An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which indicator would suggest that nursing interventions are succeeding?
a. The child attends school regularly.
b. The child is observed playing calmly.
c. The father rarely speaks during nurse visits.
d. The mother corrects negative comments by the child.
A
Of the available choices, returning to school would be the most direct and reliable indicator that the desired progress is occurring. Calm play by the child and silence by the father indicate changes in family dynamics, but data are insufficient to support interpreting these as being positive changes. The mother is intervening to help the child, but it is not clear that the child's self-esteem is improving.
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