After reading a magazine article on complementary medicine ...

[BRWH]

After reading a magazine article on complementary medicine methods, a teenager diagnosed with cancer asks the nurse about the possibility of adding CAM to the medical treatment plan.
 
  The nurse would explain to the child that prior to deciding on a CAM method, the adolescent must discuss: 1. The cost of the CAM with her parents.
  2. The availability of CAM leaders with the hospital social worker.
  3. The safety of the chosen CAM modality with her primary physician.
  4. Alternative CAM methods with the nurse.

Question 2

An adolescent with cystic fibrosis is intubated with an endotracheal tube. The most appropriate nursing diagnosis is:
 
  1. Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity.
   2. Anxiety related to leaving chores undone at home.
   3. Potential for Fear of Future Pain related to medical procedures.
   4. Powerlessness (Moderate) related to inability to speak to or communicate with friends.

[lin77x]

Answer to Question 1

3
Rationale 1: Although discussion about cost is important, this is not the best response.
Rationale 2: Some CAM modalities may require an instructor/leader, and others may not. This is not the best answer.
Rationale 3: The priority concern about CAM modalities must be safety and the reaction of the CAM with the current medical treatment
Rationale 4: In considering CAM modalities, the patient and family may have options. It is acceptable to discuss this with a nurse, but safety should always be the primary concern.
Global Rationale:

Answer to Question 2

4
Rationale:
1. The adolescent with cystic fibrosis is likely to be underweight, and is unlikely to take in more calories than needed while intubated.
2. The adolescent is present-, not future-, oriented, and is unlikely to worry about household chores.
3. The adolescent will more affected by powerlessness related to inability to speak, then fear of the unknown. Fear of the unknown is more common in younger children.
4. The adolescent values communication with peers, and might feel frustrated that he cannot speak to them while intubated.

[BRWH]

Thanks for the timely response, appreciate it

[ryhom]

Gracias!