The nurse observes that a seriously ill child passively accepts ...

[AEWBW]

The nurse observes that a seriously ill child passively accepts all painful procedures. The nurse should recognize that this is most likely an indication that the child is experiencing a:
 
  a. sense of hopefulness.
  b. sense of chronic sorrow.
  c. belief that procedures are a deserved punishment.
  d. belief that procedures are an important part of care.

Question 2

The nurse comes into the room of a child who was just diagnosed with a chronic disability. The child's parents begin to yell at the nurse about a variety of concerns. Which is the nurse's best response?
 
  a. What is really wrong?
  b. Being angry is only natural.
  c. Yelling at me will not change things.
  d. I will come back when you settle down.

[Missbam101]

Answer to Question 1

ANS: C
The nurse should be particularly alert to the child who passively accepts all painful procedures. This child may believe that such acts are inflicted as deserved punishment. The child who is hopeful is mobilized into goal-directed actions. This child would actively participate in care. Chronic sorrow is the feeling of sorrow and loss that recurs in waves over time. It is usually evident in the parents, not in the child. A child who believes that procedures are an important part of care would actively participate in care. Nursing interventions should be used to minimize the pain.

Answer to Question 2

ANS: B
Parental anger after the diagnosis of a child with a chronic disability is a common response. One of the most common targets for parental anger is members of the staff. The nurse should recognize the common response of anger to the diagnosis and allow the family to ventilate. What is really wrong?/Yelling at me will not change things/I will come back when you settle down will place the parents on the defensive and not facilitate communication.

[AEWBW]

Excellent

[AngeliqueG]

Thanks for the timely response, appreciate it