The nurse is caring for a 3-year-old child during a long hospitalization. The parent is concerned about how to support the child's siblings during the hospitalization. What statement is appropriate for the nurse to make?
a. "You should choose one parent to spend every night in the hospital while the other parent stays at home with the other children."
b. "You could leave your hospitalized child for periods at night to be at home with the other children."
c. "You should discourage the siblings from visiting because this could upset everyone in the family."
d. "You could encourage a nightly phone call between the siblings as part of the bedtime routine."
ANS: D
A supportive measure for siblings of a hospitalized child is to have a routine of a phone call at some point during the day or evening so the parent at the hospital can stay in touch and the children at home are involved and can hear that their sibling is doing well. Parents should alternate who stays at the hospital overnight to prevent burnout and to allow each parent time at home with the siblings. Encourage siblings to visit if appropriate to keep the family unit intact. Leaving the hospitalized child alone at night will not support the siblings at home and may cause problems with the hospitalized child.
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