The nurse asks the mother of a child with a chronic illness many ...

[JMatthes]

The nurse asks the mother of a child with a chronic illness many questions as part of the assessment. The mother answers several questions, then stops and says, I don't know why you ask me all this. Who gets to know this information?
 
  The nurse should respond in what manner?
  a. Determine why the mother is so suspicious.
  b. Determine what the mother does not want to tell.
  c. Explain who will have access to the information.
  d. Explain that everything is confidential and that no one else will know what is said.

Question 2

One of the supervisors for a home health agency asks the nurse to give a family of a child with a chronic illness a survey evaluating the nurses and other service providers. How should the nurse recognize this request?
 
  a. Appropriate to improve quality of care
  b. Improper because it is an invasion of privacy
  c. Inappropriate unless nurses and other providers agree to participate
  d. Not acceptable because the family lacks remembering necessary to evaluate professionals

[flexer1n1]

Answer to Question 1

ANS: C
Communication with the family should not be invasive. The nurse needs to explain the importance of collecting the information, its applicability to the child's care, and who will have access to the information. The mother is not being suspicious and is not necessarily withholding important information. She has a right to understand how the information she provides will be used. The nurse will need to share, through both oral and written communication, clinically relevant information with other involved health professionals.

Answer to Question 2

ANS: A
Quality assessment and improvement activities are essential for virtually all organizations. Family involvement in evaluating a home care plan can occur on several levels. The nurse can ask the family open-ended questions at regular intervals to assess their opinion of the effectiveness of care. Families should also be given an opportunity to evaluate the individual home care nurses, the home care agency, and other service providers periodically. Evaluation of the provision of care to the patient and family requires evaluation of the care provider, that is, the nurse. Quality-monitoring activities are required by virtually all health care agencies. During the evaluation process, the family is asked to provide their perceptions of care.

[JMatthes]

TYSM

[raenoj]

Excellent