Which parent comment 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. "Our child is like this because I sunbathed too much during the pregnancy when I carried him."
2. "My nephews had chickenpox in my seventh month of pregnancy with him, so 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. "I was angry on the day when he was conceived in the womb; that is why he got this sickness."
3
Rationale:
1. It needs to be reinforced to parents that the child is not this way because of something the parent did or did not do during the pregnancy, and she is not afflicted because of a superstitious credence, a sinful behavior, or a cultural belief. 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.
2. It needs to be reinforced to parents that the child is not this way because of something the parent did or did not do during the pregnancy, and she is not afflicted because of a superstitious credence, a sinful behavior, or a cultural belief. 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.
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. 4. It needs to be reinforced to parents that the child is not this way because of something the parent did or did not do during the pregnancy, and she is not afflicted because of a superstitious credence, a sinful behavior, or a cultural belief. 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.
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