The nurse is caring for a 12-year-old girl with nephrotic syndrome. The girl confides that she feels like a "freak" compared to her peers because of her weight, edema, and moon face. Which response by the nurse would be most appropriate?
A) "Let's put you in touch with some other girls who are also having the same body changes."
B) "Luckily, this is just a temporary, unfortunate part of your condition; you need to accept it."
C) "Your real friends do not care about your appearance and just want you to get well."
D) "You are beautiful in your own way; what matters is what is on the inside."
Ans: A
It is important to introduce the girl to other youngsters with chronic renal conditions so she does not feel so isolated. Adolescents need interaction with peers. Telling the girl that this is a temporary condition, her real friends don't care about her appearance, and she is beautiful in her own way dismisses the girl's concerns and does not offer solutions. Nephrotic syndrome is a chronic condition, so telling her the condition is temporary also is inaccurate.
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