Which of the following would be most appropriate for the nurse to do when assisting parents who have experienced the loss of their preterm newborn?
A) Avoid using the terms "death" or "dying."
B) Provide opportunities for them to hold the newborn.
C) Refrain from initiating conversations with the parents.
D) Quickly refocus the parents to a more pleasant topic.
B
Response:
When dealing with grieving parents, nurses should provide them with opportunities to hold the newborn if they desire. In addition, the nurse should provide the parents with as many memories as possible, encouraging them to see, touch, dress, and take pictures of the newborn. These interventions help to validate the parents' sense of loss, relive the experience, and attach significance to the meaning of loss. The nurse should use appropriate terminology, such as "dying," "died," and "death," to help the parents accept the reality of the death. Nurses need to demonstrate empathy and to respect the parents' feelings, responding to them in helpful and supportive ways. Active listening and allowing the parents to vent their frustrations and anger help validate the parents' feelings and facilitate the grieving process.
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The mother of a hospitalized toddler states, "He cries when I visit. Maybe I should just stay away." What is the nurse's best response?
a. "Perhaps you are right. He only gets upset when you have to leave." b. "It is important that you are here. This is a common reaction in children when they are separated from their parents." c. "It might be easier for your child if you would stay with him, but this decision is up to you." d. "We take good care of him and he seems fine when you are not here."
A client who is having a tunneled central venous catheter inserted begins to report chest pain and difficulty breathing. What action does the nurse take first?
a. Administer the PRN pain medication. b. Prepare to assist with chest tube insertion. c. Place a sterile dressing over the IV site. d. Place the client in the Trendelenburg position.
Clinical practice guidelines distill a large body of evidence into a manageable form. Which describes clinical practice guidelines?
A) Give general recommendations for evidence-based decision making. B) Address all of the issues relevant to a clinical decision. C) Guide clinical practice when there are a number of published articles. D) Completed by researchers.
Many researchers advocate a total abandonment of the concept of validity
A) True B) False