The nurse is providing care to the family of a preschool-age child who is diagnosed with sickle cell disease. Which statement made by the sibling would initiate a teaching session with the parents regarding discipline?

"When I lied to my parents, I was punished for a week and my brother never gets punished."

Explanation:

It should be understood that a critical component of any child's development is discipline.

Therefore, when applying appropriate discipline to the child who is chronically ill or disabled, it should be put in mind that it can limit the resentment and hostility that can develop among siblings, especially if parents apply different standards to each child.

In this case, the responsibility of the nurse is to help parents learn successful methods of guiding the child.

It should be noted that the statements regarding wishing that the brother wasn't sick, fears of having caused the illness, and missing play dates may require further assessment and family teaching, but the teaching would not be related to discipline.

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