Author Question: Which of the following actions by the nurse would usually be most productive in gaining an ... (Read 53 times)

dollx · **on:** Jun 27, 2018

Which of the following actions by the nurse would usually be most productive in gaining an understanding of an adolescent's or a child's perceptions related to their illness and hospitalization?

a. Conduct interviews with extended family members.
b. Interview the child or adolescent alone one-on-one.
c. Read the child's diary if the parents will provide it.
d. Have the child write a report for the nurse to read.

Question 2

The nurse caring for a 1-month-old child with a myelomeningocele will take into consideration when positioning the baby to: (Select all that apply.)

a. Place the baby in prone position
b. Maintain hip abduction
c. Counteract hip subluxation
d. Maintain a neutral foot position
e. Maintain upper limb alignment

Chocorrol77 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B

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A Incorrect. Conducting interviews with extended family members would never be most productive in gaining an understanding of an adolescent's or a child's perceptions related to their illness and hospitalization.
B Correct. It is always helpful to have a separate interview with the child or adolescent in order to understand their perceptions related to illness and hospitalization.
C Incorrect. Reading the child's diary if the parents will provide it is an invasion of privacy that will never be appropriate, and if discovered by the adolescent, will destroy professional boundaries beyond repair.
D Incorrect. Having the child write a report for the nurse to read is not the equal for a two-way conversation of an interview one-on-one.

Answer to Question 2

A, B, C, D
The positioning of an infant prior to the repair of a myelomeningocele would focus on protecting the sac and preventing postural deformities. The baby should be placed in the prone position with a towel roll between the legs to maintain hip abduction and counteract hip subluxation, and another small roll to maintain a neutral foot position.