A six-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 he collided with a car
The parents appear lost and unable to take in the medical discussion. Which nursing diagnosis is most appropriate for the parents of this child? 1. Parental role conflict related to child's wellness vs. illness
2. Guilt related to buying a bicycle for the child
3. Family coping: compromised, related to the critical injury of the child
4. Knowledge deficit home care of fractured femur
3
Rationale 1: At this point, the parents will not be conflicted or confused whether they want their child well or ill.
Rationale 2: The parents may experience guilt for purchasing a bicycle and not providing a helmet for the child, but the parents' behavior does not suggest this diagnosis at this time.
Rationale 3: The parents are displaying ineffective coping behaviors. The parents might be experiencing hopelessness, frustration, and anxiety, and they are not coping well as a family unit.
Rationale 4: During the initial phase of the accident, the family is not focusing on discharge planning and care of the fractured femur.
Global Rationale:
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