What nursing intervention is especially helpful in assessing ...

[jrubin]

What nursing intervention is especially helpful in assessing feelings of parental guilt when a disability or chronic illness is diagnosed?
 
  a. Ask the parents if they feel guilty.
  b. Observe for signs of overprotectiveness.
  c. Talk about guilt only after the parents mention it.
  d. Discuss the meaning of the parents' religious and cultural background.

Question 2

The nurse is assessing the coping behaviors of the parents of a child recently diagnosed with a chronic illness. What behavior should the nurse consider an approach behavior that results in movement toward adjustment?
 
  a. Being unable to adjust to a progression of the disease or condition
  b. Anticipating future problems and seeking guidance and answers
  c. Looking for new cures without a perspective toward possible benefit
  d. Failing to recognize the seriousness of the child's condition despite physical evidence

[SamMuagrove]

Answer to Question 1

ANS: D
Guilt may be associated with cultural or religious beliefs. Some parents are convinced that they are being punished for some previous misdeed. Others may see the disorder as a trial sent by God to test their religious beliefs. The nurse can help the parents explore their religious beliefs. On direct questioning, the parents may not be able to identify the feelings of guilt. It would be appropriate for the nurse to explore their adjustment responses. Overprotectiveness is a parental response during the adjustment phase. The parents fear letting the child achieve any new skill and avoid all discipline.

Answer to Question 2

ANS: B
The parents who anticipate future problems and seek guidance and answers are demonstrating approach behaviors. These are positive actions in caring for their child. Being unable to adjust, looking for new cures, and failing to recognize the seriousness of the child's condition are avoidance behaviors. The parents are moving away from adjustment or exhibiting maladaptation to the crisis of a child with chronic illness or disability.

[jrubin]

Gracias!

[bdobbins]

Excellent