NCLEX-PN

Category - Psychosocial Integrity

A client who gave birth 12 hours ago tells the nurse that her 3-year-old daughter is jealous of her new brother. To manage sibling rivalry, which of the following instructions is the least appropriate?
  1. Include the older child when opening the baby’s gifts and explain to her that it is her brother’s birthday, and she, too will receive gifts on her birthday
  2. Instruct the mother to ask the older child if she likes her new brother
  3. Encourage family and friends to bring a small present for the older child if they are bringing gifts for the baby
  4. Tell a story to the older child when breastfeeding the baby
Explanation
Answer: B - Instructing the mother to ask the child if she likes her new brother is non-therapeutic. Feelings of empathy must be encouraged. The other teachings are appropriate.
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