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 A
Explanation
A. Quality of food, including nutrient-rich options, is more important than the quantity, as toddlers often have variable appetites but still need proper nutrition.
B. The caloric requirement for toddlers is around 1,000 to 1,400 calories per day, not 3,000.
C. Toddlers often have a decreased appetite compared to their infant stage due to slower growth rates.
D. Adult vitamins are not appropriate for toddlers, and their needs should be met primarily through food, with pediatric supplements used only if recommended by a healthcare provider.
Correct Answer is D
Explanation
A. Using medical jargon would likely confuse and scare the child.
B. Keeping medical equipment visible might increase anxiety, as young children can become fearful of unfamiliar objects.
C. Separating the child from their parent during the examination can increase fear and resistance, so it is better to keep the parent nearby for reassurance.
D. Allowing the child to role-play with medical equipment helps reduce anxiety, makes the experience more familiar, and increases cooperation during the assessment.
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