When assessing a child's reaction to illness, it is important for ...

[Alygatorr01285]

When assessing a child's reaction to illness, it is important for the nurse to
 
  a. observe the interaction between parent and child.
  b. recognize that chronological age matches cognitive level.
  c. realize that children are more comfortable with female health care providers.
  d. recognize that the child's behavior will be age appropriate.

Question 2

The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development. When the child has toileting accidents, the nurse should
 
  a. recommend a urology consult.
  b. obtain a urine sample and send it to the lab.
  c. reassure the child's parents that this is common.
  d. eliminate all fluids after dinner.

[shayla]

Answer to Question 1

ANS: A
Assessing a child's reaction to illness requires knowing the child's normal patterns of communication. Interactions are observed between parent and child. Variations occur across situations, so that the child under stress or in a different environment may process information at a lower level than he would under normal conditions. Because two children of the same chronological age may have quite different skills as information processors, the nurse needs to assess level of functioning. Some studies show school-age children are more satisfied if their health care provider is the same gender. A severe illness can cause a child to show behaviors that are reminiscent of an earlier stage of development. A certain amount of regression is normal.

Answer to Question 2

ANS: C
A severe illness can cause a child to show behaviors that are reminiscent of an earlier stage of development. A certain amount of regression is normal. Common behaviors include whining, demanding undue attention, withdrawal, or having toileting accidents. These behaviors might stem from the powerlessness the child feels in attempting to cope with an overwhelming, frightening environment. Reassuring the parents that this is a common response to the stress of illness can be helpful and is the best approach.

[Alygatorr01285]

TYSM

[mohan]

Excellent