Progressive Care Nursing Certification (PCCN) Practice Exam

A patient presents with a high fever and nuchal rigidity. What is the nurse's best response to the family's concerns about treatment adequacy?

1. Arrange a social service consult

2. Assure the family that everything will be explained later

3. Suggest that the family discuss concerns with the physician

4. Acknowledge the family's concerns while explaining rationales for interventions

The correct answer is: Acknowledge the family's concerns while explaining rationales for interventions

Acknowledging the family's concerns while explaining the rationales for interventions is essential in providing comprehensive and compassionate care. When a patient presents with symptoms such as a high fever and nuchal rigidity, which are indicative of serious conditions like meningitis, families can understandably feel anxious and worried about the patient's well-being. Responding with acknowledgment demonstrates empathy and validates the family's emotional state. By taking the time to explain the rationale behind the nursing interventions and treatment plans, the nurse can help the family understand the seriousness of the situation and the reasons for the chosen course of action. This not only helps to alleviate anxiety but also fosters a collaborative relationship between the healthcare team and the family, which is crucial for effective patient care. In contrast, simply assuring the family that everything will be explained later lacks direct engagement with their current worries and does not address their need for immediate reassurance. Suggesting that the family discuss their concerns with the physician may be appropriate at some point, but it does not facilitate timely communication and support from the nursing staff. Arranging a social service consult could be necessary for additional support, but it does not directly address the immediate concerns regarding treatment adequacy. Therefore, actively engaging with the family by acknowledging their concerns and providing clear explanations is the most effective and