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Chapter 34: Problem 76

A pediatric client is scheduled for a bone marrow biopsy. The mother begins to sob stating, "I am a horrible mother for letting this happen to my little girl." The nurse's best response is: A. to leave the mother alone to cry. B. to ask "Is there anyone \(\mathrm{I}\) can call for you?" C. to call the physician and request a sedative for the mother. D. to state "You are not responsible for your child being ill; you have placed your child in the best environment for what she needs."

Short Answer

Expert verified
Option D is the best response.

Step by step solution

01

Understand the scenario

A pediatric client is about to undergo a bone marrow biopsy, which is a stressful situation. The client's mother is feeling overwhelmed and expressing guilt.
02

Identify the main concern

The mother's main concern is feeling like a 'horrible mother' for her child needing a biopsy. She requires emotional support.
03

Analyze the options

Review each option and evaluate its effectiveness in addressing the mother鈥檚 emotional state: A. Leaving her alone might make her feel more isolated. B. Asking if anyone can be called offers support but does not address her guilt. C. Requesting a sedative is not appropriate in this context. D. Acknowledging her efforts and alleviating guilt directly addresses her emotional needs.
04

Select the best response

Option D, 'You are not responsible for your child being ill; you have placed your child in the best environment for what she needs,' directly addresses the mother's feelings of guilt and provides the necessary reassurance.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

emotional support
In pediatric nursing, providing emotional support to parents is as critical as caring for the child. When a child faces a painful procedure like a bone marrow biopsy, parents may experience heightened emotional distress. Ensuring that parents feel understood and supported helps them cope better and be stronger for their child. This emotional support can come in various forms: comforting words, validating their feelings, and offering practical help. For example, telling the mother she is not responsible for her child鈥檚 illness and acknowledging her efforts can greatly alleviate her distress.
parental guilt
Parents often experience guilt when their child is ill or undergoing medical procedures. This is especially true in high-stress pediatric situations. They might feel responsible for their child's condition or worry about their decisions. It's important to directly address these feelings. Remind them that they are not to blame for the child鈥檚 illness. Acknowledge the effort they put into their child鈥檚 care. For example, saying 'You have placed your child in the best environment for what she needs,' reassures the parent and lifts some of the emotional burden.
communication skills
Effective communication skills are essential in pediatric nursing. Nurses must convey empathy, reassure parents, and provide clear information. Active listening is crucial. It helps understand the parents' concerns and respond appropriately. Use open-ended questions to invite them to share more. For instance, asking, 'How are you feeling about the upcoming procedure?' It shows you care and are willing to support them. Always follow up with supportive statements that recognize their emotional state.
clinical decision-making
Clinical decision-making in pediatric nursing involves critically analyzing the situation and selecting the best course of action. In our scenario, the nurse needs to decide how to respond to a distressed parent. Weighing options like leaving the parent alone, offering support, or requesting sedation requires quick thinking and an understanding of emotional needs. The best choice is one that addresses the mother's guilt directly and provides reassurance. Saying, 'You are not responsible for your child being ill,' is a compassionate and effective decision in this context. It stabilizes the parent's emotional state, allowing them to be more present for their child.

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