A nurse is working with a school-age child who is dying. The child is hostile and uncooperative. Which action by the nurse is the most appropriate?
A.
Ask the child what she knows about what is wrong with her.
B.
Give the child time to herself and then return to complete tasks.
C.
Offer the child a reward for cooperative or pleasant behavior.
D.
Tell the child to cooperate with treatments in order to get better.
ANS: A
School-age children often know and understand more than parents want to believe. Attempting to shield the child in this age group from the realities of his or her condition can create an atmosphere of distrust. An angry and uncooperative child often is displaying that distrust. The nurse should open up a conversation with the child and find out what she already knows (or thinks she knows) about her condition. This can help create trust. The child may need some time alone, but this by itself will not improve the situation. Rewards for good behavior may be helpful, especially if the parents use this technique at home, but, again, this is not the best answer. Simply telling the child to behave is not likely to be helpful.
You might also like to view...
A registered nurse (RN) seeking work in a voluntary health agency would choose a
a. church-affiliated hospital. b. proprietary hospital. c. state university hospital. d. veterans administration (VA) hospital.
The nurse is preparing to administer dopamine. Which is the correct technique for administering dopamine?
a. Orally b. Intravenous (IV) push injection c. Intermittent IV infusions (IV piggyback) d. Continuous IV infusion with an infusion pump
The client is 4 hours postoperative after a supratentorial craniotomy. What positioning would be most beneficial to this client?
A. Supine, with the head of the bed elevated to at least 30 degrees B. On the nonoperative side C. On the operative side D. Flat, on either side
Is depolarization the same as contraction? Explain your answer
What will be an ideal response?