For several days, the nurse has been working with the parents of a baby with a cleft lip and cleft palate. The parents seem to have a lot of fears related to the care of their child and the child's future
How could the nurse best help these parents? a. Talk to them about how their fears are unnecessary, and encourage them to stop being afraid.
b. Tell the parents about any personal family experiences with cleft lip or cleft palate or about experiences with other parents having a baby with similar problems.
c. Show some before and after photographs of successful surgical repairs, and offer to arrange for them to talk with other parents of children with a cleft lip or cleft palate.
d. Take over more of the care of the infant to give the parents time to adjust to having a baby with deformities.
C
Feedback
A Incorrect. Talking to them about how their fears are unnecessary, and encourage them to stop being afraid denies their fears and is not a helpful response. The nurse should encourage parents to verbalize their feelings and fears because talking and sharing may decrease anxiety.
B Incorrect. Telling the parents about any personal family experiences with cleft lip or cleft palate or about experiences with other parents having a baby with similar problems is not a helpful intervention.
C Correct. The nurse could best help these parents by showing some before and after photographs of successful surgical repairs, and offering to arrange for them to talk with other parents of children with a cleft lip or cleft palate. This may allay their fears. Sharing with others in a similar situation facilitates acceptance and adaptation.
D Incorrect. Taking over more of the care of the infant to give the parents time to adjust to having a baby with deformities does not help them begin to adjust and bond to their infant. Parents need to be involved in the care of their baby, even if it only involves holding, touching, stroking and nurturing behaviors.
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While trying to inform a 5-year-old girl about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. The nurse's best response would be:
1. "Please stop talking about your puppy. I need to tell you about your CT scan." 2. Ignore the child's responses and continue discussing the procedure. 3. "I'll come back when you are ready to talk with me more about your CT scan." 4. "You must be so excited to have a new puppy! They are so much fun. Now let me tell you again about going downstairs in a wheelchair to a special room."
What is the range for normal fasting blood glucose level?
a. 20 to 50 mg/100 mL b. 70 to 100 mg/100 mL c. 200 to 250 mg/100 mL d. 30 to 60 mg/100 mL
The nurse manager is discussing cultural considerations with a group of student nurses. Which of the statements by the nursing students indicates a lack of understanding about cultural concepts? Standard Text: Select all that apply
1. "Culture can best be described as an awareness of belonging to a group in which certain characteristics differentiate the members of one group from another." 2. "A good description of culture is one that recognizes it's the socially transmitted beliefs, behaviors, values, customs, lifestyles and ways of thinking of a specific population that guides an individual's worldview." 3. "Culture is the belief that one's own beliefs, way of life, values, and customs are superior to others." 4. "Culture is the identification of an individual or group by shared genetic heritage and biologic characteristics." 5. "Decisions made by an individual are largely influenced by culture."
A nurse has been caring for a client with an IV and the shift is about to end. The IV bag is scheduled to run out 1.5 hours into the next nurse's shift. The offgoing nurse should do which of the following prior to the end of her shift?
a. hang a new IV bag b. tell the nurse a new bag will be needed c. ask client to call nurse for empty IV d. have a replacement bag ready