A 16-month-old girl with Down syndrome has several cardiac defects that are inoperable. The parents are struggling to decide the next step. A care conference is held consisting of the family, the physician, the social worker, and the chaplain. Why should the nurse be involved in this discussion?

Explanation

•Since the nurse has direct contact with the patient and family, she can advocate for the patient and family as well as help the physician communicate the prognosis and medical options to the family.

Incorrect options:

•Nurses are generally not experts in terminal illnesses and don't necessarily witness many deaths.

•Leading the group in prayer is for the chaplain.

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