A teenager with a chronic medical condition requiring frequent ...

[aabwk4]

A teenager with a chronic medical condition requiring frequent hospitalizations has the nursing diagnosis of impaired self-esteem. Which action by the adolescent best indicates that outcomes for this diagnosis have been met?
 
  A.
  Complies politely with hospital rules and routines
  B.
  Makes choices as to when to bathe or eat meals
  C.
  States understanding of the need for hospitalization
  D.
  Uses social media sites to maintain contact with peers

Question 2

The parents of a chronically ill child confide in the nurse that they are increasingly frustrated with the ill child's younger sibling, who has become very negative toward the ill child and occasionally even hostile.
 
  What response by the nurse is the most appropriate?
  A.
  She is too young to understand; you just have to wait for this phase to pass.
  B.
  This is really common, unfortunately; the best you can do is to ignore the behavior.
  C.
  This is a common reaction by siblings; can she help you with your other child?
  D.
  You need to spend more time with the younger child so she doesn't feel left out.

[cdmart10]

Answer to Question 1

ANS: D
A teenager's self-esteem is closely linked to acceptance by his or her peer group. Maintaining relationships is vital for healthy adolescent development. The teen using social media when unable to spend time in person with friends shows adaptation to circumstances and a positive action to maintain normalcy. Complying with hospital rules and/or stating an understanding of the need for hospitalization do not mean that the teen's self-esteem has improved. Giving a teen choices when possible helps the teen maintain some autonomy, but making those choices is not the best indicator that outcomes for this diagnosis have been met.

Answer to Question 2

ANS: C
A sibling of a chronically ill child may become negative toward the ill child and occasionally hostile based on the continuous attention the ill child may receive and the attention needed by the healthy child. It is common for children to act out when they are seeking attention or frustrated over a situation.

[aabwk4]

Excellent

[LVPMS]

TYSM