Progressive Care Nursing Certification (PCCN) Practice Exam

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In family-centered care, how should the nurse handle a family’s involvement in decision-making?

  1. Include them in all decisions made

  2. Exclude them if the patient is awake

  3. Limit their involvement to visitation times

  4. Solicit their input selectively only

The correct answer is: Include them in all decisions made

In family-centered care, involving the family in decision-making is crucial for promoting the well-being of both the patient and their loved ones. This approach recognizes that families are integral to the care process and that their insights and preferences can significantly influence treatment outcomes. By including families in all decisions made, nurses foster an environment of collaboration and support. This inclusion helps ensure that care aligns with the patient’s values, cultural beliefs, and personal preferences, which can lead to improved satisfaction with care and better adherence to treatment plans. Furthermore, when families feel valued and informed, it can enhance their emotional support for the patient, contributing to a more holistic and positive healthcare experience. In contrast, excluding families from decision-making, limiting their involvement, or selectively soliciting their input undermines the principles of family-centered care. Such actions can lead to feelings of frustration, confusion, and disempowerment among family members, which can detract from their ability to support the patient effectively. Thus, embracing a fully inclusive approach is vital for achieving the best outcomes in patient care.