Author Question: Which nursing diagnosis is appropriate for a 5-year-old child in isolation because of ... (Read 31 times)

tnt_battle · **on:** Jun 27, 2018

Which nursing diagnosis is appropriate for a 5-year-old child in isolation because of immunosuppression?

a. Spiritual distress
b. Social isolation
c. Diversional activity deficit
d. Sleep disturbance

Question 2

The nurse should obtain informed consent for which situation?

a. For any procedure that will be performed on a child
b. For any invasive procedure involving a risk to a child
c. Only if the child is not able to give consent
d. Only if the parents are not present

tandmlomax84 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Children in isolation need extra attention to avoid boredom. A 5-year-old child is not developmentally advanced enough to feel spiritual distress. The main social system for a 5-year-old child is the family, who should be allowed liberal visitation. Sleep disturbances may occur during hospitalization but are not specific to isolation.

Answer to Question 2

B
Informed consent is required for invasive procedures that involve a risk to a child, such as lumbar puncture, chest tube insertion, and bone marrow aspirations. Informed consent is not required for procedures that are covered under the general consent to treat that is signed at admission by a parent or a guardian. Agreement with the procedure is obtained from children older than 7 years of age but does not preclude the need for informed consent from a parent. If a parent is not present and an emergency procedure requiring informed consent is needed, administrative consent must be obtained.