Matthew, age 18 months, has just been admitted with croup. His parent is tearful and tells the nurse, "This is all my fault. I should have taken him to the doctor sooner so he wouldn't have to be here."
Which is appropriate in the care plan for this parent who is experiencing guilt?
a. Clarify misconception about the illness.
b. Explain to parent that the illness is not serious.
c. Encourage parent to maintain a sense of control.
d. Assess further why parent has excessive guilt feelings.
ANS: A
Guilt is a common response of parents when a child is hospitalized. They may blame themselves for the child's illness or for not recognizing it soon enough. The nurse should clarify the nature of the problem and reassure parents that the child is being cared for. Croup is a potentially serious illness. The nurse should not minimize the parent's feelings. It would be difficult for the parent to maintain a sense of control while the child is seriously ill. No further assessment is indicated at this time; guilt is a common response for parents.
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