The nurse has been caring for a family with a school-age child ...

[burton19126]

The nurse has been caring for a family with a school-age child who has school phobia. Which observation indicates that interventions have been successful?
 
  A) The child stays home from school.
  B) The child attends school every day.
  C) The child decides daily about attending school.
  D) The child's teacher is asked if attending school is a requirement.

Question 2

The mother of a school-age child is distraught because the child has been diagnosed with obesity. What actions should the nurse suggest to the mother to help the child with this problem? (Select all that apply.)
 
  A) Explain that obesity will lead to an early death.
  B) Maintain a balanced eating approach in the home.
  C) Purchase books explaining the latest ways to lose weight.
  D) Seek out a preteen weight loss group for the child to participate.
  E) Encourage increased activity such as walking the dog after school.

[TheDev123]

Answer to Question 1

B
Feedback:
Once it has been established that a child is free of any illness and the resistance stems from separation anxiety or phobia, the child should be made to attend school. Reinforcement by parents to go to school this way helps to prevent problems such as school failure, peer ridicule, or a pattern of avoiding difficulties. Some children may benefit from a gradual program of school involvement. Managing school refusal requires coordination among the school, school nurse, and health care provider who identifies the problem. The child should not be permitted to decide not to go to school. Attending school is a requirement, and the teacher does not need to be asked this question.

Answer to Question 2

B, D, E
Feedback:
Strategies to help the school-age child with obesity include maintaining a healthy eating approach in the home, seeking a weight loss group with other preteens for the child to attend, and encouraging increased activity. Explaining that obesity will lead to an early death could cause the child to become obsessed with dieting and create an eating disorder. The child should not be encouraged to use fad diets to lose weight.