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 B
Explanation
A. A dose of 100 mg every 8 hours would be appropriate and within the recommended range.
B. For a toddler weighing 20 kg, the correct dosage of amoxicillin, according to the recommended range of 20 to 25 mg/kg/day, would be 400 to 500 mg per day, divided into three doses. Therefore, a dose of 100 mg every 8 hours would be appropriate and within the recommended range.
C. A dose of 100 mg every 8 hours would be appropriate and within the recommended range.
D. A dose of 100 mg every 8 hours would be appropriate and within the recommended range.
Correct Answer is ["D","E"]
Explanation
A. At 12 months, a child may begin using a spoon but will often spill, so independent spoon use without spilling is not expected at this stage.
B. Drawing a circle is a skill expected at a later age, typically around 3 years.
C. Climbing steps is usually observed in older toddlers, around 18 months.
D. A 12-month-old should be able to attempt to stack two blocks, demonstrating early fine motor skills.
E. At 12 months, a child typically can say simple words like "mama" and "dada" as part of early language development.
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