Author Question: A patient has just delivered her third child, who was stillborn and had obvious severe defects. ... (Read 76 times)

MGLQZ · **on:** Jun 27, 2018

A patient has just delivered her third child, who was stillborn and had obvious severe defects. Which statement by the nurse is most helpful?

1. Thank goodness you have other children..
2. I am so happy that your other children are healthy..
3. These things happen. They are the will of God..
4. It is all right for you to cry. I will stay here with you..

Question 2

The nurse in the emergency department is caring for a pregnant Middle Eastern woman in the emergency department who presents with a broken wrist and multiple bruises. When asked how this happened, she states she fell down the stairs.

The husband stays very close to his wife and does most of the talking. The nurse is aware that: 1. The patient likely did fall down the stairs.
2. The husband is being attentive and trying to help her feel better.
3. The husband could have battered her and possibly caused her to fall down the stairs.
4. This patient is safe to return home after her wrist is fixed.

juiceman1987 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Rationale 1: This is not helpful or appropriate for the nurse to say.
Rationale 2: This is not helpful or appropriate for the nurse to say.
Rationale 3: This is not helpful or appropriate for the nurse to say.
Rationale 4: The nurse needs to let the patient know it is all right to cry, and that the nurse will stay with her to offer support and understanding.

Answer to Question 2

3
Rationale 1: It is not likely that she just fell down the stairs on her own.
Rationale 2: It is possible that the husband is not to blame, but the nurse cannot determine that while he is present.
Rationale 3: The husband likely did do something to his wife and caused her to fall down the stairs.
Rationale 4: It would be questionable whether it would be safe for this patient to return home.