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    Pediatrics nursing proctored exam

    The nurse is caring for the family of a pediatric client during resuscitative efforts of their child following an accident. Which response by the nurse would be best?

    Explanation & Rationale

    Choice A rationale Providing false reassurance, such as stating "he will be okay," is not therapeutic because the outcome is uncertain, especially during active resuscitation efforts. The nurse must maintain honesty and support while acknowledging the gravity of the situation. Offering simple presence and resource information is much more supportive and appropriate for the family. Choice B rationale This response inappropriately questions the parents' actions and implies blame or judgment during an emotionally devastating crisis. Such a statement is highly unsupportive, unprofessional, and potentially damaging to the therapeutic relationship. The focus must remain on providing comfort, support, and necessary information to the grieving family. Choice C rationale Although it attempts to validate their feelings of fear, this response focuses on a specific, potentially guilt-inducing detail (the driving) which is likely irrelevant to the immediate need for support. It may exacerbate parental guilt during a critical time. A supportive response should be broad and non-judgmental, addressing their general distress and needs. Choice D rationale This statement is the most appropriate and therapeutic response, as it conveys non-judgmental presence, validation of the family's difficult emotional state, and an offer to provide information and answer questions. It establishes the nurse as a supportive resource for the family during a time of extreme crisis and uncertainty, which is the primary nursing role.

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