FREE Pediatric CCRN Psychosocial Question and Answers
Due to staffing patterns, the respiratory therapist is not always present on the unit to place patients on the ventilator, so a nursing unit needs to be able to put patients back on ventilator support as directed, when patients are napping. The nurse should respond in the following ways:
Clinical Inquiry challenges the suitability of rules, regulations, and customs in order to enhance patient care.
A bowel management program is established for a child with myelomeningocele. The nurse will acknowledge that additional knowledge is necessary when the mother states, My child:
The nurse can help this mother understand that people with myelomeningocele are more likely to experience constipation and impaction than diarrhea by using the facilitation of learning technique. The mother requires additional instruction to assist her comprehend the bowel management strategy.
An adolescent who has previously been admitted for chronic status asthmaticus is getting ready to go home. Because taking his prescription "makes him feel too different" from his peers, the nurse concludes that the patient has not been taking his drugs as prescribed. The nurse needs to:
This intervention will promote compliance by normalizing the experience.
A family whose child has cerebral palsy and will be receiving a baclofen (Lioresal) pump to treat spasticity is receiving patient education from the nurse. Which of the following should the nurse emphasize in the conversation?
Every three to six months, the intrathecal dose of baclofen administered by the implanted pump is modified in the outpatient clinic using a telemetry wand.
The amount of hemolyzed blood samples that have been recorded by the lab, from the perspective of a nurse it is overwhelming. The nurse's best course of action would be to:
The nurse should start by documenting their observations regarding the reported hemolyzed blood samples. Keep track of the dates, times, and specific details about each incident to establish a pattern or identify potential factors contributing to the problem.
A nurse is interested in integrating other academic fields into the NICU's educational program for developmental care. The best strategy to persuade management that this project is profitable is to:
Utilizing available data to support care is known as evidence-based practice. A shortened stay is a motivator to continue the practice.
Family members of a recently deceased patient are sobbing and wailing loudly. The outbursts are making the staff angry. The ideal response from the nurse is to acknowledge the loudness and:
People from different cultures have distinct ways of expressing their sadness and mourning. Loud, passionate reactions could be a part of this manifestation. The family can have privacy while causing the least amount of disruption to nearby patients and personnel when they are given a location close to the patient's room.
A new diagnosis of hypertrophic cardiomyopathy has been made in an adolescent who experienced cardiac arrest. The parents worry about what to do if their son passes out once more. The best response from the nurse would be:
This claim is consistent with the facilitation of learning and caring behaviors. As an initial step in giving information, it identifies and explains the parents' concerns. It demonstrates sympathy for the worries of the parents.
Which of the following comments made by staff would worry the nurse most who is leading the charge to reduce catheter-associated urinary tract infections (CAUTI) on his or her unit?
Urinary catheter-related infections can be avoided by having catheters removed as soon as possible.
A 2-year-old who is on a ventilator has spent her entire life in a hospital. The patient will be sent home in a week with a gastrostomy and tracheostomy, according to the doctor. As a way to assess the discharge requirements of the patient, the nurse must arrange for:
The first pre-discharge objective for a child who is dependent on technology is to evaluate how suitable the home environment is. The needs of the patient and family are then taken into account in further discharge planning.
A patient with type 1 diabetes mellitus who has been hospitalized several times in the past year for diabetic ketoacidosis (DKA) is being cared for by a nurse. What certain setup should the nurse make before releasing the patient from this episode of DKA?
After numerous hospitalizations, the most crucial intervention at this time is assisting the patient and family in navigating the system to find services that might be useful in overcoming the disease's challenges.
A school-aged autistic child who has a fractured femur and a suspected brain injury is admitted. Which of the following factors is crucial to encouraging hospital setting adjustment?
Adhering to a home routine is ideal for managing autism spectrum disorders, which are a complex neurodevelopmental disease of the brain function accompanied by a wide range and severity of intellectual and behavioral abnormalities. The schedule enables the family and kid to function at their best.
A patient is admitted who is incapable of understanding English. Some recommendations for employing a translator include?
This response is in line with high levels of expertise in learning facilitation. It assists the patient while they speak with a professional and the translator to get the information they need.
Each profession now keeps track of its discharge instruction on its own flow sheet, including respiratory therapists, physical therapists, occupational therapists, and nurses. In order to optimally coordinate instruction, there should be:
This strategy adheres to collaboration. It provides chances for people from all fields to see how other team members contribute.
A family meeting is scheduled to go over the family's ethical worries about keeping a child on life support who has terminal cancer. The nurse's duties should include:
When deciding how to care for their child, the parents' opinions and comprehension are crucial. By helping the parents express their questions and concerns and giving them the confidence to stand up for both their kid and themselves, nurses play the role of advocates.
The ICU is caring for a patient with an end-stage pituitary adenoma who also has diabetes insipidus and aspiration pneumonia. The mother is giving the patient water and soft beverages despite being aware that there is a plan for transpyloric tube feedings and nothing by mouth. What action should the nurse take in this circumstance?
Before advocating for the requirements of the child and the mother's desires for her son's care, the nurse must comprehend the causes of the mother's behavior.