The nurse works in a pediatric unit.In working with a parent who is suspected of Munchausen Syndrome by Proxy,it is very important for the nurse to
1. confront the parent with concerns ofpossible abuse.
2. carefully document parent-childinteractions.
3. try to keep the parent separated fromthe child as much as possible.
4. explain to the child that the parent iscausing the illness and that the health team will prevent the child from being harmed.
Answer:2
Rationale:Munchausen Syndrome by Proxy is very difficult to prove and evidence provided by the careful documentation of the nursing staff can be very influential.Care must be taken not to make the parent suspicious and to keep the child in the hospital until enough evidence is collected.Confronting the parent or separating the parent from the child may alienate the parent and cause him or her to leave with the child. Talking to the child about the healthcare team's suspicions may be confusing and frightening for the child.
You might also like to view...
A male client is prescribed tadalafil (Cialis). What should the nurse instruct the client about this medication? (Select all that apply.)
1. Do not take more than once per day. 2. Report an erection that lasts longer than 4 hours. 3. Chest pain is expected when taking this medication. 4. The effects of the medication may diminish after 2 to 36 hours. 5. The medication should be taken 10 minutes before sexual activity.
The nurse is performing hourly assessments on a client in the compensation stage of shock. In documenting the hourly urine output of 40 mL from the Foley catheter, which nursing action is most appropriate?
A) Reposition the client and make sure there are no kinks in the catheter tubing. B) Notify the physician of the hourly output and encourage physician assessment. C) Record 40 mL as the hourly output. D) Notify the family of the urine output.
The nurse is teaching a parent of a 6-month-old infant with gastroesophageal reflux (GER) before discharge. What instructions should the nurse include? (Select all that apply.)
a. Elevate the head of the bed in the crib to a 90-degree angle while the infant is sleeping. b. Hold the infant in the prone position after a feeding. c. Discontinue breastfeeding so that a formula and rice cereal mixture can be used. d. The infant will require the Nissen fundoplication after 1 year of age. e. Prescribed cimetidine (Tagamet) should be given 30 minutes before feedings.
Nonopioid analgesics include all of the following except:
A. COX-2 inhibitors. B. meperidine. C. nonsteroidal anti-inflammatory drugs (NSAIDs). D. acetaminophen.