Author Question: A child with a severe, chronic illness is hospitalized and the staff finds it difficult to deal with ... (Read 174 times)

student77 · **on:** Jun 28, 2018

A child with a severe, chronic illness is hospitalized and the staff finds it difficult to deal with the mother, who is overbearing and controlling. What action by the nursing manager would be most appropriate to help the situation?

A.
Ensure consistent caregiver staffing.
B.
Explain that the mom is trying to regain control.
C.
Request a social work consultation.
D.
Set strict limits on the mother's behavior.

Question 2

A nurse notes that a patient with cystic fibrosis develops difficult breathing. The nurse calls the father to report his condition. The father, who has been continually present, cannot be there because the patient's sister has influenza and

the father stayed at home to care for his daughter. In the morning, the nurse sees the patient's father and approaches him to talk. Which statement by the nurse is most appropriate at this time?
A.
I feel sorry that you were not here when your son got so sick last night.
B.
Please sit down. I want to update you about your son's condition.
C.
Your son had a difficult night. It is too bad you were not here with him.
D.
Your son might die. Come with me now and see him before it's too late.

Fayaz00962 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Although the mother is trying to regain some control over her child's situation, merely explaining this fact won't do much to alleviate the situation. The best outcome is a trusting relationship between caregivers and the mother. Once this is established, the nurses can work with the mother to allow her control when feasible. A social work consultation may be helpful but is not the best answer. Setting limits on the mother's behavior in the absence of a trusting relationship is likely to provoke her and make the behaviors worse.

Answer to Question 2

ANS: B
The nurse's response should be supportive and caring and should not make the father feel guilty for taking care of his other child. The nurse can help families meet emotional and spiritual needs by offering ongoing support and supplying resources to help ensure successful coping. The nurse caring for the family must remember that uncertainty and fear about the future is a constant worry for the parents of a chronically ill child.