A nurse is caring for a 5 year old and needs to measure their temperature using an electronic oral thermometer. Which intervention will provide the child with an increased sense of control?
Allow the child to hold the thermometer in their mouth until it beeps.
If the child protests tell them you will come back later.
Have the parents wait outside the room.
Ask the child if it is ok to take their temperature.
Correct Answer : A,D
A. Allow the child to hold the thermometer in their mouth until it beeps:
Allowing the child to hold the thermometer can provide a sense of control and involvement in the process. It may help reduce anxiety and make the experience less intimidating for the child. The beeping sound indicates when the temperature measurement is complete.
B. If the child protests, tell them you will come back later:
This choice is not recommended because it ignores the child's immediate needs and concerns. It may increase anxiety or fear, and delaying the process may not be in the best interest of the child's well-being.
C. Have the parents wait outside the room:
While it's common to have parents present during medical procedures for emotional support, in this case, involving the parents may not directly address the child's need for control during the temperature measurement.
D. Ask the child if it is ok to take their temperature:
Asking the child for permission respects their autonomy and involves them in the decision-making process. It promotes a sense of control and may reduce any potential resistance or fear the child might have.
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Related Questions
Correct Answer is D
Explanation
A. Ask a Buddhist priest to visit.
While spiritual and cultural support can be beneficial, the immediate concern raised by the father is related to dietary preferences. Requesting a visit from a Buddhist priest may not directly address the issue of providing a suitable diet for the child.
B. Explain that hospital patients are exempt from dietary rules.
This approach may not be well-received, as it could be perceived as dismissive of the family's cultural and religious beliefs. It's important to respect and accommodate the family's dietary preferences whenever possible.
C. Help the parent understand that meat provides protein needed for healing.
While nutritional education is valuable, it should be presented in a way that respects the family's beliefs. It's important to acknowledge and accommodate the family's vegetarian preferences while exploring alternative sources of protein.
D. Order the child a meatless tray.
This is the most appropriate intervention in this situation. Ordering a meatless tray respects the family's dietary preferences and ensures that the child's nutritional needs are met within the context of their cultural and religious beliefs.
Correct Answer is B
Explanation
A. Parents are shocked when their child is diagnosed with a malignant bone tumor. The orthopedic surgeon discusses the options of limb amputation and a limb-salvage procedure. The parents are asked to consider each option.
This situation involves a difficult medical decision, but it does not describe a conflict or ethical dilemma that necessitates immediate involvement of the ethics committee. The parents are being informed about treatment options, and their input is sought in making a decision for their child's care.
B. The physician recommends that a young child be taken off the ventilator. The parents, who are divorced and have joint custody of the child, have differing views about whether to discontinue the ventilator.
This scenario presents a clear ethical dilemma involving the withdrawal of life-sustaining treatment. The differing views of the divorced parents with joint custody may require the involvement of the hospital ethics committee to provide guidance and facilitate resolution.
C. A child in end-stage renal failure is placed on the renal transplant list. The parents are asked to sign permission for surgery after a cadaver kidney is located. One parent is out of town and gives telephone consent.
While organ transplantation involves ethical considerations, the described situation does not present an immediate conflict or dilemma that requires the ethics committee's urgent involvement. The scenario seems to involve a common process of obtaining consent for surgery.
D. After initial therapies have failed, a child with leukemia is evaluated for a new cancer protocol. The child, age 8 years, gives assent for the new treatment, and his parents give their consent.
This scenario involves a child participating in the decision-making process through assent, and the parents providing consent. While significant, it does not describe a conflict or ethical dilemma that requires immediate ethics committee involvement. The situation seems to involve standard procedures for obtaining informed assent and consent for medical treatment.
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