While working at a weekend "free clinic," the nurse is assessing a 3-year-old when the mother of the child confides that it has been very difficult providing for her family of four children on her limited budget, and that she is not sure that
she has enough money to buy food for the rest of the month, let alone the antibiotic that is needed for the child's ear infection. Which is the intervention by the nurse that would be most beneficial for the child and this family? 1. Giving the mother enough free samples of the antibiotic for the recommended course of treatment
2. Putting the mother in contact with a local agency that provides food on a regular basis to needy families and helps them access other resources in the community
3. Talking with the mother about the factors that increase a child's risk of acquiring an ear infection
4. Talking with the mother about the importance of a balanced diet in the growth and development of children, and providing her with a list of inexpensive, nutritious foods
2
Rationale:
1. Giving the mother enough free samples of the antibiotic would treat the immediate problem of the ear infection, but not the more far-reaching effects of malnutrition.
2. While all of the responses are good interventions, putting the mother in contact with a local agency will meet the family's basic need for food and connect the parent to a resource that could supply her with the antibiotic for her child.
3. A family's basic needs must be met before health promotion can be effective, and so talking with the mother about the factors that increase a child's risk of acquiring an ear infection would not be the most beneficial intervention for this family at this time.
4. A family's basic needs must be met before health promotion can be effective, and so talking with the mother about the importance of a balanced diet would not be the most beneficial intervention for this family at this time.
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