The nurse is caring for a client in Pediatric Intensive Care. The ...

[BrownTown3]

The nurse is caring for a client in Pediatric Intensive Care. The parents have expressed anger over the nursing care their child is receiving. Which is the most appropriate nursing intervention for these parents?
 
  1. Ask the physician to talk with the family.
  2. Explain to the parents that their anger is affecting their child, so they will not be allowed to visit the child until they calm down.
  3. Acknowledge the parents' concerns and collaborate with them regarding the care of their child.
  4. Call the chaplain to sit with the family.

Question 2

When a child broke her favorite doll during a hospitalization, her primary nurse bought the child a new doll and gave it to her the next day. What is the best interpretation of the nurse's behavior?
 
  a. The nurse is displaying signs of overinvolvement.
  b. The nurse is a kind and generous person.
  c. The nurse feels a special closeness to the child.
  d. The nurse wants to make the child happy.

[recede]

Answer to Question 1

3
Rationale:
1. Hospitalization of the child in a pediatric intensive care unit is a great stressor for parents. If the parents feel that they are not informed or involved in the care of their child, they might become angry and upset. Calling the physician or chaplain might be appropriate at some point, but the nurse must assume the role of supporter in this situation to promote a sense of trust. Telling the parents that they cannot visit their child will only increase their anger.
2. Hospitalization of the child in a pediatric intensive care unit is a great stressor for parents. If the parents feel that they are not informed or involved in the care of their child, they might become angry and upset. Calling the physician or chaplain might be appropriate at some point, but the nurse must assume the role of supporter in this situation to promote a sense of trust. Telling the parents that they cannot visit their child will only increase their anger.
3. Hospitalization of the child in a pediatric intensive care unit is a great stressor for parents. If the parents feel that they are not informed or involved in the care of their child, they might become angry and upset. Calling the physician or chaplain might be appropriate at some point, but the nurse must assume the role of supporter in this situation to promote a sense of trust. Telling the parents that they cannot visit their child will only increase their anger.
4. Hospitalization of the child in a pediatric intensive care unit is a great stressor for parents. If the parents feel that they are not informed or involved in the care of their child, they might become angry and upset. Calling the physician or chaplain might be appropriate at some point, but the nurse must assume the role of supporter in this situation to promote a sense of trust. Telling the parents that they cannot visit their child will only increase their anger.

Answer to Question 2

A
Feedback
A Buying gifts for individual children is a warning sign of overinvolvement.
B Nurses are kind and generous people, but buying gifts for individual children is
unprofessional.
C Nurses may feel closer to some patients and families. This does not make giving
gifts to children or families acceptable from a professional standpoint.
D Replacing lost items is not the nurse's responsibility. Becoming overly involved
with a child can inhibit a healthy relationship.

[BrownTown3]

Excellent

[Alyson.hiatt@yahoo.com]

Gracias!