The nurse is planning to discharge a child newly diagnosed with ...

[pane00]

The nurse is planning to discharge a child newly diagnosed with HIV infection. Which discharge instruction should be included for this child and her family?
 
  1. Eat raw fruits.
  2. Avoid playing sports.
  3. Restrict school attendance.
  4. Cover open wounds.

Question 2

A 10-year-old child has been struggling with his self-esteem. Which activity would best help this child have a positive resolution of Erikson's Industry versus Inferiority stage?
 
  1. Playing sports with his older brother and the brother's friends.
  2. Have his mother compliment him when he completes his homework.
  3. Encourage the child to participate in boy scouts and earn badges.
  4. Suggest to the mother that she allow the child to babysit his younger siblings.

[juwms]

Answer to Question 1

4
Rationale 1: The child should avoid eating raw fruits and vegetables unless they are peeled, to decrease ingestion of microorganisms.
Rationale 2: The child with HIV should participate in sports. While injuries are possible, it is unlikely that large quantities of blood will be present.
Rationale 3: The majority of children with HIV can attend school without restrictions.
Rationale 4: Wounds should be covered, and gloves should be worn when treating a child's cuts and scrapes.
Global

Answer to Question 2

3
Rationale 1: This would not help the child develop a positive self-esteem because the older boys will be more skilled at the sport than this child.
Rationale 2: Positive reinforcement is beneficial but does not support the development of Industry.
Rationale 3: The badges will be a visible documentation of his accomplishments.
Rationale 4: The 10-year-old cannot safely babysit the younger children, and this is unrelated to Erikson's sense of industry.
Global Rationale: