The home health nurse asks a child's mother many questions as ...

[BrownTown3]

The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions, then stops and says, I don't know why you ask me all this. Who gets to know this information? The nurse should take which action?
 
  a. Determine why the mother is so suspicious.
  b. Determine what the mother does not want to tell.
  c. Explain who will have access to the information.
  d. Explain that everything is confidential and that no one else will know what is said.

Question 2

The home health nurse is caring for a child who requires complex care. The family expresses frustration related to obtaining accurate information about their child's illness and its management. Which is the best action for the nurse?
 
  a. Determine why family is easily frustrated.
  b. Refer family to child's primary care practitioner.
  c. Clarify family's request, and provide information they want.
  d. Answer only questions that family needs to know about.

[yeungji]

Answer to Question 1

ANS: C
Communication with the family should not be invasive. The nurse needs to explain the importance of collecting the information, its applicability to the child's care, and who will have access to the information. The mother is not being suspicious and is not necessarily withholding important information. She has a right to understand how the information she provides will be used. The nurse will need to share, through both oral and written communication, clinically relevant information with other involved health professionals.

Answer to Question 2

ANS: C
The philosophic basis for family-centered practice is the recognition that the family is the constant in the child's life. It is essential and appropriate that the family have complete and accurate information about their child's illness and management. The nurse may first have to clarify what information the family believes has not been communicated. The family's frustration arises from their perception that they are not receiving information pertinent to their child's care. Referring the family to the child's primary care practitioner does not help the family. The home health nurse should have access to the necessary information. Questions about what they need and want to know concerning their child's care should be addressed.

[BrownTown3]

Gracias!

[rleezy04]

TYSM