A child with asthma was admitted to the hospital during an attack. The mother says, "This is all my fault, if only I hadn't smoked when I was pregnant." Which response would be helpful to the mother?
1. Tell her not to worry because her smoking did not cause the child's asthma.
2. Explain that asthma involves a host of biological factors, of which heredity plays a large role.
3. Tell the mother that she should feel guilty, and find out if she's still smoking.
4. Ask why she believes that she caused the child's admission.
2
Rationale: Explaining that asthma is caused by many factors provides information that may allow the mother to relinquish some of her feelings of guilt. Telling the mother she did not cause the asthma is false reassurance. Asking the mother for a justification of her feelings is not helpful to her. Telling the mother she should feel guilty is blaming and shaming.
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