Therapeutic Communication
The nurse is providing end of life care for a 4-year-old who has
been declared brain-dead after drowning. Which statements
by the nurse are therapeutic? Select all that apply
“You can hold your child when the ventilator is turned off.” “Would you like for me to call
pastoral care?”
“You have been through a very difficult time.”
Therapeutic statements include those that offer explanations,
support, and validation of loss, such as:
• “You can hold your child when the ventilator is turned off.”
• “Would you like for me to call pastoral care?”
• “You have been through a very difficult time.”
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, Client Outcomes
Which client does the nurse anticipate will have the best
outcomes after a submersion injury?
Child submerged for 3 minutes who required positive pressure ventilation at the scene
Assessment of neurological function includes pupillary
response, reflexes, level of consciousness, and vital signs.
The degree of injury determines the interventions needed. In
this case, the requirement of positive pressure ventilation
only is less concerning than requiring full cardiopulmonary
resuscitation. No pupillary response and absent gag reflex
are negative neurological findings. Hypoxia at normal body
temperatures that lasts longer than 4 minutes often causes
irreversible brain damage.
Prioritizing Nursing Care
The nurse is caring for a pediatric client with a submersion
injury and hypothermia. Rank the nursing actions in the
order they should be performed.
The nurse should perform the nursing actions in this order:
• Assess airway and pulse oximetry.
• Suction airway.
• Assess temperature.
• Implement rewarming procedures.
Apply the concepts of airway, breathing, circulation (ABC),
Maslow’s hierarchy of needs, and the nursing process to
prioritize client care.
Case Study
The nurse is caring for a teenaged client in a pediatric
intensive care unit. Review the electronic health record (EHR)
before answering each question.
Question
Which are the top 4 assessment findings that require follow
up by the nurse?
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 09:11:50 GMT -06:00
https://www.coursehero.com/file/252998554/NR-328-Week-6-Edapt-Therapeutic-Communicationdocx/
The nurse is providing end of life care for a 4-year-old who has
been declared brain-dead after drowning. Which statements
by the nurse are therapeutic? Select all that apply
“You can hold your child when the ventilator is turned off.” “Would you like for me to call
pastoral care?”
“You have been through a very difficult time.”
Therapeutic statements include those that offer explanations,
support, and validation of loss, such as:
• “You can hold your child when the ventilator is turned off.”
• “Would you like for me to call pastoral care?”
• “You have been through a very difficult time.”
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 09:11:50 GMT -06:00
https://www.coursehero.com/file/252998554/NR-328-Week-6-Edapt-Therapeutic-Communicationdocx/
, Client Outcomes
Which client does the nurse anticipate will have the best
outcomes after a submersion injury?
Child submerged for 3 minutes who required positive pressure ventilation at the scene
Assessment of neurological function includes pupillary
response, reflexes, level of consciousness, and vital signs.
The degree of injury determines the interventions needed. In
this case, the requirement of positive pressure ventilation
only is less concerning than requiring full cardiopulmonary
resuscitation. No pupillary response and absent gag reflex
are negative neurological findings. Hypoxia at normal body
temperatures that lasts longer than 4 minutes often causes
irreversible brain damage.
Prioritizing Nursing Care
The nurse is caring for a pediatric client with a submersion
injury and hypothermia. Rank the nursing actions in the
order they should be performed.
The nurse should perform the nursing actions in this order:
• Assess airway and pulse oximetry.
• Suction airway.
• Assess temperature.
• Implement rewarming procedures.
Apply the concepts of airway, breathing, circulation (ABC),
Maslow’s hierarchy of needs, and the nursing process to
prioritize client care.
Case Study
The nurse is caring for a teenaged client in a pediatric
intensive care unit. Review the electronic health record (EHR)
before answering each question.
Question
Which are the top 4 assessment findings that require follow
up by the nurse?
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 09:11:50 GMT -06:00
https://www.coursehero.com/file/252998554/NR-328-Week-6-Edapt-Therapeutic-Communicationdocx/
