A young child is having abdominal pain, and the doctor informs the parents that a computed tomography (CT or CAT) scan of the abdomen will be ordered
The doctor tells the child, "This CAT scan won't hurt you." The child is visibly upset because of a fear of cats. According to Mishel's uncertainty in illness theory, which stage of the framework is represented?
a. Stimuli frame
b. Appraisal stage
c. Initiation of coping mechanisms
d. Adaptation
ANS: A
Correct: In the stimuli frame the client reacts to some stimulus in a negative manner. The nurse at this stage should listen carefully and then initiate, seek, and clarify concerns and questions.
Incorrect:
b. The appraisal stage is when the client applies a negative value to environmental conditions.
c. In the initiation of coping mechanisms stage, the individual uses coping skills to deal with negative environmental stimuli.
d. Adaptation occurs as the nurse intervenes in the previous stage, and ideally, fear decreases.
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