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Difficulty: MediumSupport Systems

A pediatric nurse is caring for a 5-year-old client who was recently diagnosed with acute lymphoblastic leukemia. The client's single parent is visibly overwhelmed and states, 'I do not know how I will manage my full-time job, caring for my 3-year-old at home, and being here at the hospital.' Which of the following nursing interventions are appropriate to assess and strengthen the parent's support systems? Select all that apply.

  1. Explore the parent's existing network by asking who typically helps with childcare for the toddler.Answer
  2. Initiate a referral to a medical social worker to discuss family medical leave and financial assistance programs.Answer
  3. C
    Advise the parent to temporarily send the toddler to live with relatives to reduce daily stress.
  4. Provide the parent with contact information for local and online childhood cancer support groups.Answer
  5. E
    Offer reassurance by stating, 'Do not worry, everything will work out once the treatment schedule is established.'
  6. F
    Report the parent to child protective services because the parent's current stress level places the toddler at risk for neglect.

Answer

The appropriate nursing actions include exploring the parent's existing childcare network, initiating a referral to a medical social worker, and providing information about childhood cancer support groups.
Appropriate interventions for a family in crisis involve assessing their current informal support networks (family/friends for childcare), collaborating with the interdisciplinary team (medical social workers for financial and structural resources), and connecting the family with formal community resources (support groups). These actions empower the parent to make autonomous decisions while providing practical solutions to mitigate caregiver strain and role conflict.

Step-by-Step Solution

1
Analyze the parent's statement to identify the primary concerns.
The parent is experiencing significant caregiver strain, role conflict, and emotional overwhelm related to balancing work, healthy siblings, and a hospitalized child.
Identifying the root cause of the client's distress directs the appropriate support system interventions.
2
Select interventions that empower the parent and utilize interdisciplinary resources.
Assessing current childcare help, referring to a social worker, and offering support group information are chosen.
These actions practically address the parent's identified needs for childcare, financial guidance, and psychosocial support.
3
Eliminate interventions that utilize non-therapeutic communication or inappropriate escalations.
Options involving giving personal advice, offering false reassurance, and reporting to child protective services are discarded.
Nurses must maintain professional boundaries, validate client feelings, and understand the legal criteria for abuse reporting.

Key Concept

Assessment and enhancement of family support systems and caregiver resources during a health crisis.
Estimated Time:1m 30s
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Topics

Support Systems

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