The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

"It is best to just ignore this and to not respond to his questions."

"He will eventually figure this out on his own."

"You have to keep repeating that his grandfather is never coming back."

"This is normal; children his age do not understand the permanence of death."

Answer and Explanation

The Correct Answer is D

A. "It is best to just ignore this and to not respond to his questions.": Ignoring the child's questions about the death of his grandfather may lead to feelings of confusion or abandonment. It is important to address the child's concerns and provide appropriate support and guidance.

B. "He will eventually figure this out on his own.": While children may gradually come to understand the permanence of death as they mature, it is essential to provide support and explanations to help them cope with grief and loss.

C. "You have to keep repeating that his grandfather is never coming back.": Continually

repeating that the grandfather is never coming back may be distressing for the child and does not provide constructive support or help the child understand the concept of death.

D. "This is normal; children his age do not understand the permanence of death.": This response acknowledges the child's age-appropriate understanding of death and provides reassurance to the mother that her son's reaction is typical. It opens the door for the nurse to offer guidance on how to support the child through the grieving process and gradually help him comprehend the permanence of death.

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Correct Answer is A

Explanation

A. Obtain a detailed history.

Obtaining a detailed history is essential to understand the circumstances surrounding the bruises, including how they occurred, where they are located, and whether there is a plausible

explanation for them. This information helps determine whether the bruises are due to accidental injury or potential abuse.

B. Report the suspected abuse to the authorities.

While reporting suspected abuse may ultimately be necessary if there are concerns about the origin of the bruises, obtaining a detailed history is the initial step to gather information and assess the situation before making a report.

C. Ask a psychiatrist to talk with the parents.

Involving a psychiatrist may be appropriate in cases where there are concerns about the child's mental health or the family dynamics, but it may not address the immediate concern of the bruises without first obtaining a detailed history.

D. Separate the child from the parents.

Separating the child from the parents should not be the first action taken without sufficient evidence or reason to believe that the child is in imminent danger. Gathering information through a detailed history is essential before considering such a drastic measure.

A. "Tell me about the circumstances when this occurs." B. "Is there a family history of diabetes?" C. "Suddenly having accidents can be a sign of diabetes." D. "That's normal: don't worry about it."

Correct Answer is A

Explanation

A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.

Understanding the context can help identify possible underlying causes and guide appropriate interventions.

B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.

C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.

D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.

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The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

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