Author Question: Which comment made by a 12-year-old child with insulin-dependent diabetes mellitus (IDDM) indicates ... (Read 78 times)

khang · **on:** Jun 27, 2018

Which comment made by a 12-year-old child with insulin-dependent diabetes mellitus (IDDM) indicates a knowledge deficit?

a. I rotate my insulin injection sites every time I give myself an injection..
b. I keep records of my glucose levels and insulin sites and amounts..
c. I'll be glad when I can take a pill for my diabetes like my uncle does..
d. I keep Lifesavers in my school bag in case I have a low-sugar reaction..

Question 2

What is the primary purpose of a transitional object?

a. It helps the parents deal with the guilt they feel when they leave the child.
b. It keeps the child quiet at bedtime.
c. It is effective in decreasing anxiety in the toddler.
d. It decreases negativism and tantrums in the toddler.

spencer.martell · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Children with IDDM will require life-long insulin therapy. Rotating injection sites is appropriate because insulin absorption varies at different sites. Keeping records of serum glucose and insulin sites and amounts is appropriate. Prompt treatment of hypoglycemia reduces the possibility of a severe reaction. Keeping hard candy on hand is an appropriate action.

Answer to Question 2

C
Decreasing anxiety, particularly separation anxiety, is the function of a transitional object; it provides comfort to the toddler in stressful situations and helps make the transition from dependence to autonomy. A decrease in parental guilt (distress) is an indirect benefit of a transitional object. A transitional object may be part of a bedtime ritual, but it may not keep the child quiet at bedtime. A transitional object does not significantly affect negativity and tantrums, but it can comfort a child after tantrums.