A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?
"Tell me why you want to take your child home."
"l will help you get ready to leave."
"You have not given the medication a chance to work."
"The pediatrician is the only one Who can discharge your child."
The Correct Answer is B
Answer: B
Rationale:
A) "Tell me why you want to take your child home."
This response could be perceived as questioning or challenging the parents' decision, potentially causing them to feel defensive or unsupported. It does not provide immediate assistance or support for their decision.
B) "I will help you get ready to leave."
This response shows support and understanding for the parents' decision. It offers practical assistance, helping the family transition smoothly from the hospital to home care, which is important for their emotional and logistical needs during this difficult time.
C) "You have not given the medication a chance to work."
This response may come across as dismissive of the parents' wishes and could imply that their decision is not valid. It does not acknowledge the parents' right to make decisions about their child's care, especially in a palliative context.
D) "The pediatrician is the only one who can discharge your child."
While it is true that discharge typically requires a physician's order, this response does not offer the supportive tone needed in this situation. It places an unnecessary barrier between the parents and their goal without providing assistance or comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This response acknowledges the potential comfort that can come from knowing that the tragedy may lead to saving other lives through organ donation. It emphasizes the positive impact that organ donation can have, which may provide some solace to the loved ones during a difficult time.
B. This response focuses on the logistical aspects of organ donation and may unnecessarily add stress to the situation by mentioning a delay in the funeral. It does not address the potential benefits of organ donation or provide emotional support to the loved ones.
C. This response provides inaccurate information about organ donation. Organ donation is not limited to just kidneys, and various organs and tissues can be donated depending on the circumstances and the donor's medical history. Additionally, this response does not address the emotional aspects of organ donation or provide reassurance to the loved ones.
D. This response mentions a small cost associated with organ donation, which may not be accurate as organ donation typically does not involve financial costs for the donor's family. Additionally, focusing on the cost detracts from the altruistic and compassionate nature of organ donation and may cause unnecessary concern for the loved ones.
Correct Answer is ["B","C","E"]
Explanation
A. The respiratory rate increasing may indicate discomfort or agitation rather than a therapeutic response to the massage.
B. The shoulders drooping may indicate relaxation, a release of tension and potentially improved comfort.
C. The relaxation of facial muscles indicates a therapeutic response to the back massage, as it suggests the client is experiencing relief from tension or discomfort.
D. Drawing the legs up into a fetal position may indicate discomfort or agitation rather than a therapeutic response to the massage.
E. The pulse remaining within the expected range suggests that the client is not experiencing undue stress or discomfort in response to the massage, indicating a therapeutic response.
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