The nurse has been caring for a family with a school-age child who has school phobia. Which observation indicates that interventions have been successful?
A) The child stays home from school.
B) The child attends school every day.
C) The child decides daily about attending school.
D) The child's teacher is asked if attending school is a requirement.
B
Feedback:
Once it has been established that a child is free of any illness and the resistance stems from separation anxiety or phobia, the child should be made to attend school. Reinforcement by parents to go to school this way helps to prevent problems such as school failure, peer ridicule, or a pattern of avoiding difficulties. Some children may benefit from a gradual program of school involvement. Managing school refusal requires coordination among the school, school nurse, and health care provider who identifies the problem. The child should not be permitted to decide not to go to school. Attending school is a requirement, and the teacher does not need to be asked this question.
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