A nurse is providing anticipatory guidance to the parents of a ...

[james0929]

A nurse is providing anticipatory guidance to the parents of a 4-year-old disabled child. What nutritional information should the nurse provide?
 
  A.
  Feed the child as any other 4-year-old child.
  B.
  Give child more than 70-90 kcal/kg/day.
  C.
  Offer extra protein and vitamins daily.
  D.
  Provide extra carbohydrates and fat intake.

Question 2

A father is at the bedside of his hospitalized disabled child. He begins crying, saying he has lost his job and no longer has insurance, so he is unsure of how to pay for the child's medical bills.
 
  What action by the nurse would be most helpful?
  A.
  Consult with a social worker who can discuss state and federal insurance programs.
  B.
  Give the father written information on state health insurance options for children.
  C.
  Listen to the father's concerns and tell him you understand how he must feel.
  D.
  Tell the father not to worry; the health of his child is more important than money.

[FergA]

Answer to Question 1

ANS: B
Children with disabilities need more calories, vitamins, minerals, and protein than do non-disabled children. A normal 4-year-old child requires 70-90 kcal/kg/day, so this amount needs to be increased to a point at which the child is gaining weight and has the stamina to complete appropriate activities within his or her capabilities. The child should not be fed as any other 4-year-old. Telling parents to give extra protein and vitamins is vague. Increasing calories includes increasing all food groups, but the disabled child specifically needs more protein.

Answer to Question 2

ANS: A
There are both state and federal insurance programs for children. The nurse should arrange a visit from the social worker who can discuss the options, give information in writing, and assist the father in applying for benefits. Simply giving written information is not as helpful; the nurse has not assessed the father's literacy level, the father may have questions, or the father may not understand how to follow up. Never tell someone you know how they feel, because you don't and can't know exactly how they feel. Telling the father not to worry is dismissive of his concerns.

[james0929]

TYSM

[softEldritch]

Gracias!