The nurse is teaching the parents of a child with a severe, chronic condition ways to promote growth and development. Which suggestion by the nurse is the most appropriate?
A.
Allow interaction with peers, family, and community members.
B.
Ensure that the child is getting a nutritious diet and plenty of exercise.
C.
Insist that the public school include the child in all activities.
D.
Plot the child's growth and weight gain on growth charts monthly.
ANS: A
Although chronic illness can have a negative impact on growth and development, so can the reactions of the child's parents or guardians. Although they need to maintain realistic expectations, parents should ensure that the child has the ability to develop in all areas: physical, cognitive, social, and psychological. The best way to ensure this development is to allow the child interaction with others and provide opportunities for appropriate activity. A nutritious diet is important but only considers the physical aspect of growth and development. It should not be necessary to insist that the school include the child in activities, as this is a legal requirement. Plotting growth is also important, but monitoring the situation is not the same as providing opportunities.
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