A nurse is preparing to care for a dying pediatric patient and several immediate family members are at the bedside. The nurse should not use which of the following techniques when communicating with the family?
  1. Encouraging expression of feelings, concerns, and fears
  2. Extending touch and holding the patient’s or family member’s hand if necessary
  3. Explaining everything that is happening to all family members
  4. Being honest and truthful and letting the patient and family know that you will not abandon them
Explanation
Answer - C - The nurse should not use a technique like explaining everything that is happening to all family members when communicating with the family. The nurse must determine whether there is a spokesperson for the family and how much the patient and family want to know. The nurse needs to allow the family and patient the opportunity for informed choices and assist with the decision-making process if asked. The nurse should encourage expression of feelings, concerns, and fears, as well as reminiscing. The nurse needs to be honest and truthful and let the patient and family know that they will not be abandoned. Extend touch and hold the patient’s or family member’s hand, if appropriate.
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