The nurse is teaching an 8-year-old child and his family how to ...

[asmith134]

The nurse is teaching an 8-year-old child and his family how to manage cancer pain using nonpharmacologic methods. Which of the following parent statements signifies successful child teaching?
 
  A) I will avoid using descriptive words like pinching, pulling, or heat.
  B) I will not use positive reinforcement until the technique is perfected.
  C) I will begin using the technique before he experiences pain.
  D) I will be honest and tell him that the procedure will hurt a lot.

Question 2

The nurse is caring for an infant born with a congenital anomaly. Which of the following factors is likely to have the most influence on the mother's ability to cope with the infant's handicap?
 
  A) The mother's age
  B) The gender of the infant
  C) The parent's amount of support
  D) The fact that this is a mental and not a physical challenge

[af]

Answer to Question 1

C
Feedback:
The parents should begin using the technique chosen before the child experiences pain or when the child first indicates he is anxious about, or beginning to experience, pain. The parents should use descriptive terms like pushing, pulling, pinching, or heat and avoid overly descriptive or judgmental statements such as, This will really hurt a lot or This will be terrible.. They should offer praise, positive reinforcement, hugs, and support for using the technique even when it was not effective.

Answer to Question 2

C
Feedback:
Availability of support people to help the mother cope with the infant's handicap will have a major influence. A family that has few close friends and lives some distance from relatives is apt to have more difficulty adjusting to illness in a child than a family that has close support people. People who can locate secondary support systems in their community usually do better than parents who are without these resources. The mother's age, gender of the infant, and type of handicap will not have the most influence on the mother's ability to cope with the infant's needs.

[asmith134]

Excellent

[chereeb]

Gracias!