Which is the most appropriate nursing intervention to promote ...

[wenmo]

Which is the most appropriate nursing intervention to promote normalization in a school-age child with a chronic illness?
 
  a. Give child as much control as possible.
  b. Ask child's peer to make child feel normal.
  c. Convince child that nothing is wrong with him or her.
  d. Explain to parents that family rules for the child do not need to be the same as for healthy siblings.

Question 2

The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities. The nurse notices that the parents keep asking the same questions. What is the nurse's best intervention?
 
  a. Patiently continue to answer questions.
  b. Kindly refer them to someone else for answering their questions.
  c. Recognize that some parents cannot understand explanations.
  d. Suggest that they ask their questions when they are not upset.

[nguyenhoanhat]

Answer to Question 1

ANS: A
The school-age child who is ill may be forced into a period of dependency. To foster normalcy, the child should be given as much control as possible. It is unrealistic to expect one individual to make the child feel normal. The child has a chronic illness. It would be unacceptable to convince the child that nothing is wrong. The family rules should be similar for each of the children in a family. Resentment and hostility can arise if different standards are applied to each child.

Answer to Question 2

ANS: A
Diagnosis is one of the anticipated stress points for parents. The parents may not hear or remember all that is said to them. The nurse should continue to provide the kind of information they desire. This is a particularly stressful time for the parents; the nurse can play a key role in providing necessary information. Parents should be provided with oral and written information. The nurse needs to work with the family to ensure understanding of the information. The parents require information at the time of diagnosis. Other questions will arise as they adjust to the information.

[wenmo]

TYSM

[kjohnson]

Gracias!