The nurse is caring for a 14-month-old girl following a ...

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The nurse is caring for a 14-month-old girl following a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. How should the nurse respond?
 
  A) I will help you become very comfortable providing your daughter's care.
  B) You must learn how to care for your daughter at home.
  C) You will need to learn to collaborate with all the caregivers.
  D) There is a lot to learn and you need a positive attitude.

Question 2

During a follow-up visit to the clinic, a victim of sexual assault reports that she has changed her job and moved to another town. She tells the nurse, I pretty much stay to myself at work and at home.
 
   The nurse interprets these findings to indicate that the client is in which phase of rape recovery? A) Disorganization
  B) Denial
  C) Reorganization
  D) Integration

[LP]

Answer to Question 1

A
Response:
The nurse needs to empower families to become the experts on their child's needs and condition via education and participation in care. The most positive approach is to let the mother know the nurse will support her and help her become an expert on her daughter's care. Telling the mother that she must learn how to care for her daughter or that she must have a positive attitude is not helpful. Telling her that she needs to collaborate with the caregivers is true but does not address her fears.

Answer to Question 2

C
Response:
During the reorganization phase, the survivor attempts to make life adjustments by moving or changing jobs and uses emotional distancing to cope. The disorganization phase is characterized by shock, fear, disbelief, anger, shame, guilt, and feelings of uncleanliness. During the denial or outward adjustment phase, the survivor appears outwardly composed and returns to work or school and refuses to discuss the assault and denies the need for counseling. During the integration and recovery phase, the survivor begins to feel safe and starts to trust others.

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TYSM

[JaynaD87]

Excellent