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. Administering oxygen is unnecessary, as the respiratory rate is within the normal range for a 3-week-old (30-60 breaths/min).
B. A respiratory rate of 35 breaths/minute is normal for an infant, so the nurse should document this finding.
C. Reassessing the respiratory rate is unnecessary unless other symptoms are present.
D. There is no need to notify the healthcare provider, as the respiratory rate is within normal limits.
Correct Answer is ["A","C","D"]
Explanation
A. Asking about allergies is essential to gather information about potential adverse reactions and ensure safe care.
B. While asking about a favorite food might be helpful for comfort measures, it is not essential for a health history assessment.
C. Recent illnesses and hospitalizations are critical in understanding the child’s medical background and current health status.
D. Developmental milestones are important for assessing whether the child is progressing appropriately and identifying any potential concerns.
E. While knowing about siblings might be relevant for family dynamics, it is not a key part of a health history assessment.
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