In caring for a child with a life-threatening illness, the nurse ...

[joblessjake]

In caring for a child with a life-threatening illness, the nurse should anticipate the parent's reaction to the child illness. Which response should the nurse anticipate the parent will experience? Standard Text: Select all that apply.
 
  1. Anticipatory waiting
  2. Post-traumatic stress disorder
  3. Deprivation and loss
  4. Anger and guilt
  5. Readjustment and mourning

Question 2

A very concerned 14-year-old boy presents to the clinic because of an enlargement of his left breast. Except for the breast enlargement, the client's history and physical are normal.
 
  The most appropriate intervention for the nurse to implement next would be to inform the child that: 1. This is a normal finding in adolescent males and that the breast tissue generally regresses by the time of full sexual maturity.
  2. His condition is related to a high-fat diet and that limiting fat intake usually will resolve the enlargement over a period of a couple of months.
  3. A pediatric endocrine consult is being arranged.
  4. The healthcare provider is arranging a surgical consult for him.

[shoemake]

Answer to Question 1

1,3,4,5
Rationale 1: Once the child's condition is stabilized and survival seems likely, parents often move into a period of anticipatory waiting.
Rationale 2: Children may develop posttraumatic stress disorder following a life-threatening injury. It is not a reaction of the parents.
Rationale 3: As the shock associated with the child's life-threatening condition slowly recedes, new stressors emerge. Parents are deprived of their familiar role of being a parent of a healthy child.
Rationale 4: Anger and guilt surface as parents become more aware of their child's illness or injury.
Rationale 5: The last stage that parents experience is readjustment or mourning.Readjustme nt is experienced as the child recovers.
Global Rationale:

Answer to Question 2

1
Rationale 1: Gynecomastia, or breast enlargement, is a normal finding in adolescent males as they develop toward sexual maturity.
Rationale 2: The breast enlargement is not related to fat content but is normal in developing adolescent males.
Rationale 3: This is a normal finding, and an endocrine consult is not required.
Rationale 4: There is no reason for a surgical consult, as this is normal for adolescent males.
Global Rationale: