UWORLD PN Revision Exam And Actual Answers 2024.
For the past month, the nurse has been providing care to a 7-year-old client recently diagnosed with type 1 diabetes mellitus. Initially, the family seemed devastated over the diagnosis. The client's parent stated, "Our lives will never be the same." What statement now made by the parent BEST indicates that nursing interventions have been effective? A. Our child will not be able to participate in sporting events B. Our whole family will have to make sacrifiices to deal with this disease C. We have set aside a place in the pantry foru our child's special foods D. We will not let this disease take control of our child's life - Answer D. It is normal for parents to feel devastated when their child is diagnosed with a chronic illness (eg, diabetes). Reactions include shock, denial, helplessness, anger, fear, and anxiety. They may have feelings of guilt that they contributed to or failed to prevent the development of the disease. The parents' emotional response, adaptation, and coping strategies will greatly impact the child's perception of self and the ability to self-manage the disease. In providing diabetes education, the nurse needs to emphasize and reinforce that with planning and preparation, diabetes can be managed and controlled, regular day-to-day activities can be resumed, and the child can have a normal life. When clients feel in control rather than victimized and dependent, it increases the likelihood that they will be actively engaged in diabetes self-management activities. (Option 1) This is not a true statement. Clients with diabetes can participate in a wide variety of sports. (Option 2) The diagnosis and management of diabetes in a child will affect the whole family. The use of the word "sacrifice" suggests that the parent is feeling victimized by the disease.
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