The 28-year-old husband and wife have just been told their child has trisomy 21. Their 3-year-old child has no health problems. What statement should the nurse include in counseling this family?
1. "Don't worry. Everything will turn out for the best."
2. "It can be very difficult to understand why God chose you for this problem."
3. "Your child's disorder was not predictable, and not the fault of either of you."
4. "Your 3-year-old will need extra attention, given a sibling with special needs."
3
Rationale:
1. Therapeutic communication avoids clichés.
2. Therapeutic communication avoids philosophical answers involving God.
3. Reassuring the couple that neither of them caused the genetic abnormality of their newborn is most important right now.
4. The needs of the 3-year-old are not a top priority at the moment.
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