The pediatric nurse is caring for a child who has been in a motor vehicle collision. The doctor explains to the family that there are serious physical disabilities. The father is upset and states: "I don't know how we will be able to cope. We have two other children. What can we do?" The nurse's best response is:
A. "Don't worry. You will be able to manage."
B. "Don't worry. You will get through the crisis."
C. "Many parents find the initial news overwhelming."
D. "The doctor can explain it to you again."
ANS: C
A chronic condition, such as a physical disability, can create a threat of the unknown, loss of control, and long-term effects yet to be discovered. The nurse can reassure the family that the initial news of a physical disability can be overwhelming. The nurse should assist the family in developing an ongoing plan of care to meet the child's physical, emotional, and spiritual needs, as well as offer ongoing support and supply resources to help ensure successful coping. Telling the parents not to worry discounts their very real fears. Having the doctor explain the situation again does nothing to provide psychosocial care to the family.
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