A preschool-age child with a chronic condition is brought to the clinic for a checkup. During the visit she throws things, yells at her mother, and attempts to hit the nurse

The mother sighs and says "I'm afraid yelling at her will make her sicker." What response by the nurse is the most appropriate?
A.
Explain that without limits, preschoolers do not feel secure.
B.
Inform the mother that she needs to institute some discipline.
C.
Re-educate the mother on the progression of the child's illness.
D.
Tell the mother that yelling at the child will not make her sick.


ANS: A
Preschoolers need set limits in order to feel secure in their world. This mother needs to set limits on her child's behavior, but the nurse needs to explain the reasoning behind it. Simply telling her to institute discipline will likely make the mother feel criticized. Re-educating the mother may need to occur, but is not the best response to this situation. Telling the mother that yelling will not make her daughter worse does not give the mother needed information.

Nursing

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