A client and the nurse providing care for the client are ...

[Mimi]

A client and the nurse providing care for the client are discussing the plan of care. The client has a strong objection to portions of the plan of care. The nurse recognizes that there is an interpersonal conflict and should:
 
  1. Tell the client that the care was ordered by the physician.
   2. Enlist the help of the family to convince the client.
   3. Discuss the objections and offer solutions and alternatives.
   4. Tell the physician that the client is noncompliant.

Question 2

The parents of a child who is dying ask the nurse that the child not be told that he will not recover. The child asks the nurse if he is dying. Which of the following would be the most appropriate action by the nurse at this time?
 
  1. Tell the child he is dying and offer to stay with him
   2. Offer to bring in the child life therapist
   3. Ignore the child's question and change the subject
   4. Suggest a meeting with the health care team to the parents

[Zack0mack0101@yahoo.com]

Answer to Question 1

3. Discuss the objections and offer solutions and alternatives.

Rationale:
The nurse attempts to resolve the conflict with the client by listening to the client's concerns and then negotiating with the client. This action helps build the client's trust in the medical team. Telling the client that these orders were made by the physician continues the conflict and brings the physician into it. The nurse would not want to include the client's family in the conflict and cause problems between family members. The nurse might consult with the physician after a resolution has been reached with the client, but the conflict is the nurse's to solve.

Answer to Question 2

4. Suggest a meeting with the health care team to the parents

Rationale:
Offering to set up a meeting with the health care team to discuss the parents' fears and concerns about telling their child the truth is the best action by the nurse. Telling the child he is dying would be going against the parents' wishes. Avoiding the subject is not an option. Changing the subject or ignoring the child is not appropriate. The nurse should explain that the parents will talk to the child about this. The child has asked the nurse, but because the child is a minor, the nurse must consult with the parents first. Legally they cannot talk to the child.

[Mimi]

TYSM

[Chelseyj.hasty]

Gracias!