Parents tell the nurse that their 1-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on the knowledge that:
a. Children should not sleep with their parents.
b. Separation from parents should be completed by this age.
c. Daytime attention should be increased.
d. This is a common and accepted practice, especially in some cultural groups.
ANS: D
Co-sleeping or sharing the family bed, in which the parents allow the children to sleep with them, is a common and accepted practice in many cultures. Parents should evaluate the options available and avoid conditions that place the infant at risk. Population-based studies are currently underway; no evidence at this time supports or abandons the practice for safety reasons. This is the age at which children are just beginning to individuate. Increased daytime activity may help decrease sleep problems in general, but co-sleeping is a culturally determined phenomenon.
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The rule that states a nurse must delegate care to another nurse while on a lunch break is an example of:
1. regulatory law. 2. statutory law. 3. institutional policies and procedures. 4. criminal law.
A patient being treated for an MI has been transferred to a step-down unit from the intensive care unit. She uses the call bell as often as every 15 minutes
Each time a staff member responds, the patient complains about her care or makes a seemingly small request. Several staff tell the primary nurse that the patient is "obnoxious" and that they feel inadequate because they can never seem to satisfy her needs. The primary nurse can be most helpful by: a. explaining that the demanding behavior is due to the patient's increasing anxiety. b. "laying down the law" to the patient, limiting use of the call light to once per hour. c. rotating caregivers to give each person a much-needed respite from her complaints. d. asking the patient's family to sit with her and help meet her need for attention.
The mother of a 2-day-old male has been informed that her child has sepsis. The mother is distraught and says, "I should have known that something was wrong. Why didn't I see that he was so sick?" What is the nurse's best reply?
1. "Newborns have immature immune function at birth, and illness is very hard to detect." 2. "Your mothering skills will improve with time. You should take the newborn class." 3. "Your baby didn't get enough active acquired immunity from you during the pregnancy." 4. "The immunity your baby gets in utero doesn't start to function until he is 4 to 8 weeks old."
A client scheduled for surgery is instructed on the use of a patient-controlled analgesic device that she will use after the procedure. What are the advantages this device for pain control? (Select all that apply.)
1. The client controls the timing of medication delivery. 2. The client does not have to wait for a nurse to provide pain medication. 3. The nurse does not have to check on the client as frequently. 4. The physician does not need to prescribe various pain medication after the surgery. 5. The medication is delivered intravenously. 6. Pain control improves client comfort after surgery.