A 6-year-old child is in the pediatric intensive care unit (PICU) with a fractured femur and head trauma. The child was not wearing a helmet while riding his new bicycle on the highway, and collided with a car
The nurse can expect which of the following nursing diagnoses for the parents of this child? 1. Guilt related to buying a bicycle for the child
2. Family Coping: Compromised, related to the critical injury of the child
3. Parental Role Conflict related to child's wellness vs. illness
4. Knowledge Deficit related to home care of fractured femur
2
Rationale:
1. The parent might experience guilt for purchasing a bicycle and not providing a helmet for the child.
2. The parents are displaying ineffective coping behaviors. Parent might be experiencing hopelessness, frustration, and anxiety, and they are not coping well as a family unit.
3. At this point, the parents will not be conflicted or confused whether they want their child well or ill.
4. During the initial phase of the accident, the family is not focusing on discharge planning and care of the fractured femur.
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