The mother of a 16-year-old child with multiple medical and developmental issues says to the nurse: "There are times that I think about just walking out of the house and not coming back
" Which would be an appropriate nursing diagnosis for this mother? 1. Caregiver role strain related to providing 24-hour care for a child with medical and developmental issues
2. Risk for injury (maternal) related to overwhelming demands of the medically fragile child
3. Knowledge deficit (maternal) nursing care of the child
4. Health seeking behaviors (maternal) related to interest in learning to care for her child
1
Rationale 1: This diagnosis describes the effect of this child's care on the mother.
Rationale 2: There is no indication of a risk for injury in the stem.
Rationale 3: This question does not indicate a lack of knowledge by the mother but frustration due to the daily demands of caring for her child.
Rationale 4: There is no indication in the stem that the mother wants to learn more about medical care for her child.
Global Rationale:
You might also like to view...
The critical care nurse is caring for a patient with acute renal failure in the oliguric phase. The nurse will closely monitor the patient for which commonly experienced electrolyte imbalance?
A) Hyperkalemia B) Hypercalcemia C) Hyperlipidemia D) Hyperbilirubinemia
The nursing instructor is teaching a class on thrombophlebitis. What should the nurse tell the students about the inflammatory response in thrombophlebitis?
A) The inflammatory response is caused by the irritation of the clot. B) The inflammatory response is caused by accumulated waste products in the blocked vessel. C) The inflammatory response is caused by an excess for fibrin in the blocked vessel. D) The inflammatory response is caused by the irritation of blood trying to flow through the vessel.
What precaution is needed in managing the care of a patient with insomnia who also has liver disease?
a. Monitor carefully for increased side effects and adverse effects. b. Teach the patient that a higher dose is needed for effective action. c. Check the patient's electrolytes before administering the drug. d. Assess the patient's gag reflex every hour.
____________ refers to an ability to move about freely
Fill in the blanks with correct word