To help a comatose client's family make a moral decision ...

[FButt]

To help a comatose client's family make a moral decision regarding the termination of life sup-port, the nurse must first:
 
  1. Refrain from expressing his/her personal beliefs concerning the life support issue
  2. Provide the family with information regarding the process of terminating life support
  3. Determine whether the client had expressed any written or oral wishes regarding the issue
  4. Facilitate the family's decision-making process by providing them with a quiet, private space for discussion

Question 2

The nurse is caring for a 6-year-old child who is scheduled for outpatient surgery. Piaget's theory of cognitive development suggests that the nurse can help the child cope with the stressors of this hospital experience best by:
 
  1. Arranging for the parents to be with the child until the anesthetic takes affect
  2. Explaining the entire process with the child using age-appropriate language
  3. Using play as a means of familiarizing the child with the events he will experience
  4. Providing the child with a coloring book that shows the events he will be experi-encing

[Galvarado142]

Answer to Question 1

ANS: 1
Nurses need to know their own moral reasoning level. Recognizing one's own moral develop-mental level is essential in separating your own beliefs from others when helping clients with their moral decision-making process. Information regarding the process of terminating life support should be provided only after the family makes their decision or has asked for the information. To not influence the family, the nurse must first refrain from interjecting any personal feelings about the termination of life support measures.

Answer to Question 2

ANS: 3
Play becomes a primary means by which children foster their cognitive development and learn about the world. Nursing interventions during this period will recognize the use of play as the way the child understands the events taking place. You will assist parents in the use of play ma-terials such as thermometers, blood pressure equipment, and play needles that will allow children to communicate feelings about health care procedures they experience. Arranging for the parents to be with the child until the anesthetic takes affect may be an appropriate intervention but it does not reflect effective care suggested by Piaget's theory of cognitive development. Explaining the entire process with the child using age-appropriate language would be more appropriate for the older child. Providing the child with a coloring book that shows the events he will be experi-encing

[FButt]

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