What is the primary nursing concern for an 8-year-old child with Type 1 diabetes who asks his mother not to tell anyone at school that he has diabetes?

Peer group acceptance

Development of a sense of industry

The child is old enough to manage their own insulin doses and finger sticks

The child’s safety

Answer and Explanation

The Correct Answer is D

Choice A reason: While peer group acceptance is important, it is not the primary concern in this situation.
Choice B reason: Developing a sense of industry is part of Erikson's stages of psychosocial development but is not the primary nursing concern here.
Choice C reason: Whether the child can manage their own insulin and finger sticks is important, but safety is the primary concern.
Choice D reason: This is the correct choice. Ensuring the child's safety is paramount, as the school needs to be aware of the child's condition in case of a diabetes-related emergency.

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Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. There is no need for the mother to leave the room unless the child requests privacy.

Choice B reason: This choice is incorrect. While reviewing health promotion is important, it should not be the focus during a sick visit.

Choice C reason: This choice is incorrect. A comprehensive history is not necessary if the child is regularly seen and was recently assessed.

Choice D reason: This is the correct choice. The nurse should focus on the current illness reported by the mother, as the child has been regularly seen and assessed.

A. Explain body changes that will take place. B. Maintain the child’s normal routines. C. Allow the child to talk about the illness. D. Encourage friends to visit.

Correct Answer is B

Explanation

Choice A reason: While it is important to prepare the child for changes, maintaining normalcy is more immediately beneficial.
Choice B reason: This is the correct choice. Maintaining normal routines provides a sense of stability and normalcy, which is comforting during a stressful time.
Choice C reason: Allowing the child to talk about the illness is important, but it may not be as comforting as maintaining normal routines.
Choice D reason: Encouraging friends to visit can provide support, but it is not as impactful on daily comfort as maintaining normal routines.

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What is the primary nursing concern for an 8-year-old child with Type 1 diabetes who asks his mother not to tell anyone at school that he has diabetes?

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