The nurse is admitting an infant to the care area. The parents ...

[mmm]

The nurse is admitting an infant to the care area. The parents and grandmother are present. What should the nurse use as the best source of data for this client?
 
  1. Medical record from the child's birth
  2. Grandmother
  3. Parents
  4. Admitting physician

Question 2

A newly admitted client is angry because nursing staff continue to ask the same questions. What should the nurse respond to this client?
 
  1. In order to make sure all of your information is complete, I need to ask these questions.
  2. You're right. Let me know if there's anything you need right now.
  3. I'll be done shortly, just give me a few more minutes.
  4. You shouldn't be upset. We're only doing our jobs.

[angrybirds13579]

Answer to Question 1

Correct Answer: 3
Rationale 1: The baby's birth record is able to provide necessary information, but not to the same extent as the parents.
Rationale 2: Although the grandmother can support the parents during this time and may be able to offer some helpful information, she would not be the best source.
Rationale 3: The best source of data is usually the client, unless the client is too ill, young, or confused to communicate clearly. The parents would be able to provide the nurse with the most accurate, current information regarding the baby (diet, schedule, symptoms, etc.).
Rationale 4: The admitting physician will be able to provide necessary information, but not to the same extent as the parents.

Answer to Question 2

Correct Answer: 2
Rationale 1: Before asking more questions, the nurse should review what is already at hand.
Rationale 2: Repeated questioning can be stressful and annoying, especially for hospitalized clients, and cause concern about the lack of communication among health professionals. The nurse should review previous records that contain data about the client's occupation, religion, and marital status, as well as take time to review all the information the previous nurse collected. Validating the client's feelings is always a good idea and helps to build rapport between the nurse and client.
Rationale 3: This option does not address the client's legitimate concern, nor does it acknowledge the client's feelings.
Rationale 4: Telling the client we're only doing our jobs is belittling to the client and doesn't offer a therapeutic response.

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Excellent

[JCABRERA33]

Gracias!