During a previous family assessment, the nurse realized that the mother did most of the talking and was quick to make decisions, which appeared to be acceptable to the father. When one of their children is hospitalized, the nurse should
1. make sure that both parents are involved in all decision making.
2. allow the mother to make the decisions.
3. include both parents in the decision making, but be accepting if the mother retains control.
4. make sure that the physician understands the family dynamics so parental consent comes from the mother.
Correct Answer: 3
Rationale 1: The nurse uses information gained from the assessment to help diagnose, plan, and implement care. Understanding that the mother assumes the authority role in this particular family, the nurse may find it easier to address things with both present but should not be surprised if this pattern continues during the child's hospitalization.
Rationale 2: The nurse should not assume that family processes will be the same in a crisis situation or during stress and will want to make sure that the father is present during the process.
Rationale 3: The nurse uses information gained from the assessment to help diagnose, plan, and implement care. Understanding that the mother assumes the authority role in this particular family, the nurse may find it easier to address things with both present but should not be surprised if this pattern continues during the child's hospitalization. However, the nurse should not assume that family processes will be the same in a crisis situation or during stress and will want to make sure that the father is present during the process.
Rationale 4: This option reflects an inappropriate assumption that only the mother can provide consent to treat.
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