You are discussing the discharge needs of a 5 year old with ...

[storky111]

You are discussing the discharge needs of a 5 year old with diabetes insipidus. The parents are concerned about the child going back to school.
 
  What are the appropriate nursing actions that the nurse can take to help decrease the parents' anxiety? Select all that apply. 1. Tell the parents not to worry and recommend a family therapist.
   2. Write a letter to the school nurse about the patient's condition and possible accommodations that the child might need during class.
   3. Provide the parents with the name of a local support group that they can attend to network with other parents of children with this condition.
   4. Provide detailed education for the child and parents regarding the management of the condition, and provide them with written resources that they can refer to when needed.

Question 2

The nurse is assessing a child who is 3 years old. The Babinski Reflex is assessed and noted to be present. The nurse knows that:
 
  1. This is a normal response to the test.
   2. This is an abnormal response to the test and should be further assessed.
   3. The reflex is abnormal, but the child will eventually grow out of it.
   4. This is normal and should be repeated on both feet.

[Leostella20]

Answer to Question 1

2, 3, 4
Feedback
1. This is not therapeutic and dismisses the parents' concerns. Additionally, referral to a therapist is not an appropriate action unless the parents are having maladaptive coping mechanisms or ask for a therapist.
2. Working with the school nurse by providing information and recommendations is a priority, as is recommending support groups and detailed educational material that the parents can refer to when needed are the three most appropriate actions.
3. Working with the school nurse by providing information and recommendations is priority, as is recommending support groups and detailed educational material that the parents can refer to when needed are the three most appropriate actions.
4. Working with the school nurse by providing information and recommendations is priority, as is recommending support groups and detailed educational material that the parents can refer to when needed are the three most appropriate actions.

Answer to Question 2

2
Feedback
1. This reflex should not be present in a child of this age.
2. This reflex should not be present after 2 years of life. It presents the need for an in-depth neurological exam.
3. Demonstration of this reflex at this age needs to be further assessed by a care provider.
4. This reflex should not be present at this age. If it is present in one foot, it will be present in the other.