The parent of a child with a chronic illness tells the nurse, "I feel so hopeless in this situation." The nurse should take which actions to foster hopefulness for the family? (Select all that apply.)
a. Avoid topics that are lighthearted.
b. Convey a personal interest in the child.
c. Be honest when reporting on the child's condition.
d. Do not initiate any playful interaction with the child.
e. Demonstrate competence and gentleness when delivering care.
ANS: B, C, E
To foster hopefulness, the nurse should convey a personal interest in the child, be honest when reporting on a child's condition, and demonstrate competence and gentleness when delivering care. The nurse should introduce conversations on neutral, non–disease-related, or less sensitive topics (discuss the child's favorite sports, tell stories). The nurse should be lighthearted and initiate or respond to teasing or other playful interactions with the child.
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