A 16-year-old boy has a stiff neck, a headache, a fever of ...

[Redwolflake15]

A 16-year-old boy has a stiff neck, a headache, a fever of 103Fahrenheit, and purpuric lesions on his legs. He is admitted to the hospital for treatment of suspected meningococcemia.
 
  Although the adolescent's physical needs take priority at the present time, the nurse can expect which of the following to be the most significant psychological stressor for this adolescent? 1. Separation from parents and home
   2. Separation from friends and permanent changes in appearance
   3. Fear of painful procedures and bodily mutilation
   4. Fear of getting behind in schoolwork

Question 2

The parents of a child who is critically injured wish to stay in the room while the child is receiving emergency care. The nurse should:
 
  1. Ask the physician if the parents can stay with the child.
  2. Allow the parents to stay with the child.
  3. Escort the parents to the waiting room and assure them that they can see their child soon.
  4. Tell the parents that they do not need to stay with the child.

[triiciiaa]

Answer to Question 1

2
Rationale:
1. Separation from parents and home is the main psychological stressor for infants and toddlers.
2. Adolescents are concerned about their appearance and how they look compared with their peers. Adolescents are developing their identities, and rely most on their friends.
3. Preschoolers fear pain and bodily mutilation.
4. School-age children are developing a sense of industry and fear getting behind in schoolwork.

Answer to Question 2

2
Rationale 1: The physician does not make the decision whether the parents stay with the child; the parents make the decision.
Rationale 2: Parents should be allowed to stay with their child if they wish to do so. This position is supported by the Emergency Nurses Association and is a key aspect of family-centered care.
Rationale 3: Parents should be allowed to stay with their child if they wish instead of going to the waiting room where they lack privacy.
Rationale 4: The parents need to make the decision about staying with their child without input from the nurse.
Global Rationale:

[Redwolflake15]

Thank you

[triiciiaa]

No problemo