The nurse is caring for a hospitalized infant. When the infant ...

[moongchi]

The nurse is caring for a hospitalized infant. When the infant begins to cry, the parents report they do not believe in responding too rapidly, as they do not wish to spoil their child.
 
  Which response by the nurse is most appropriate?
  1. I agree with your philosophy of child rearing.
  2. There are many studies that support this belief.
  3. Responding quickly to your baby's cries will assist the baby in feeling secure and does not result in a spoiled child.
  4. Children who experience separation anxiety have been spoiled by their parents.

Question 2

A Cuban-American infant is admitted to the pediatric unit for observation. When assessing the family's interactions the nurse notes the mother does all the care of the child while the father seems detached from the infant.
 
  Which nursing diagnosis is the most appropriate for this situation?
  1. Family Processes; Dysfunctional.
  2. Role Performance; Ineffective.
  3. Violence; Other-Directed, Risk for.
  4. Family Processes; Readiness for Enhanced.

[pami445]

Answer to Question 1

Correct Answer: 3

A timely response to infant crying does not result in a spoiled child. It promotes the infant's sense of security and promotes independence during later stages of development. The nurse should not be offering personal beliefs or philosophies to clients or their families. Concern over spoiling infants by promptly responding to their cries is no longer an accepted concept. Research has shown that infants whose mothers respond promptly to their cries during the early months of life cry less at 1 year of age. Children who have received inconsistent nurturing may experience clingy, angry, or distrustful behaviors.

Answer to Question 2

Correct Answer: 4

The readiness for enhanced family processes is by definition a pattern of family functioning that is sufficient to support the well-being of family members and can be strengthened. Paternal and maternal attachment differs among cultures. In the Cuban American culture, the mother is the primary caregiver and bonds with the child earlier and continually, while the father remains detached from infant care and begins attachment behaviors only when the child is able to walk and communicate. The family is operating and coping within the norm of its Cuban American culture; therefore, compromised family coping is not an appropriate nursing diagnosis for this infant and family. The role functions of the parents are not altered and are culturally appropriate with the mother being the infant's primary caretaker. And finally, the nurse must be cognizant of a client's cultural norms in order to accurately make assessments and determine real or potential problems. There is nothing to suggest a risk for family violence.
Cognitive Level: Applying

[moongchi]

Thank you

[pami445]

No problemo