Which parent statement shows understanding of the cause of the child's genetic condition in such a way that the nurse can document that no further teaching about the cause is needed?
1. "I was angry on the day he was conceived; that is why he got this sickness."
2. "My nephews had chickenpox in my seventh month of pregnancy with my son, so that is how he got this way."
3. "My child has this disease because the code in the genes just changed, and it is no one's fault."
4. "Our child is like this because I sunbathed too much during the pregnancy when I carried him."
3
Rationale 1: It needs to be reinforced to parents that the child's condition is not because of something the parent did or did not do during the pregnancy. The parent needs to know the child has a genetic code that tells the cells to be this way because of changes in the genes.
Rationale 2: The mother needs to understand that the child's condition was not caused by an intrauterine infection or exposure to illness during her pregnancy.
Rationale 3: Scientific understanding of actual reason for a genetic condition will alleviate or reduce the guilt and shame that are wrongfully felt when the parent has misguided beliefs about its causes.
Rationale 4: The mother needs to understand that the child's condition is caused by a genetic condition. This will reduce shame and guilt on the mother's part.
Global Rationale:
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True False
A client, admitted to the hospital after an attempted suicide following the sudden death of her husband, reported she and her husband were together most of the time and did not socialize with others
Now she is experiencing extreme loneliness and lack of companionship. Which nursing diagnosis would address the loneliness she mentions? 1. Powerlessness related to death of husband 2. Posttrauma syndrome related to loneliness 3. Social isolation related to absence of supportive others 4. Complicated grieving related to sudden death of husband