Question

A nurse is caring for a 10-year-old boy with a nursing diagnosis of ineffective coping related to an inability to deal with stressors secondary to anxiety. Which of the following would be most important for the nurse to do first?

A) Set clear limits on the child's behavior
B) Teach the child problem-solving skills
C) Encourage a discussion of the child's thoughts and feelings
D) Role model appropriate social and conversation skills

Answer 1

The primary action a nurse should take is to encourage the child to discuss their thoughts and feelings, as it aids in understanding specific stressors and emotions, fostering social support, and forming a basis for further intervention.

Step-by-step explanation:

The most important action for a nurse to take first when caring for a 10-year-old boy with a nursing diagnosis of ineffective coping related to stressors and anxiety is C) Encourage a discussion of the child's thoughts and feelings. Providing an opportunity for the child to express his thoughts and feelings is a fundamental step in addressing ineffective coping. Such a discussion can help identify the child's specific stressors and underlying emotions, which is necessary before introducing coping strategies like problem-solving or setting limits. Social support plays a crucial role in health and longevity, and by talking about his experiences, the child can feel supported and understood, which may alleviate feelings of anxiety and stress. This approach aligns with Horney's theory on coping, where she suggested that problems of anxiety stemming from childhood can affect growth and coping strategies later in life.

After establishing a good rapport and understanding of the child's emotional state, more directive interventions such as problem-focused coping strategies or teaching specific skills may be introduced as the next steps in the care plan.