Unhappy with the treatment progress for their child with cancer, ...

[audragclark]

Unhappy with the treatment progress for their child with cancer, the parents choose to add dietary supplements, including megavitamins, as complementary medicine to the treatment plan.
 
  What would be the priority nursing diagnosis for this child? 1. Impaired gas exchange
  2. Risk for injury
  3. Altered family processes
  4. Altered parenting

Question 2

An important goal for pediatric nurses in the office or healthcare setting is:
 
  1. Develop a positive relationship with the child and family.
  2. Develop a plan of care with the physician for the family.
  3. Tell the family immediately what's wrong with the child.
  4. Tell the family Everything will be okay.

[dreamfighter72]

Answer to Question 1

2
Rationale 1: The use of complementary therapies does not indicate impaired gas exchange.
Rationale 2: Risk for injury is the priority nursing diagnosis when complementary therapies are used. The nurse must be concerned for the child's safety with respect to side effects, risks, and other implications of complementary therapy used with traditional Western medical treatments.
Rationale 3: There is no indication this family has altered family processes. The use of complementary therapies does not mean their processes are unusual.
Rationale 4: There is no indication the parents are using inappropriate parenting styles.
Global Rationale:

Answer to Question 2

1
Rationale 1: An important goal for nurses in the office or healthcare setting is to develop a positive partnership with the child and family so that optimal health care is provided. The relationship with the family grows over the months and years of providing care to the child and family.
Rationale 2: The nurse does not develop a plan for medical care, with or without the physician.
Rationale 3: The nurse might not be able to tell the family what is wrong with the child.
Rationale 4: This is not therapeutic communication, as the nurse cannot guarantee that everything will be okay.
Global Rationale:

[audragclark]

Thanks for the timely response, appreciate it

[Joy Chen]

Gracias!