A child with Turner's syndrome tells the nurse she feels different from her peers. Which response should the nurse give?
1. "Tell me more about the feelings you are experiencing.".
2. "These feelings are not unusual, and should pass soon.".
3. "You'll start to grow soon, so don't worry.".
4. "You seem to be upset about your disease.".
1
Rationale:
1. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings.
2. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Responding that the feelings will pass would not be therapeutic.
3. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Responding that the client will start to grow would not be therapeutic.
4. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Merely acknowledging that she is upset about the disease would not be therapeutic.
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