The father of a child in the emergency department is yelling at ...

[nautica902]

The father of a child in the emergency department is yelling at the physician and nurses. Which action would be contraindicated in this situation?
 
  a. Provide a nondefensive response.
  b. Encourage the father to talk about his feel-ings.
  c. Speak in simple, short sentences.
  d. Tell the father he must wait in the waiting room.

Question 2

The parents of a child born at 36 weeks of gestation who had respiratory problems requiring 3 days of oxygen therapy are concerned that the infant may have an intellectual impairment.
 
  The best nursing statement to the parents is which of the following? a. A diagnosis of intellectual impairment is not made until the child enters school and experiences academic failure..
  b. Routine assessment of development during pediatric visits is the best method of early detection..
  c. The baby is not at risk for an intellectual impairment..
  d. Tests for intellectual impairments are not reliable for children younger than 3 years..

[dudman123]

Answer to Question 1

D
Because a parent who is upset may be aggravated by observers, he should be directed to a quiet area. When dealing with parents who are upset, it is important not to be defensive or attempt to justify anyone's actions. Encouraging the father to talk about his feelings may assist him to acknowledge his emotions and may defuse his angry reaction. People who are upset need to be spoken to with simple words (no longer than five letters) and short sentences (no more than five words).

Answer to Question 2

B
Routine assessment of development from birth is the best method for early detection of problems. Intellectual impairment may be detected before school age. The baby may be at risk for an intellectual impairment as a result of poor oxygenation. The Denver Developmental Screening test may be unreliable for children younger than 3 years, but other assessment tools are available. Several neuropsychological tests are available.