Author Question: A nurse works with a child who is sad and irritable because the child's parents are divorcing. Why ... (Read 94 times)

penguins · **on:** Jul 19, 2018

A nurse works with a child who is sad and irritable because the child's parents are divorcing. Why is establishing a therapeutic alliance with this child a priority?

a. Therapeutic relationships provide an outlet for tension.
b. Focusing on the strengths increases a person's self-esteem.
c. Acceptance and trust convey feelings of security to the child.
d. The child should express feelings rather than internalize them.

Question 2

Soon after parents announced they were divorcing, a child stopped participating in sports, sat alone at lunch, and avoided former friends. The child told the school nurse, If my parents loved me, they would work out their problems.

Which nursing diagnosis has the highest priority?

a. Social isolation
b. Decisional conflict
c. Chronic low self-esteem
d. Disturbed personal identity

nothere · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Trust is frequently an issue because the child may question their trusting relationship with the parents. In this situation, the trust the child once had in parents has been disrupted, reducing feelings of security. The correct answer is the most global response.

Answer to Question 2

ANS: A
This child shows difficulty coping with problems associated with the family. Social isolation refers to aloneness that the patient perceives negatively, even when self-imposed. The other options are not supported by data in the scenario.