The nurse is caring for an adolescent on the unit whose father ...

[dollx]

The nurse is caring for an adolescent on the unit whose father has just died. The adolescent is very quiet, and the nurse attempts to talk with the child. The adolescent remains silent, not wishing to talk about the loss.
 
  The nurse plans a different approach to this child and might consider which of the following to assist this child? 1. Calling the mother to invite friends to the hospital
   2. Asking the doctor to prescribe a sedative
   3. Providing the adolescent with paper, pens, and pencils
   4. Notifying the hospital chaplain

Question 2

A Latino client who has just delivered a newborn son wants to breastfeed but says she would like to bottle-feed for the first few days.
 
  After talking with the client, the nurse learns that the primary reason for the client's desire to delay breastfeeding is based on the cultural belief that: 1. Breast milk causes skin rashes.
   2. It is harmful to breastfeed immediately.
   3. Colostrum is bad for the baby.
   4. Thin milk causes diarrhea.

[ju]

Answer to Question 1

3. Providing the adolescent with paper, pens, and pencils

Rationale:
Talking is not always the best way to reach a child or adolescent. The nurse offers tools to allow the child to write or draw and use creativity to work through feelings of grief. Notifying the mother to send the adolescent's friends to the hospital without asking the child is inappropriate. Asking the doctor to prescribe a sedative will only delay the grieving process. Calling the chaplain is an option, but it would be better if the adolescent were given a choice. Many times, children can work through feelings of grief in a creative manner.

Answer to Question 2

3. Colostrum is bad for the baby.

Rationale:
Some Latino cultures believe breastfeeding should be delayed because colostrum is bad for the baby. The belief that breast milk causes skin rashes is from the Haitian culture. The Latino culture does not believe that it is harmful to breastfeed a baby immediately. The belief that thin milk causes diarrhea is a Haitian cultural belief.

[dollx]

Excellent

[mohan]

Gracias!