University:
Chamberlain University
Course:
NR-327 | Maternity
Academic year:

2021
Views:

500

Pages:

10
Author:

Leilani Contreras

Clicker Check (continued_2) A physician caring for a laboring patient requests a medication that is categorized as pregnancy X. What should the nurse do? A. Report the physician B. Provide the medication C. Ask the CNM to give the medication D. Explain that the medication is categorized as an X Clicker Check (continued_3) Correct answer: D The nurse has the ethical and legal responsibility to follow standards of practice within the scope of practice and should explain that the medication is category X. Reporting the physician might need to be considered later. Providing the medication could violate the ethical principle of nonmaleficence. Asking the CNM to give the medication will place the CNM in the same situation – as a nurse, the CNM must provide legal, ethical, and Family-Centered Care  Family: biological, legal, and/or emotional relation between two or more persons • Child’s family: family is who they say they are • Families can be nuclear, alternative, adoptive, foster, communal • Figs. 1.2, 1.3 and Box 1.3 • A family is who they say they are Family-Centered Care (continued_1)  Family is the constant in the child’s life  All members are affected by illness, injury, or hospitalization  Strengthens family unit, enhances communication and outcomes of the experience  Provides safe, child-friendly environment  Assists child and family as a unit Family-Centered Care (continued_2)  Overarching goals: • Empowerment - interaction between family and health-care providers where family maintains sense of control over their lives • Enabling - providing opportunities for family members to master the child’s care  Families should be encouraged to be present with the child whenever possible  Clicker Check (continued_4) An older school-age child introduces several adults as being members of the family. How should the nurse interpret this A. The family is binuclear information? B. The child lives in a commune C. Family is who the child says they are D. Any adult is viewed as being a family member Clicker Check (continued_5) Correct answer: C The family is recognized as being who they say they are. There is not enough information to determine the family structure. It is unlikely that any adult is viewed as being a family member. Therapeutic Communication  Nurses support autonomy, allowing patients to make their own decisions  Help clarify patient’s values and viewpoints  Therapeutic-communication strategies: • “Are you considering another course of action? Tell me about it.” • “How will you discuss this with your family?” Therapeutic Communication (continued)  Therapeutic-communication strategies (continued): • “Will it be difficult for you to discuss this with your family?” • “Now that you have made a decision, how do you feel?” • “What information do you need to make a decision?” • “How can I help you with this decision?” The Maternal-Child & Pediatric Nursing Student  Common fears: • Being childless • Being a male student • Insufficient knowledge  Avoid talking about own experiences  Promote patient safety

Introduction to Maternity and Pediatric Nursing Lecture Answer Key

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