remove the arguing family members from the unit.
  5. Offer to collaborate with the hospital social worker to facilitate a structured family meeting.Cevap

Cevap

The correct actions are to invite the siblings to a private room, acknowledge their distress, and offer the assistance of a social worker for a family meeting.
The correct nursing actions prioritize therapeutic communication, emotional support, and interdisciplinary collaboration. Moving the family to a private area respects their privacy while maintaining a quiet environment for the unit. Validating their emotions builds rapport, and consulting a social worker provides the specialized mediation needed to handle complex medical decisions when no advance directive exists.

Adım Adım Çözüm

1
Analyze the family dynamic and immediate environment.
The siblings are experiencing high stress due to the critical illness and lack of an advance directive, resulting in a loud public conflict.
Understanding the root cause of the conflict (situational crisis) guides the nurse toward supportive rather than punitive interventions.
2
Determine the priority interventions for de-escalation.
The immediate goal is to relocate the conflict away from the clinical care area to a private setting while offering emotional validation.
Protecting the therapeutic environment for all clients while respecting the family's need to process their distress is essential.
3
Evaluate long-term strategies to support family decision-making.
Involving the interdisciplinary team (e.g., social work) is identified as the best approach to resolve the underlying decision-making dispute.
Nurses facilitate resources but do not make personal medical decisions for the family.

Anahtar Kavram

Therapeutic management of family conflict during a situational crisis.
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Family Dynamics

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