A 6-year-old child tells the nurse that she does not like the ...

[moongchi]

A 6-year-old child tells the nurse that she does not like the food at the hospital. A review of intake reveals she has eaten very little for the past 2 days.
 
  Which intervention is appropriate for the nursing diagnosis: Imbalanced Nutrition: Less than body requirements? a. Select nutritious foods on the menu for the child.
  b. Permit the child to eat junk foods at snack times.
  c. Arrange the child's meal tray with generous portions of food.
  d. Encourage family members to bring foods from home.

Question 2

Which approach will best help a 7-year-old child cope with a lengthy course of intravenous antibiotic therapy?
 
  a. Arrange for the child to go to the playroom daily.
  b. Ask the child to draw you a picture about himself.
  c. Allow the child to participate in injection play.
  d. Give the child stickers for cooperative behavior.

[nixon_s]

Answer to Question 1

D
Having the parents bring foods that the child likes and is familiar with will increase the likelihood that she will eat. A 6-year-old child should be permitted to make her own menu selections with the assistance of an adult as needed. Allowing the child to select foods gives the child control and provides an opportunity to select foods that the child likes. Junk foods have little or no nutritional value. If the child is permitted to eat junk food, she may refuse to eat nutritious food at mealtimes. Meals served to children should contain small portions. Children may feel overwhelmed by large portions and refuse to eat any of the food.

Answer to Question 2

C
Injection play is an appropriate intervention for the child who has to undergo frequent blood work, injections, intravenous therapy, or any other therapy involving syringes and needles. The hospitalized child should have opportunities to go to the playroom each day if his condition warrants. This free play does not have any specific therapeutic purpose. Children can express their thoughts and beliefs through drawing. Asking the child to draw a picture of himself may not elicit the child's feelings about his treatment. Rewards such as stickers may enhance cooperative behavior. They will not address coping with painful treatments.

[moongchi]

TYSM

[at]

Excellent