A patient has had emphysema (lung disease) for many years. When approached by the nurse, the patient states "I would be better off dead." The patient supports the family, and now because of oxygen dependency the patient must quit work. The patient's spouse will have to go to work. Which action should the nurse take?

A) Develop a plan of care for the family.
B) Contact psychiatric services for a referral.
C) Assure the patient that things will work out.
D) Focus the plan of care solely on maximizing patient function.

Question

Matte Pelicaric · Accepted Answer

Final Answer : A, Explanation :  Because of the effects of chronic illness, family dynamics often change. The nurse must view the whole family as a patient under stress, planning care to help the family regain its maximal level of functioning and well-being. Psychiatric services may be a part of that plan but do not represent the entire plan. Offering false assurance is never acceptable. Focusing only on the patient will not help the family adjust.

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