The mother of a 7-year-old boy with autism tearfully reports feeling as if she is not qualified to care for her child. Which initial action by the nurse is most appropriate?
A) Tell the child's mother that this is a common feeling when caring for a special needs child.
B) Encourage the child's mother to keep a journal to best identify areas needing improvement in the home routine.
C) Recognize the mother's positive accomplishments in caring for her child.
D) Recommend the child's mother seek counseling.
Ans: C
Caring for a special needs child can be overwhelming for the parents. Feeling overwhelmed is not uncommon. Recognition of positive outcomes and activities should be performed. The child's mother may indeed benefit from counseling or participation in a support group but it is not of the highest priority. Explaining to the child's mother that others feel the same way does not address her personal concerns. Keeping a journal may be effective but suggestions that this will help improve her performance are not meeting her immediate needs.
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