American Nurses Credentialing Center (ANCC) Practice Exam 2025 – Comprehensive All-in-One Guide for Exam Success!

Question: 1 / 400

A parent refuses consent for a tracheostomy for their son. What is the most appropriate way for the nurse practitioner to respond?

"I understand you have reservations about the placement of a tracheostomy."

The most appropriate way to respond in this situation is to acknowledge the parent's feelings and reservations by stating, "I understand you have reservations about the placement of a tracheostomy." This response validates the parent's concerns and opens the door for further communication. It demonstrates empathy and encourages a dialogue about the potential risks and benefits of the procedure. Focusing on understanding the parent's perspective is critical in establishing trust and ensuring the parent feels heard in this emotionally charged situation.

This approach also allows the nurse practitioner to provide additional information and support without dismissing the parent's feelings or making them feel pressured. It lays the groundwork for discussing the necessity of the procedure and exploring alternative options.

In contrast, the other responses either downplay the parent's concerns or impose a sense of urgency or fear, which may lead to further resistance. Acknowledging concerns rather than minimizing them is vital in fostering collaboration in the decision-making process regarding the child's health care.

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"Please know that not many patients die while undergoing a tracheostomy."

"Without a tracheostomy, we can't transfer your son to another facility."

"You know, your son will die if a tracheostomy is not placed."

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