A family member discusses with the nurse how he would like to be ...

[hubes95]

A family member discusses with the nurse how he would like to be present during any procedures being done to the child. What should the nurse know regarding this request?
 
  1. The child will benefit greatly from family member presence and participation.
  2. The child will act out if the parents are present during procedures.
  3. The child will be embarrassed for the parents to see her crying.
  4. The child would prefer to be alone during the procedure.

Question 2

The pediatric unit manager is making changes to the unit to reduce the stress of the hospitalized children. Which changes have been shown to reduce stress for the children?
 
  1. Having only female nurses on the unit
  2. Assigning nurses one-on-one with patients
  3. Allowing the nurses to wear colored scrubs in place of white uniforms
  4. Having the nurses avoid entering the patient room unless a procedure is to be performed

[Jossy]

Answer to Question 1

1
Rationale:
1. Parental participation prepares the family for care that will be required when the child goes home. The child benefits greatly from parental presence and participation. The child experiences reduced emotional distress and anxiety if the parents are present.
2. The child is not more likely to act out during procedures when the parent is present.
3. The child will be comforted, not embarrassed, by the parent's presence during the procedure.
4. Unless the child is old enough to make this request personally, this assumption cannot be made.

Answer to Question 2

3
Rationale 1: The sex of the nurse has not been shown to be a source of stress.
Rationale 2: Staffing patterns will not allow patient one-to-one nurse to patient ratio on the regular pediatric unit.
Rationale 3: This change has been shown to reduce stress in children.
Rationale 4: Nurses should visit when not performing procedures to allow the children to become familiar and comfortable with the nurses.
Global Rationale:

[hubes95]

Excellent

[bdobbins]

Gracias!