The nurse comes into the room of a child who was just diagnosed ...

[abarnes]

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. The nurse's best response is
 
  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.

Question 2

What is the best response to a parent who asks the nurse whether her 5-month-old infant can have cow's milk?
 
  a. You need to wait until she is 8 months old and eating solids well.
  b. Yes, if you think that she will eat enough meat to get the iron she needs.
  c. Infants younger than 12 months need iron-rich formula to get the iron they need.
  d. Try it and see how she tolerates it.

[johnharpe]

Answer to Question 1

B
Feedback
A These responses, although possible, are not the likely reason for this anger.
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.
C These responses, although possible, are not the likely reason for this anger.
D These responses, although possible, are not the likely reason for this anger.

Answer to Question 2

C
Feedback
A A 5-month-old infant cannot get adequate iron without drinking an iron-fortified
formula or taking an iron supplement.
B The American Academy of Pediatrics recommends beginning solid foods at 4 to
6 months of age. Meats are typically introduced in later infancy. Iron-fortified
formula is still recommended.
C Infants younger than 12 months need iron-fortified formula or breast milk.
Infants who drink cow's milk do not get adequate iron and are at risk for iron
deficiency anemia.
D Counseling a parent to give a 5-month-old infant cow's milk is inappropriate.

[abarnes]

TYSM

[diana chang]

Excellent