Which action should the nurse incorporate into a care plan for a ...

[K@]

Which action should the nurse incorporate into a care plan for a 14-year-old child in the emergency department?
 
  a. Limit the number of choices to be made by the adolescent.
  b. Insist that parents remain with the adolescent.
  c. Provide clear explanations and encourage questions.
  d. Give rewards for cooperation with proce-dures.

Question 2

An autistic child is hospitalized with asthma. The nurse should plan care so that the:
 
  a. parents' expectations are met.
  b. child's routine habits and preferences are maintained.
  c. child is supported through the autistic crisis.
  d. parents need not be at the hospital.

[CAPTAINAMERICA]

Answer to Question 1

C
Adolescents are capable of abstract thinking and can understand explanations. They should be offered the opportunity to ask questions and make decisions. Adolescents should have the choice of whether parents remain with them. They are very modest, and this modesty should be respected. Giving rewards such as stickers for cooperation with treatments or procedures is more appropriate for the younger child.

Answer to Question 2

B
Children with autism are often unable to tolerate even slight changes in routine. Focus of care is on the child's needs rather than on the parent's desires. Autism is a life-long condition. The presence of the parents is almost always required when an autistic child is hospitalized.

[K@]

Excellent

[tranoy]

TYSM