A 6-year-old newly diagnosed with Type I diabetes is going home ...

[wenmo]

A 6-year-old newly diagnosed with Type I diabetes is going home today. Her parents have been taught how to manage her disease, but the nurse is concerned that they may not remember everything that was taught. The nurse can best help the parents by:
 
  a. Instructing the parents that they can bring their child back to the unit for additional help as needed
  b. Beginning discharge planning as soon as the order for discharge has been written by the attending physician
  c. Providing the family with written instructions regarding diet, medications, activity, and procedures needed by the child
  d. Delaying informing the parents of the impending discharge to prevent stress and anxiety for the parents and child

Question 2

Which of the following statements best describes stress-point nursing?
 
  a. The nurse uses a chart and a pointer to go through the steps of the procedure.
  b. All procedures and treatments are reduced to 10 steps or points to help explain them to the child undergoing them.
  c. Each step of a procedure fits into a star-shaped diagram with the steps outlined on the points of the star.
  d. The treatment or procedure is described in a sequential manner, exploring how it might feel, and the procedure or treatment is rehearsed.

[chreslie]

Answer to Question 1

C
Providing written instructions about all aspects of care will reinforce teaching and provide an important resource for the parents. The parents need to be informed of discharge as soon as possible so that they can begin making arrangements and can prepare for departure.

Answer to Question 2

D

Feedback
A Incorrect. Stress-point nursing is not best described by the nurse using a chart and pointer without providing sensory information also.
B Incorrect. Stress-point nursing is not best described by reducing all procedures and treatments into 10 steps.
C Incorrect. Stress-point nursing is not best described by fitting procedures into star-shaped diagrams.
D Correct. Stress-point nursing helps children cope by using both procedural information (description of the treatment and sequence of the steps) and sensory information (how might this feel).