The nurse works in a pediatric unit. In working with a parent who is suspected of Munchausen syndrome by proxy, it is very important for the nurse to:

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It is important for the nurse to carefully document parent-child interactions in order to provide evidence for a diagnosis of Munchausen syndrome by proxy. This could include recording any unusual behaviors or symptoms exhibited by the child only when the parent is present, or noting any discrepancies between the parent’s report of the child’s symptoms and the healthcare team’s findings. Confronting the parent or trying to separate them from the child may escalate the situation and put the child at risk. Explaining the diagnosis to the child is not appropriate as it could create confusion and anxiety for the child.

The Nurse Works in a Pediatric Unit