A child is admitted with a suspected diagnosis of Munchausen syndrome by proxy (MSBP). What is an important consideration in the care of this child?
a. Monitoring the parents whenever they are with the child
b. Reassuring the parents that the cause of the disorder will be found
c. Teaching the parents how to obtain necessary specimens
d. Supporting the parents as they cope with diagnosis of a chronic illness
ANS: A
MSBP refers to an illness that one person fabricates or induces in another. The child must be continuously observed for development of symptoms to determine the cause. MSBP is caused by an individual harming the child for the purpose of gaining attention. Nursing staff should obtain all specimens for analyzing. This minimizes the possibility of the abuser contaminating the sample. The child must be supported through the diagnosis of MSBP. The abuser must be identified and the child protected from that individual.
You might also like to view...
A patient has been diagnosed with trichomoniasis. Before beginning tinidazole (Tindamax) therapy, what should the nurse question the patient about?
A) Working conditions B) Use of alcohol C) Recent visit to a beach or desert D) Possibly having AIDS
A patient has a minor laceration on the left arm. What does the nurse know that will cause a patient to experience muscle and joint aches, a low-grade fever, and sleepiness when an inflammatory reaction is initiated?
A) Bacterial toxins B) Interferon activity C) Leukotriene activity D) Phagocytosis
A patient laughs while saying, "My dog died yesterday." The nurse documents this behavior using what terminology?
a. Autistic b. Ambivalence c. Inappropriate affect d. Associative looseness
At a community health fair, a nurse stresses the importance of a cardiac-prudent diet and exercise routine in order to help prevent coronary artery disease. Which is the correct rationale for this teaching?
1. Diet and exercise always reduce coronary artery disease. 2. Coronary arteries supply the myocardium with nutrients. 3. Diet and exercise are more effective treatment modalities in the prevention of coronary artery disease than are medications. 4. Coronary arteries spasm in response to exercise, which enhances myocardial perfusion.