A child is admitted to the ED with a diagnosis of hypovolemic shock secondary to traumatic injury. Which of the following normal parental responses would the nurse expect to see?
1. Somatic distress
2. Feelings of guilt and negligence
3. Violent patterns of conduct
4. Confidence in a positive outcome for the child
2
Rationale:
1. Somatic distress would occur later, but would not be evident in the ED.
2. Feelings of guilt and own negligence are normal, and would be expected.
3. The parents might exhibit stages of grief, including anger, but should not become violent.
4. Anxiety generally prohibits parents from seeing a positive outcome during the initial phase of stress and grief.
You might also like to view...
When caring for a laboring patient, the nurse notes the onset of sudden vaginal bleeding at the beginning of cervical dilation. The patient denies any pain. What action by the nurse is best?
A. Document the findings in the woman's chart. B. Place the woman in a knee-chest position. C. Prepare the woman for an immediate cesarean birth. D. Perform a careful vaginal exam to assess for exposed umbilical cord vessels.
The nurse is assessing a client admitted with chronic back pain. Which of the following would the nurse associate with this type of pain? Standard Text: Select all that apply
1. Sudden onset 2. Interferes with daily activities 3. Lower intensity 4. Prolonged in duration 5. Sharp elevations in body temperature
What are core principles of patient- and family-centered care? (Select all that apply.)
a. Collaboration b. Empowering families c. Providing formal and informal support d. Maintaining strict policy and procedure routines e. Withholding information that is likely to cause anxiety
A 14-year-old is sent to a residential program after arrests for truancy and assault. At the program, the teen refused to participate in scheduled activities and pushed a staff member, causing a fall. Which strategy by nursing staff is indicated?
a. Begin social skills training. b. Coax to gain compliance. c. Neutrally allow refusals. d. Establish firm limits.