A pediatric client diagnosed with Turner syndrome tells the nurse, "I feel different from my peers." Which response by the nurse is the most appropriate?
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."
Correct Answer: 1
Rationale: The lack of growth and sexual development associated with Turner syndrome presents 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, that she'll start to grow, or that she is upset about the disease would not be therapeutic.
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