Progressive Care Nursing Certification (PCCN) Practice Exam

What is the most appropriate nursing response when a family overhears conflicting medical advice regarding a patient's prognosis?

1. Explain to them that this physician does not have all the facts

2. Reinforce the diagnosis and the limited value of dialysis

3. Speak to the physician about his comments and the patient's prognosis

4. Ignore the concern and ask the family to sign a do-not-resuscitate (DNR) form

The correct answer is: Speak to the physician about his comments and the patient's prognosis

When a family hears conflicting medical advice regarding a patient's prognosis, the most appropriate response is to speak to the physician about their comments and the patient's prognosis. This approach is crucial because it allows for clarification and continuity of care, helping to ensure that everyone involved in the patient's healthcare has a consistent understanding of the situation. Addressing the conflicting information directly with the physician provides an opportunity to resolve any misconceptions and reinforces trust between the medical team and the patient's family. It demonstrates a commitment to collaborative communication and fosters an environment where family members can feel heard and supported during a potentially confusing and stressful time. Clear, open communication is essential in healthcare settings, particularly when discussing complex matters such as prognosis and treatment options. This response also paves the way for shared decision-making, where the family's concerns can be taken into account, enhancing their understanding of the treatment plan. Ultimately, it emphasizes the importance of teamwork and communication within the healthcare team to ensure optimal patient care.