The mother of a toddler experiencing stomach pain insists that ...

[washai]

The mother of a toddler experiencing stomach pain insists that the child be admitted to find out the cause of the pain. The child has been in the emergency room three other times in the past 6 months for the same complaint.
 
  What other information should alert the nurse to investigate the situation further? A) The mother is a single parent.
  B) The mother is in nursing school.
  C) The child has a 1-year-old sister.
  D) The child verbalizes abdominal pain when the mother is not present.

Question 2

The nurse is using the acronym QUESTT to assess the pain of a child. Which of the following is an accurate descriptor of this process?
 
  A) Question the child's parents.
  B) Understand the child's pain level.
  C) Establish a caring relationship with the child.
  D) Take the cause of pain into account when intervening.

[al]

Answer to Question 1

B
Feedback:
Munchausen syndrome by proxy refers to a parent who repeatedly brings a child to a health care facility and reports symptoms of illness when the child is well. A parent might report symptoms such as abdominal pain in a child. Because of these symptoms, the child is submitted to needless diagnostic procedures or therapeutic regimens. The parent usually has some degree of medical or child care knowledge obtained through formal education. Being a single parent, having siblings, and the child verbalizing abdominal pain when the mother is not present are not indications of this syndrome.

Answer to Question 2

D
Feedback:
The acronym QUESTT stands for the following: Question the child. Use a reliable and valid pain scale. Evaluate the child's behavior and physiologic changes to establish a baseline and determine the effectiveness of the intervention. The child's behavior and motor activity may include irritability and protection as well as withdrawal of the affected painful area. Secure the parent's involvement. Take the cause of pain into account when intervening. Take action.

[washai]

Excellent

[T4T]

TYSM