Author Question: The school nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. ... (Read 152 times)

jace · **on:** Jun 27, 2018

The school nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation and the child is staying with a neighbor. Which action would be the priority?

A) Getting telephone consent, with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the child's aunt or uncle to obtain consent
D) Advocating for parens patriae to proceed with care for the child

Question 2

Parents are complaining about the amount of time their 14-year-old girl spends on the Internet. Which of the following would be most important to address with the parents?

A) Limit her use of the Internet to an hour per day..
B) Does she do her homework and socialize in person?
C) Can you place the computer where you can keep an eye on her?
D) You need to warn her about protecting her identity..

joshbk44 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
The priority action would be to contact the neighbor for an emergency number to reach the parents and get their verbal consent, with two witnesses listening simultaneously. If the nurse cannot reach the parents and there is no relative or other person with written authorization to act on the parent's behalf, then the physician may initiate emergency care without the parent's consent. Parens patriae would be reserved for situations in which the parents are neglectful, irresponsible, or incompetent, for example, if the parents refuse treatment and the health care team feels the treatment is reasonable and warranted.

Answer to Question 2

B
Feedback:
Although having the computer in a family area is better than putting it in her room, and warning her about protecting her identity is key, it is important to determine if the child is neglecting responsibilities, schoolwork, household activities, friends, or other forms of personal interaction. Once this is determined, then reasonable time limits for the child's use of the Internet can be established.