While at a follow-up appointment, the mother of a child with complex health care needs makes this statement: "I think my child would be doing better if I weren't so tired all the time.". What is the nurse's priority response?
1. "Why are you tired all the time?"
2. "Have there been any changes in your daily routine?"
3. "I am sure he is doing as well as can be expected.".
4. "I think you are doing everything you can for him.".
2
Rationale:
1. Questions starting with "why" are confrontational, and should be avoided.
2. Respite care and caregiver assistance are extremely important for parents of children with complex health care needs. The nurse would need to ask about any changes in the routine of daily care. This leaves it open for the mother to talk more specifically about her schedule.
3. Making this statement is the equivalent of doing nothing for this mother and her child.
4. Making this statement is the equivalent of doing nothing for this mother and her child.
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