,Chapter 1 Issues and Trends in Pediatric Nursing
nd nd nd nd nd nd nd
Multiple Choice
nd
Identify the choice that best completes the statement or answers the question.
nd nd nd nd nd nd nd nd nd nd nd
1. The nurse has provided a presentation to middle school children about nursing as
nd nd n d n d n d nd n d n d nd nd n d n d
a career. One of the children stated that he wanted to be a pediatric nurse,
n d nd nd nd nd nd nd nd n d nd nd n d nd nd n d
because he wants to take care of babies and little ―kids.‖ What would be
nd n d nd nd nd nd nd n d n d n d n d n d n d n d
an appropriate response to this middle school–aged child?
n d n d n d n d n d n d nd n d
1. ―Nursing is a general practice; all nurses must know how to take
nd nd nd nd nd nd nd n d nd nd nd
care of all ages of patients.‖
nd nd nd nd nd nd
2. ―As a pediatric nurse, you would get to care for babies and little
nd nd nd nd nd nd nd nd nd nd nd nd
kids as well as children through their teenage years.‖
nd nd nd nd nd nd nd n d n d
3. ―What you are describing is actually a neonatal nurse. Neonatal nurses
nd nd nd nd nd nd nd nd nd nd
work with newborn babies, toddlers, and preschool-age children.‖
nd nd nd nd n d n d nd nd
4. ―Being a pediatric nurse requires a master’s degree, so be sure to
nd nd nd nd nd nd nd nd nd nd nd
work hard in school!‖
nd n d nd nd
2. The medical-surgical float nurse is assigned to the pediatric unit for the first time and
nd nd nd nd nd nd nd nd nd nd nd nd nd nd
states that the skills are ―the same as general nursing since children are little adults
nd nd nd nd nd nd nd nd nd nd nd nd nd nd nd
with smaller bodies.‖ What component of pediatric nursing contraindicates this
nd nd nd n d n d n d nd n d n d n d
statement?
n d
1. Pediatric nursing involves care based on the developmental level of the patient.
nd nd nd nd nd nd nd nd nd nd nd
2. Pediatric nursing involves the patient’s family in the plan of care.
nd n d nd nd nd nd nd nd nd nd
3. Pediatric nursing in based on prevention of infectious diseases.
nd nd n d nd nd nd nd n d
4. Pediatric nursing involves cultural sensitivity in patient care.
nd nd nd nd nd nd nd
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S.
nd nd nd n d n d nd nd nd nd nd nd nd nd
population. Which of the following reflects the demographics of the U.S. pediatric
nd nd nd nd nd nd nd nd nd nd nd nd
population in 2018, based on U.S. Census Bureau data?
nd nd nd n d nd nd n d n d nd
1. The American Indian and Alaska Native population represent one-fifth
nd nd nd nd nd nd nd nd
of the pediatric population.
nd nd nd nd
2. About half of the children fall in the category of something other than
nd nd nd nd nd nd nd nd nd nd nd nd
White non- Hispanic.
nd n d nd
3. The population of Asian children decreased from 2015 to 2018.
nd nd nd nd nd n d nd nd nd
4. There was no change in the population of Non-Hispanic children
nd nd nd nd nd nd nd nd nd
who represent two or more races between 2015 and
nd nd n d n d n d n d n d n d n d
2018. n d
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with
nd nd n d nd nd nd nd nd nd nd nd nd nd nd
diabetes. The patient has verbalized discomfort with the feelings of isolation
nd nd n d n d n d n d n d nd n d n d n d
when unable to drink alcohol with their friends. Which of the following would be
nd nd n d n d nd nd nd n d n d nd nd nd nd nd
the most appropriate response to this statement?
nd n d n d nd nd nd nd
1. ―Drinking alcohol is not only illegal but dangerous for your blood
nd nd nd nd nd nd nd nd nd nd
sugar control and overall well-being.‖
nd n d nd nd nd
2. ―You can still drink alcohol, in moderation, if you control the sugar
nd nd nd nd nd nd nd nd nd nd nd
spike with more insulin.‖
nd n d n d nd
3. ―Prepare for alcohol intake with more water and less carbohydrates
nd nd nd nd nd nd nd nd nd
before drinking to slow sugar spikes.‖
nd nd nd n d nd n d
4. ―It is understandable that you want to be included, but perhaps we can
nd nd nd nd nd nd nd nd nd nd nd nd
work out a plan on how to work through those situations.‖
nd n d n d n d n d n d n d n d n d n d n d
,5. Which statement best describes the common core concepts of the different models
nd nd nd nd nd nd nd nd nd nd n d
of pediatric nursing?
nd n d nd
1. All models focus on the open communication between the child and nurse.
nd n d nd nd nd nd nd nd nd nd nd
2. All models focus on importance of family relationship to the child.
nd nd nd nd nd nd nd n d nd nd
3. All models focus on safeguarding the child’s dignity during care.
nd n d nd nd n d nd nd nd nd
4. All models focus on coordination of care needs that arise during illness.
nd n d nd nd nd nd nd nd n d nd n d
6. Which of the following tasks is associated with the pediatric medical home care
nd nd nd nd nd nd nd nd nd nd nd nd
ndmodel of pediatric nursing?
nd nd nd
1. The nurse refers the family to a childhood cancer support group prior
nd nd nd nd nd nd nd nd nd nd nd
to discharge from the hospital.
nd n d n d nd nd
2. The nurse includes a simple explanation of the procedure to the child based
nd nd nd nd nd nd nd nd nd nd nd nd
on the child’s developmental level.
nd nd nd nd nd
3. The nurse includes the family’s cultural celebrations and
nd nd nd nd nd nd nd
observations while providing care to the child.
nd nd nd nd nd nd nd
4. The nurse develops the plan of care with the child and family as the
nd nd nd nd nd nd nd nd nd nd nd nd nd
focal point of the interventions.
nd nd nd nd n d
7. The pediatric nurse begins a research project on 8-year-old patients with the
n d n d n d n d nd n d n d n d n d nd nd
medical diagnosis of pediatric acute-onset neuropsychiatric syndrome (PANS). The
n d nd nd nd n d n d nd nd n d
family has consented to the research, but as the nurse begins to administer the
n d nd nd nd nd nd nd nd nd nd nd nd nd nd
ndintervention, the patient refuses to cooperate. What is the appropriate response
nd nd nd n d n d n d n d n d n d n d
to this refusal?
n d n d n d
1. The nurse should discuss with the family the options of
nd nd nd nd nd nd nd nd nd
performing the intervention without the child’s knowledge.
nd nd nd nd nd nd nd
2. The nurse should explain to the child that this is necessary and
nd nd nd nd nd nd nd nd nd nd nd
promise a reward at the end of the research project.
nd nd nd nd n d nd n d nd nd nd
3. The nurse should refuse to perform the intervention until the child consents
nd nd nd nd nd nd nd nd nd nd nd
to the intervention and project.
nd nd n d nd nd
4. The nurse should discuss the pros and cons of the research project
nd nd nd nd nd nd nd nd nd nd nd
with the child and focus on the outcomes.
nd nd nd nd n d nd nd nd
8. A nurse is providing relationship-based care to a pediatric patient. Which of the
nd nd nd nd nd nd nd nd nd nd nd nd
ndfollowing is a challenge the nurse is likely to encounter while using this
nd nd n d n d n d n d n d n d n d n d n d n d
model of care?
n d n d nd
1. Maintaining a sterile field for a procedure with a restless toddler
nd nd nd nd nd nd nd nd nd nd
2. Communicating with the blended family on regular basis nd nd nd n d nd nd nd
3. Treating children with antibiotic-resistant illnesses
nd nd nd nd
4. Caring for a larger number of children with autism spectrum
nd nd nd nd nd nd nd nd nd
disorders and childhood depression
nd nd nd nd
9. The pediatric nurse desires to expand his or her career options to become
n d n d n d n d n d n d n d n d n d n d n d n d
the hospital’s nurse educator of pediatrics. Which of the following is necessary for
n d n d nd nd nd nd n d nd nd nd nd nd nd
this nurse to achieve this career goal?
nd nd nd nd nd nd n d
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
nd nd nd nd nd nd nd nd nd nd nd nd nd
2. The nurse must earn a minimum of a doctorate degree in nursing.
nd nd n d nd nd nd nd nd nd nd nd
3. The nurse must implement and develop research in nursing practice.
nd nd nd nd nd nd nd nd nd
4. The nurse must implement a plan to obtain certification in pediatrics.
nd nd n d nd nd nd nd nd nd nd
, n d 10. The school nurse is developing a teaching session for the population of
nd nd nd n d nd nd nd nd nd nd nd nd
children in a middle school. The nurse has determined that the greatest
nd nd nd nd nd n d n d n d n d n d n d n d
need for the overall health of the children is promotion of healthy foods.
n d n d n d n d n d n d nd nd n d n d nd nd nd
Which of the following interventions is most likely to be effective?
nd nd nd nd n d nd nd nd nd nd nd
1. Remove all unhealthy snacks from the vending machines.nd nd nd nd nd nd nd
2. Have a poster contest on healthy eating options.
nd nd nd nd nd nd nd
3. Survey the student population during lunch breaks.
nd nd nd nd nd nd
4. Engage the students in healthy choices with cooking lessons.
nd nd nd nd nd nd nd n d
n d 11. The nurse recognizes the needs of professional development to provide safe
nd nd nd nd nd nd nd nd nd nd nd
and effective care to the pediatric population by attending which of the
nd nd nd nd n d n d n d n d n d n d n d n d
following courses?
n d n d
1. Procedure with rationale to administer human papilloma vaccine to
nd nd nd nd nd nd nd nd
the middle school population
nd nd n d nd
2. Study review of the incidence of bullying and intimidation in
nd nd nd nd nd nd nd nd nd
the elementary school population
nd nd nd nd
3. Demographic study of the U.S. population with regard to cultural nd nd nd nd nd nd nd nd nd
diversity and practices
nd nd nd
4. How to provide individual health care education for the children
nd nd nd nd nd nd nd nd nd
without parental interference
nd nd nd
n d 12. Which of the following continuing education courses would best enhance the
nd nd nd nd nd nd nd nd nd nd nd
pediatric nurse’s practice in relationship to current trends?
nd nd nd n d nd n d n d nd
1. Evidence-based practice on improving antibiotic adherence with education nd nd nd nd nd nd nd
to the family unit
nd nd n d nd
2. Evidence-based practice on proper administration of antibiotics for nd nd nd nd nd nd nd
children with autoimmune diseases
nd nd nd nd
3. How to enhance communication with children in regards to adherence
nd nd nd nd nd nd nd nd nd
to antibiotic use
nd nd nd
4. How to decrease instances of exacerbation of infections of
nd nd nd nd nd nd nd nd
children with autoimmune diseases with antibiotics
nd nd nd nd nd nd
n d 13. The pediatric nurse is developing interventions for a school-aged child based
n d nd nd n d nd n d n d n d nd nd n d
on the nursing diagnosis of imbalanced nutrition related to a body mass index
nd nd nd nd nd nd n d nd n d nd nd nd nd
(BMI) of 37 and poor food choices as evidenced by patient’s mother’s food
nd nd nd n d nd nd nd nd nd nd nd nd nd
diary for the family and child’s statements of food preferences. Which of the
nd nd nd nd nd nd nd nd n d n d n d nd nd
following would be an appropriate nursing intervention?
n d n d n d nd nd n d n d
1. Provide the child and family with information fromnd nd nd nd nd nd nd
https://www.MyPlate.gov for healthy food options.
nd nd n d nd nd
2. Increase the child’s activity by incorporating the child’s friends into a
nd nd nd nd nd nd nd nd nd nd
plan of healthy exercise options.
nd n d nd nd nd
3. Explain the importance of balancing diet and exercise to prevent obesity
nd nd nd nd nd nd nd nd nd nd
to the child and family.
nd nd nd n d n d
4. Provide information on the increased risk for potential disease processes
nd nd nd nd nd nd nd nd nd
such as diabetes and hypertension.
nd nd nd nd n d
n d 14. The nurse is developing interventions for a transgender adolescent based on the
n d nd n d n d n d n d n d n d nd n d n d n d nd
n d nursing diagnosis
n d
decreased self-esteem related to transgender identity as evidenced by statements of feeling
nd nd nd nd nd nd nd nd nd nd nd
“worthless, different, and alone.” What would be the most appropriate intervention based
n d nd nd nd nd nd nd nd nd nd nd nd
on the diagnosis?
nd nd n d
1. Give positive feedback on personal choices as appropriate.
nd nd nd nd nd nd nd
nd nd nd nd nd nd nd
Multiple Choice
nd
Identify the choice that best completes the statement or answers the question.
nd nd nd nd nd nd nd nd nd nd nd
1. The nurse has provided a presentation to middle school children about nursing as
nd nd n d n d n d nd n d n d nd nd n d n d
a career. One of the children stated that he wanted to be a pediatric nurse,
n d nd nd nd nd nd nd nd n d nd nd n d nd nd n d
because he wants to take care of babies and little ―kids.‖ What would be
nd n d nd nd nd nd nd n d n d n d n d n d n d n d
an appropriate response to this middle school–aged child?
n d n d n d n d n d n d nd n d
1. ―Nursing is a general practice; all nurses must know how to take
nd nd nd nd nd nd nd n d nd nd nd
care of all ages of patients.‖
nd nd nd nd nd nd
2. ―As a pediatric nurse, you would get to care for babies and little
nd nd nd nd nd nd nd nd nd nd nd nd
kids as well as children through their teenage years.‖
nd nd nd nd nd nd nd n d n d
3. ―What you are describing is actually a neonatal nurse. Neonatal nurses
nd nd nd nd nd nd nd nd nd nd
work with newborn babies, toddlers, and preschool-age children.‖
nd nd nd nd n d n d nd nd
4. ―Being a pediatric nurse requires a master’s degree, so be sure to
nd nd nd nd nd nd nd nd nd nd nd
work hard in school!‖
nd n d nd nd
2. The medical-surgical float nurse is assigned to the pediatric unit for the first time and
nd nd nd nd nd nd nd nd nd nd nd nd nd nd
states that the skills are ―the same as general nursing since children are little adults
nd nd nd nd nd nd nd nd nd nd nd nd nd nd nd
with smaller bodies.‖ What component of pediatric nursing contraindicates this
nd nd nd n d n d n d nd n d n d n d
statement?
n d
1. Pediatric nursing involves care based on the developmental level of the patient.
nd nd nd nd nd nd nd nd nd nd nd
2. Pediatric nursing involves the patient’s family in the plan of care.
nd n d nd nd nd nd nd nd nd nd
3. Pediatric nursing in based on prevention of infectious diseases.
nd nd n d nd nd nd nd n d
4. Pediatric nursing involves cultural sensitivity in patient care.
nd nd nd nd nd nd nd
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S.
nd nd nd n d n d nd nd nd nd nd nd nd nd
population. Which of the following reflects the demographics of the U.S. pediatric
nd nd nd nd nd nd nd nd nd nd nd nd
population in 2018, based on U.S. Census Bureau data?
nd nd nd n d nd nd n d n d nd
1. The American Indian and Alaska Native population represent one-fifth
nd nd nd nd nd nd nd nd
of the pediatric population.
nd nd nd nd
2. About half of the children fall in the category of something other than
nd nd nd nd nd nd nd nd nd nd nd nd
White non- Hispanic.
nd n d nd
3. The population of Asian children decreased from 2015 to 2018.
nd nd nd nd nd n d nd nd nd
4. There was no change in the population of Non-Hispanic children
nd nd nd nd nd nd nd nd nd
who represent two or more races between 2015 and
nd nd n d n d n d n d n d n d n d
2018. n d
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with
nd nd n d nd nd nd nd nd nd nd nd nd nd nd
diabetes. The patient has verbalized discomfort with the feelings of isolation
nd nd n d n d n d n d n d nd n d n d n d
when unable to drink alcohol with their friends. Which of the following would be
nd nd n d n d nd nd nd n d n d nd nd nd nd nd
the most appropriate response to this statement?
nd n d n d nd nd nd nd
1. ―Drinking alcohol is not only illegal but dangerous for your blood
nd nd nd nd nd nd nd nd nd nd
sugar control and overall well-being.‖
nd n d nd nd nd
2. ―You can still drink alcohol, in moderation, if you control the sugar
nd nd nd nd nd nd nd nd nd nd nd
spike with more insulin.‖
nd n d n d nd
3. ―Prepare for alcohol intake with more water and less carbohydrates
nd nd nd nd nd nd nd nd nd
before drinking to slow sugar spikes.‖
nd nd nd n d nd n d
4. ―It is understandable that you want to be included, but perhaps we can
nd nd nd nd nd nd nd nd nd nd nd nd
work out a plan on how to work through those situations.‖
nd n d n d n d n d n d n d n d n d n d n d
,5. Which statement best describes the common core concepts of the different models
nd nd nd nd nd nd nd nd nd nd n d
of pediatric nursing?
nd n d nd
1. All models focus on the open communication between the child and nurse.
nd n d nd nd nd nd nd nd nd nd nd
2. All models focus on importance of family relationship to the child.
nd nd nd nd nd nd nd n d nd nd
3. All models focus on safeguarding the child’s dignity during care.
nd n d nd nd n d nd nd nd nd
4. All models focus on coordination of care needs that arise during illness.
nd n d nd nd nd nd nd nd n d nd n d
6. Which of the following tasks is associated with the pediatric medical home care
nd nd nd nd nd nd nd nd nd nd nd nd
ndmodel of pediatric nursing?
nd nd nd
1. The nurse refers the family to a childhood cancer support group prior
nd nd nd nd nd nd nd nd nd nd nd
to discharge from the hospital.
nd n d n d nd nd
2. The nurse includes a simple explanation of the procedure to the child based
nd nd nd nd nd nd nd nd nd nd nd nd
on the child’s developmental level.
nd nd nd nd nd
3. The nurse includes the family’s cultural celebrations and
nd nd nd nd nd nd nd
observations while providing care to the child.
nd nd nd nd nd nd nd
4. The nurse develops the plan of care with the child and family as the
nd nd nd nd nd nd nd nd nd nd nd nd nd
focal point of the interventions.
nd nd nd nd n d
7. The pediatric nurse begins a research project on 8-year-old patients with the
n d n d n d n d nd n d n d n d n d nd nd
medical diagnosis of pediatric acute-onset neuropsychiatric syndrome (PANS). The
n d nd nd nd n d n d nd nd n d
family has consented to the research, but as the nurse begins to administer the
n d nd nd nd nd nd nd nd nd nd nd nd nd nd
ndintervention, the patient refuses to cooperate. What is the appropriate response
nd nd nd n d n d n d n d n d n d n d
to this refusal?
n d n d n d
1. The nurse should discuss with the family the options of
nd nd nd nd nd nd nd nd nd
performing the intervention without the child’s knowledge.
nd nd nd nd nd nd nd
2. The nurse should explain to the child that this is necessary and
nd nd nd nd nd nd nd nd nd nd nd
promise a reward at the end of the research project.
nd nd nd nd n d nd n d nd nd nd
3. The nurse should refuse to perform the intervention until the child consents
nd nd nd nd nd nd nd nd nd nd nd
to the intervention and project.
nd nd n d nd nd
4. The nurse should discuss the pros and cons of the research project
nd nd nd nd nd nd nd nd nd nd nd
with the child and focus on the outcomes.
nd nd nd nd n d nd nd nd
8. A nurse is providing relationship-based care to a pediatric patient. Which of the
nd nd nd nd nd nd nd nd nd nd nd nd
ndfollowing is a challenge the nurse is likely to encounter while using this
nd nd n d n d n d n d n d n d n d n d n d n d
model of care?
n d n d nd
1. Maintaining a sterile field for a procedure with a restless toddler
nd nd nd nd nd nd nd nd nd nd
2. Communicating with the blended family on regular basis nd nd nd n d nd nd nd
3. Treating children with antibiotic-resistant illnesses
nd nd nd nd
4. Caring for a larger number of children with autism spectrum
nd nd nd nd nd nd nd nd nd
disorders and childhood depression
nd nd nd nd
9. The pediatric nurse desires to expand his or her career options to become
n d n d n d n d n d n d n d n d n d n d n d n d
the hospital’s nurse educator of pediatrics. Which of the following is necessary for
n d n d nd nd nd nd n d nd nd nd nd nd nd
this nurse to achieve this career goal?
nd nd nd nd nd nd n d
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
nd nd nd nd nd nd nd nd nd nd nd nd nd
2. The nurse must earn a minimum of a doctorate degree in nursing.
nd nd n d nd nd nd nd nd nd nd nd
3. The nurse must implement and develop research in nursing practice.
nd nd nd nd nd nd nd nd nd
4. The nurse must implement a plan to obtain certification in pediatrics.
nd nd n d nd nd nd nd nd nd nd
, n d 10. The school nurse is developing a teaching session for the population of
nd nd nd n d nd nd nd nd nd nd nd nd
children in a middle school. The nurse has determined that the greatest
nd nd nd nd nd n d n d n d n d n d n d n d
need for the overall health of the children is promotion of healthy foods.
n d n d n d n d n d n d nd nd n d n d nd nd nd
Which of the following interventions is most likely to be effective?
nd nd nd nd n d nd nd nd nd nd nd
1. Remove all unhealthy snacks from the vending machines.nd nd nd nd nd nd nd
2. Have a poster contest on healthy eating options.
nd nd nd nd nd nd nd
3. Survey the student population during lunch breaks.
nd nd nd nd nd nd
4. Engage the students in healthy choices with cooking lessons.
nd nd nd nd nd nd nd n d
n d 11. The nurse recognizes the needs of professional development to provide safe
nd nd nd nd nd nd nd nd nd nd nd
and effective care to the pediatric population by attending which of the
nd nd nd nd n d n d n d n d n d n d n d n d
following courses?
n d n d
1. Procedure with rationale to administer human papilloma vaccine to
nd nd nd nd nd nd nd nd
the middle school population
nd nd n d nd
2. Study review of the incidence of bullying and intimidation in
nd nd nd nd nd nd nd nd nd
the elementary school population
nd nd nd nd
3. Demographic study of the U.S. population with regard to cultural nd nd nd nd nd nd nd nd nd
diversity and practices
nd nd nd
4. How to provide individual health care education for the children
nd nd nd nd nd nd nd nd nd
without parental interference
nd nd nd
n d 12. Which of the following continuing education courses would best enhance the
nd nd nd nd nd nd nd nd nd nd nd
pediatric nurse’s practice in relationship to current trends?
nd nd nd n d nd n d n d nd
1. Evidence-based practice on improving antibiotic adherence with education nd nd nd nd nd nd nd
to the family unit
nd nd n d nd
2. Evidence-based practice on proper administration of antibiotics for nd nd nd nd nd nd nd
children with autoimmune diseases
nd nd nd nd
3. How to enhance communication with children in regards to adherence
nd nd nd nd nd nd nd nd nd
to antibiotic use
nd nd nd
4. How to decrease instances of exacerbation of infections of
nd nd nd nd nd nd nd nd
children with autoimmune diseases with antibiotics
nd nd nd nd nd nd
n d 13. The pediatric nurse is developing interventions for a school-aged child based
n d nd nd n d nd n d n d n d nd nd n d
on the nursing diagnosis of imbalanced nutrition related to a body mass index
nd nd nd nd nd nd n d nd n d nd nd nd nd
(BMI) of 37 and poor food choices as evidenced by patient’s mother’s food
nd nd nd n d nd nd nd nd nd nd nd nd nd
diary for the family and child’s statements of food preferences. Which of the
nd nd nd nd nd nd nd nd n d n d n d nd nd
following would be an appropriate nursing intervention?
n d n d n d nd nd n d n d
1. Provide the child and family with information fromnd nd nd nd nd nd nd
https://www.MyPlate.gov for healthy food options.
nd nd n d nd nd
2. Increase the child’s activity by incorporating the child’s friends into a
nd nd nd nd nd nd nd nd nd nd
plan of healthy exercise options.
nd n d nd nd nd
3. Explain the importance of balancing diet and exercise to prevent obesity
nd nd nd nd nd nd nd nd nd nd
to the child and family.
nd nd nd n d n d
4. Provide information on the increased risk for potential disease processes
nd nd nd nd nd nd nd nd nd
such as diabetes and hypertension.
nd nd nd nd n d
n d 14. The nurse is developing interventions for a transgender adolescent based on the
n d nd n d n d n d n d n d n d nd n d n d n d nd
n d nursing diagnosis
n d
decreased self-esteem related to transgender identity as evidenced by statements of feeling
nd nd nd nd nd nd nd nd nd nd nd
“worthless, different, and alone.” What would be the most appropriate intervention based
n d nd nd nd nd nd nd nd nd nd nd nd
on the diagnosis?
nd nd n d
1. Give positive feedback on personal choices as appropriate.
nd nd nd nd nd nd nd
