A family with 4 children has just learned that their third child, age 5, has been diagnosed with ADHD. The nurse has assessed the child and the family and is planning care with them

Which of the following statements by the mother leads the nurse to a diagnosis of compromised family coping? 1. "We need to alert the teachers at school so they will know how to give Tommy's medication.".
2. "I'm not sure if we should let Tommy act in the school play.".
3. "Will he have to be put in an institution?"
4. "I don't know how to tell the rest of the family or how we will manage the other children.".


4. "I don't know how to tell the rest of the family or how we will manage the other children.".

Rationale:
The mother does not have a positive outlook on this situation and appears indecisive and ashamed. This family will need assistance with coping with Tommy and continuing on with life. Alerting the teachers at school is a positive action and a way to protect the child. The school play will be a decision made with the teachers, but the mother's statement does not suggest poor coping. Asking if Tommy will need to spend time in an institution is reasonable at this time.

Nursing

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