The parent of a recently readmitted 3-year-old child with a chronic illness tells the nurse, "I am not sure what to do about my other children. Every time she comes back to the hospital, they have to go to the babysitter. They are telling me that it is not fair that their sister gets all my attention." Which is the nurse's best assessment of this situation?
The family has ineffective mechanisms to deal with a child with a chronic illness
The siblings are immature and need counseling.
Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.
The siblings need to better understand their sister's illness and needs.
The Correct Answer is C
A. This response assumes the family’s coping mechanisms are dysfunctional, which may not be accurate or helpful in the immediate situation.
B. Labeling the siblings as immature and suggesting counseling without further assessment is premature.
C. Jealousy and resentment are normal reactions among siblings when one child receives a lot of attention due to illness. The nurse can help the parent recognize these feelings and suggest ways to address them.
D. While it’s important for the siblings to understand their sister’s illness, this response does not acknowledge the emotional aspect of their jealousy and resentment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bananas are not a significant source of iron; they provide potassium and other nutrients but are not helpful for increasing iron levels.
B. Cucumbers are low in iron and do not contribute to improving iron-deficiency anemia.
C. Tuna fish is a good source of iron, as well as providing protein and omega-3 fatty acids, making it a suitable recommendation for increasing iron in the child's diet.
D. Skim milk is low in iron and excessive dairy can inhibit iron absorption, so it is not advisable for increasing dietary iron.
Correct Answer is ["A","B","D","F"]
Explanation
A. Believing in imaginary friends or creatures is a typical example of magical thinking, as preschoolers often create fantasy scenarios.
B. Fears of monsters or ghosts also reflect magical thinking, where children believe that thoughts or imaginations can bring about real consequences.
C. Understanding the concept of time and past events is not a characteristic of magical thinking; it reflects a more advanced cognitive ability.
D. Believing that their thoughts can cause something to happen is a hallmark of magical thinking, as preschoolers often think their ideas can influence reality.
E. Understanding cause and effect through logical reasoning develops later and is not typical of magical thinking behaviors.
F. Believing that their actions can change the outcome of events is another example of magical thinking, where children feel their behaviors have magical or direct effects on situations.
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