The nurse is caring for a 13-year-old girl hospitalized for complications from type 1 diabetes. The girl has a nursing diagnosis of powerlessness related to lack of control of multiple demands associated with hospitalization,
procedures, treatments, and changes in usual routine. How can the nurse help promote control?
A) Ask the child to identify her areas of concern.
B) Encourage participation of parents in care activities.
C) Offer the girl as many choices as possible.
D) Enlist the family's assistance in creating a time schedule.
Ans: C
The nurse needs to offer the girl as many choices as possible, such as options for food and drink (as her diet allows), hygiene, activities, or clothing options to promote feelings of individuality and control. Two of the other options engage the parents in the process. A 13-year-old girl is capable of making her own choices regarding activities, schedules, and routine, but she may not be able to identify her areas of concern.
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