NURS 3122 - Nursing Care Plans questions with
accurate answers
Attachment - Analysis (what are the physiological implications of what
you found? Ans✓✓✓ Evidenced informed theory, explanation, and
recommendation to support secure, healthy infant-caregiver
relationships.
Babies are born with the need to form close emotional bonds with caring
responsive adults - what child experts call attachments
Attachment - Evaluation (expectations-what do you expect your
interventions will achieve and why) Ans✓✓✓ 1 the caregiver will ask
questions to clarify and work collaborately with the health care team to
provide serve and return interaction which will be observed and
discussed as a team.
2 family access services provided for them and a follow up can be done
to confirm participation in this program to evaluate if any changes are
needed
3 positive changes in child's behaviour such as exploring their
environment and meet their milestones.
Attachment - Interventions or Implementation
Focused on Nursing Scope and with rationale for interventions
Ans✓✓✓ 1 Educate caregivers of the importance of serve and return
and describe the benefits for baby such as enhance social skills,
promotes cognitive development and fosters confidence.
2 refer the child and caregiver to appropriate services such as legal
assistance and social services that help with the struggles of everyday
life such as finances
,3 monitors child and caregiver for changes in behaviour and health
status looking for any abnormalities or positive changes that impact the
child's well being
Attachment - Patient & Family Assessment/Priority Ans✓✓✓ Possible
signs
-extreme reactions such as clinginess and withdrawal from caregiver
-not at their milestones
-avoidance
-emotional distance from caregivers
-inconsistent routines
-conflict and stressful situations
Priorities
1. attachment
2. Safety
3. Comfort
Attachment - Plan/Goals
must be STROMMC
(singular, client centered, time-limited, observable, realistic, mutual,
measurable) Ans✓✓✓ during the next week encourage caregivers to
provide serve and return activities such as
1 Peek-a-Boo:
Serve: Caregiver hides their face with their hands or a cloth and then
reveals it.
, Return: Baby giggles or shows surprise. Caregiver can repeat the game
to encourage laughter and engagement.
2 Facial Expressions:
Serve: Caregiver makes different facial expressions (happy, sad,
surprised
Return: Baby observes and tries to mimic these expressions. Caregiver
can narrate their emotions, reinforcing the connection.
3 Talk and Babble:
Serve: Caregiver talks to the baby, describing what they're doing or
pointing out objects
.Return: Baby babbles back or makes sounds. Caregiver encourages this
by responding with similar sounds or words.
To build secure attachments for caregiver and child
Dehydration - Analysis (what are the physiological implications of what
you found?) - Dehydration Ans✓✓✓ Dehydration (AKA ECF deficit)
Note any physiological characteristics mentioned in the case study (ex.
higher metabolic rate and oxygen needs, and greater body weight of
water)
Possible causes mentioned in the case study: vomiting, diarrhea,
warmers, excessive activity in heat
Suspected dehydration due to decreased urine output, tacky/dry mucous
membranes... etc.
Dehydration can lead to hypovolemic shock!
accurate answers
Attachment - Analysis (what are the physiological implications of what
you found? Ans✓✓✓ Evidenced informed theory, explanation, and
recommendation to support secure, healthy infant-caregiver
relationships.
Babies are born with the need to form close emotional bonds with caring
responsive adults - what child experts call attachments
Attachment - Evaluation (expectations-what do you expect your
interventions will achieve and why) Ans✓✓✓ 1 the caregiver will ask
questions to clarify and work collaborately with the health care team to
provide serve and return interaction which will be observed and
discussed as a team.
2 family access services provided for them and a follow up can be done
to confirm participation in this program to evaluate if any changes are
needed
3 positive changes in child's behaviour such as exploring their
environment and meet their milestones.
Attachment - Interventions or Implementation
Focused on Nursing Scope and with rationale for interventions
Ans✓✓✓ 1 Educate caregivers of the importance of serve and return
and describe the benefits for baby such as enhance social skills,
promotes cognitive development and fosters confidence.
2 refer the child and caregiver to appropriate services such as legal
assistance and social services that help with the struggles of everyday
life such as finances
,3 monitors child and caregiver for changes in behaviour and health
status looking for any abnormalities or positive changes that impact the
child's well being
Attachment - Patient & Family Assessment/Priority Ans✓✓✓ Possible
signs
-extreme reactions such as clinginess and withdrawal from caregiver
-not at their milestones
-avoidance
-emotional distance from caregivers
-inconsistent routines
-conflict and stressful situations
Priorities
1. attachment
2. Safety
3. Comfort
Attachment - Plan/Goals
must be STROMMC
(singular, client centered, time-limited, observable, realistic, mutual,
measurable) Ans✓✓✓ during the next week encourage caregivers to
provide serve and return activities such as
1 Peek-a-Boo:
Serve: Caregiver hides their face with their hands or a cloth and then
reveals it.
, Return: Baby giggles or shows surprise. Caregiver can repeat the game
to encourage laughter and engagement.
2 Facial Expressions:
Serve: Caregiver makes different facial expressions (happy, sad,
surprised
Return: Baby observes and tries to mimic these expressions. Caregiver
can narrate their emotions, reinforcing the connection.
3 Talk and Babble:
Serve: Caregiver talks to the baby, describing what they're doing or
pointing out objects
.Return: Baby babbles back or makes sounds. Caregiver encourages this
by responding with similar sounds or words.
To build secure attachments for caregiver and child
Dehydration - Analysis (what are the physiological implications of what
you found?) - Dehydration Ans✓✓✓ Dehydration (AKA ECF deficit)
Note any physiological characteristics mentioned in the case study (ex.
higher metabolic rate and oxygen needs, and greater body weight of
water)
Possible causes mentioned in the case study: vomiting, diarrhea,
warmers, excessive activity in heat
Suspected dehydration due to decreased urine output, tacky/dry mucous
membranes... etc.
Dehydration can lead to hypovolemic shock!
