The nurse case manager is planning a care conference about a young child who has complex health care
needs and will soon be discharged home. Whom should
... [Show More] the nurse invite to the conference?
a. Family and nursing staff
b. Social worker, nursing staff, and primary care physician
c. Family and key health professionals involved in childs care
d. Primary care physician and key health professionals involved in childs care - -ANS: C
A multidisciplinary conference is necessary for coordination of care for children with complex health needs.
The family and key health professionals who are involved in the childs care are included. The nursing staff can
address the nursing care needs of the child with the family, but other involved disciplines must be included.
The family must be included in the discharge conferences, which allow them to determine what education they
will require and the resources needed at home. A member of the nursing staff must be included to review the
nursing needs of the child.
-Lindsey, age 5 years, will be starting kindergarten next month. She has cerebral palsy, and it has been
determined that she needs to be in a special education classroom. Her parents are tearful when telling the nurse
about this and state that they did not realize that her disability was so severe. The best interpretation of this
situation is that:
a. This is a sign that parents are in denial.
b. This is a normal anticipated time of parental stress.
c. The parents need to learn more about cerebral palsy.
d. The parents are used to having expectations that are too high. - -ANS: B
Parenting a child with a chronic illness can be very stressful for parents. There are anticipated times that
parental stress increases. One of these identified times is when the child begins school. Nurses can help parents
recognize and plan interventions to work through these stressful periods. The parents are not in denial; they are
responding to the childs placement in school. The parents are not exhibiting signs of a knowledge deficit or
expectations that are too high; this is their first interaction with the school system with this child. [Show Less]