A mother brings her severely disabled child to the pediatric clinic with complaints that the child has his fourth upper respiratory infection in 3 months. The mother appears disheveled and fatigued. What action by the nurse is best?
A.
Ask the mother when the last time she ate or bathed was.
B.
Inquire as to the whereabouts of the child's father.
C.
Make a referral to the visiting nurses for a home evaluation.
D.
Offer the mother information on local respite care options.
ANS: D
The mother may have caregiver fatigue, and opening up a discussion about respite care may be very helpful. Asking about hygiene, eating, and the whereabouts of the child's father all sound judgmental, although these questions could be gently included in a discussion of caregiver fatigue. Having the visiting nurses conduct a home visit to evaluate possible environmental causes of the child's frequent respiratory infections may be needed, but it is too premature at this point.
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