A preschooler is hospitalized following an injury. The mother has been staying with the child but now must leave to care for the other children. The mother asks the nurse what is the best way to leave
The nurse's response will include: Standard Text: Select all that apply. 1. Leave the child after he falls asleep so he won't know you are going.
2. Tell the child you are leaving and identify when you will return by the child's schedule (e.g., after you eat supper).
3. Have the mother leave an article of clothing behind.
4. Tell the nurse when she is leaving so the nurse can stay with the child while the parents are absent.
5. Plan to leave when the child is having procedures performed as the child will be busy and less aware of the parents' absence.
2,3
Rationale 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.
Rationale 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.
Rationale 3: The child recognizes that mother will return for her clothing and this may provide comfort.
Rationale 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.
Rationale 5: Whenever possible, the parents should be present when procedures are being performed.
Global Rationale:
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