The parent of a child with a chronic illness tells the nurse, I ...

[tiara099]

The parent of a child with a chronic illness tells the nurse, I feel so hopeless in this situation. The nurse should take which actions to foster hopefulness for the family? (Select all that apply.)
 
  a. Avoid topics that are lighthearted.
  b. Convey a personal interest in the child.
  c. Be honest when reporting on the child's condition.
  d. Do not initiate any playful interaction with the child.
  e. Demonstrate competence and gentleness when delivering care.

Question 2

What are supportive interventions that can assist a preschooler with a chronic illness to meet developmental milestones? (Select all that apply.)
 
  a. Encourage socialization.
  b. Encourage mastery of self-help skills.
  c. Provide devices that make tasks easier.
  d. Clarify that the cause of the child's illness is not his or her fault.
  e. Discuss planning for the future and how the condition can affect choices.

[ashely1112]

Answer to Question 1

ANS: B, C, E
To foster hopefulness, the nurse should convey a personal interest in the child, be honest when reporting on a child's condition, and demonstrate competence and gentleness when delivering care. The nurse should introduce conversations on neutral, nondisease-related, or less sensitive topics (discuss the child's favorite sports, tell stories). The nurse should be lighthearted and initiate or respond to teasing or other playful interactions with the child.

Answer to Question 2

ANS: A, B, C, D
To encourage initiative, mastery of self-help skills should be encouraged, and devices should be provided that make tasks easier. To develop peer relationships, socialization should be encouraged. To develop body image, the fact that the cause of the child's illness is not the fault of the child should be emphasized. Discussing planning for the future and how the condition can affect choices is appropriate for an adolescent.