The 4-year-old sibling of a new baby comes in with the parents ...

[ericka1]

The 4-year-old sibling of a new baby comes in with the parents for the newborn's first health supervision visit and asks multiple questions about the baby and what the nurse is doing.
 
  Which statement is most indicative of therapeutic communication with this child? 1. I know you must have lots of questions. Your parents will be able to talk to you about all of it later.
  2. I am making sure your baby brother is doing okay. Would you like to help me look him over?
  3. Your parents brought your brother in to us to make sure he is doing okay, so can you ask your questions later?
  4. I think your questions are distracting me; can you read this book for me while I finish this exam?

Question 2

During a four-month-old infant's well-child checkup, the nurse discusses introduction of solid foods into the infant's diet.
 
  Although the nurse recommends delaying the introduction of many foods into the diet, which food(s) will the nurse discuss delaying because they increase the risk for food allergy? 1. Honey
  2. Carrots, beets, and spinach
  3. Pork
  4. Cow's milk, eggs, and peanuts

[mbcrismon]

Answer to Question 1

2

Rationale:

1. It would be best for the sibling if the nurse could talk to the 4-year-old while the exam is occurring instead of putting the task off on the parents. This involves the child in the new baby's care.
2. Asking the child to help the nurse gives the 4-year-old a sense of importance and involvement with the new baby.
3. The nurse needs to include the sibling in the experience to make sure she does not feel left out or resentful of the new baby's needs.
4. This statement would hurt the sibling's feelings, and is not therapeutic for this family.

Answer to Question 2

4
Rationale 1: Although honey can contain botulism spores that cannot be detoxified by the infant younger than one year old, it does not cause an allergic reaction.
Rationale 2: Carrots, beets, and spinach contain nitrates and should not be given before four months of age.
Rationale 3: The addition of pork is delayed until the infant is 8 to 10 months because meats are hard to digest.
Rationale 4: Cow's milk, eggs, and peanuts are foods that have been associated with food allergies.
Global Rationale:

[ericka1]

Gracias!

[juliaf]

Thanks for the timely response, appreciate it