A hospitalized preschool-age child will be left alone for short periods of time for the mother to return home to care for the child's siblings. The mother asks the nurse what is the best way to leave. Which response by the nurse is appropriate? Select all that apply
1. "Leave after your child falls asleep so he won't know you are going."
2. "Tell your child you are leaving and identify when you will return after dinner."
3. "Leave an article of clothing behind to comfort your child."
4. "Tell the nurse on duty when you are leaving so that the nurse can stay with your child while you are gone."
5. "Plan to leave when your child is having procedures performed as the child will be busy and less aware of the parents' absence."
2, 3
Explanation:
1. The child will awaken and feel mom has disappeared. When mom returns, the child may be unwilling to fall asleep again for fear she will disappear again.
2. The child cannot tell time, so it is appropriate to associate time of return with an event that the child recognizes rather than give a specific time. It is appropriate for the mother to tell the child she is leaving and promise to return.
3. The child recognizes that mother will return for her clothing, and this may provide comfort.
4. The nurses need to know that the child is alone, but staffing demands will not allow a nurse to sit with the child during the parent's absence.
5. Whenever possible, the parents should be present when procedures are being performed.
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