Final Answer:
The sign of ineffective family coping that requires urgent and immediate intervention is when the family becomes over vigilant.
Step-by-step explanation:
In the context of caring for a 14-month-old boy with cystic fibrosis, the family becoming over vigilant is a concerning sign of ineffective coping that demands urgent attention. This heightened vigilance might manifest as excessive anxiety, overprotectiveness, or an exaggerated focus on the child's health status. Such behavior can have adverse effects on both the child's emotional well-being and the overall family dynamics.
Over-vigilance may lead to the child feeling overwhelmed or restricted, contributing to fear and isolation. Moreover, it can strain relationships within the family, particularly if siblings are affected. Jealousy and worry among siblings indicate that the family's coping mechanisms are not effectively addressing the emotional needs of all its members.
Diminished compliance with therapy, although a concerning issue, may not require immediate intervention as it can be addressed through ongoing support and education. In contrast, over-vigilance poses an imminent threat to the family's emotional balance and necessitates urgent intervention to prevent long-term negative consequences. A targeted approach involving communication, education, and emotional support is crucial to help the family adapt and cope more effectively with the challenges posed by cystic fibrosis.