Client Need Sub: Basic Care and Comfort Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Analyze possible personal challenges to professional practice when caring for clients with dissociative, somatoform, and factitious disorders.
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Question 21
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Type: MCSA
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The nurse is caring for a 15-month-old who is admitted to the hospital for the fifth time in six months with severe diarrhea. The patients mother has been diagnosed with Munchausen by proxy syndrome (MBPS) as she has been giving her child large doses of laxatives to make the best way for the nurse to proceed?
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child sick. The nurse is having difficulty dealing with the situation. Which of the following is the
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1. Confront the mother about making her child sick. 2. Seek clinical supervision to cope with situation.
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3. Refuse to take care of the child and family.
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4. Have as little contact with the mother as possible.
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Correct Answer: 2
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Rationale 1: It is difficult for health care providers to deal with situations in which a caregiver (usually a parent) deliberately injures the person under their care. In these situations, health care
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providers should seek clinical supervision or a consultant to help them to cope with their personal responses. Rationale 2: It is difficult for health care providers to deal with situations in which a caregiver (usually a parent) deliberately injures the person under their care. In these situations, health care providers should seek clinical supervision or a consultant to help them to cope with their personal responses.
