Certified Pediatric Nurse (CPN)

In assessing a 9-year-old boy managing his diabetes, what should the nurse do first?

1. Praise and encourage him to continue as he has done a good job with increased responsibility

2. Contact social worker as he is assuming too much responsibility for his age

3. Gather more information about his diabetic care from his parents

4. Tell him that surely he is exaggerating

The correct answer is: Gather more information about his diabetic care from his parents

Gathering more information about the diabetic care from the boy’s parents is crucial because it allows the healthcare provider to assess the overall situation and understand the dynamics of the child's diabetes management. At 9 years old, children may begin to take on more responsibility for their care, but it's vital to evaluate not just the child's perspective but also the parents’ insights and goals. This approach helps identify any potential gaps in knowledge, skills, or support that may affect the child's diabetes management. Understanding the full context of the child's diabetes care involves discussions about the child's adherence to treatment, blood glucose monitoring, dietary management, and exercise. By involving the parents in this conversation, the nurse can gain valuable insight into the child's routine, challenges faced at home, and the family's approach to diabetes management. This information is essential for developing an effective plan of care that supports both the child and the family and ensures that the child is managing his condition appropriately for his developmental level.