What finding by the nurse is most characteristic of chronic ...

[mmm]

What finding by the nurse is most characteristic of chronic sorrow?
 
  a. Lack of acceptance of child's limitation
  b. Lack of available support to prevent sorrow
  c. Periods of intensified sorrow when experiencing anger and guilt
  d. Periods of intensified sorrow at certain landmarks of the child's development

Question 2

A 5-year-old child will be starting kindergarten next month. She has cerebral palsy, and it has been determined that she needs to be in a special education classroom. Her parents are tearful when telling the nurse about this and state that they did not re
 
  realize her disability was so severe. What is the best interpretation of this situation?
  a. This is a sign the parents are in denial.
  b. This is a normal anticipated time of parental stress.
  c. The parents need to learn more about cerebral palsy.
  d. The parents' expectations are too high.

[cdmart10]

Answer to Question 1

ANS: D
Chronic sorrow is manifested by feelings of sorrow and loss that recur in waves over time. The sorrow is a response to the recognition of the child's limitations. The family should be assessed in an ongoing manner to provide appropriate support as their needs change. The sorrow is not preventable. The chronic sorrow occurs during the reintegration and acknowledgment stage.

Answer to Question 2

ANS: B
Parenting a child with a chronic illness can be stressful. At certain anticipated times, parental stress increases. One of these identified times is when the child begins school. Nurses can help parents recognize and plan interventions to work through these stressful periods. The parents are not in denial; rather, they are responding to the child's placement in school. The parents are not exhibiting signs of a remembering deficit; this is their first interaction with the school system with this child.