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 D
Explanation
A. Concerns about loss of control and body image are more common in older children, particularly school-aged children.
B. Fear of the unknown and being left alone is more characteristic of preschoolers or older children.
C. While infants may experience pain, their primary fear is separation from caregivers.
D. At 10 months, infants are in a stage where separation anxiety is prominent. Fear of strangers and distress due to separation from caregivers is a significant developmental challenge for hospitalized infants.
Correct Answer is A
Explanation
A. Allowing a child to play with small toys, even in the same room, poses a choking hazard, and parents should avoid giving small toys to preschoolers entirely.
B. Ensuring the child wears a helmet when riding a tricycle is a safe practice and shows good understanding of accident prevention.
C. Keeping cleaning supplies locked up and out of reach is an essential safety precaution for preventing poisoning and injury.
D. Teaching a child to swim and supervising them near water is critical for safety, especially since preschoolers can easily drown.
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