How should the charge nurse respond in the given-below case?
An anxious client who suffered an acute myocardial infarction is transferred from the coronary care unit to the telemetry unit. The client asks the charge nurse if he can have the same nurse care for him every day.
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A. Different nurses will be assigned to you each day to avoid your becoming dependent on one nurse. B. It s important for you to receive care from a variety of nurses so you can evaluate your care. C. We will try to assign you the same nurse as often as possible. D. It s our policy to rotate client care assignments to ensure quality care for everyone.
In a hospital setting, we often try to assign patients the same nurse as often as possible. This helps to reduce patients' anxiety and also helps patients to trust the health care provider. It is easier for the nurse as well, who becomes familiar with the needs of a patient.
However, it may not always be possible to assign the same nurse to a specific bed. Often in big setups, nurses are on rotations where they take care of patients in different wards on different days. In a way, this makes sure that every detail is checked and analyzed before any treatment is administered. However, patient concerns should be valued wherever possible.
We will try to assign you the same nurse as often as possible.-rationale: the charge nurse should try to accommodate the clients wishes by assigning him a familiar nurse whenever possible. doing so should help decrease the clients anxiety. preventing dependency shouldnt be a concern; allaying his anxiety should. the client shouldnt be concerned with evaluating the quality of care rendered by multiple nurses. providing continuity of care helps ensure quality care.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: analysisreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 178.