When communicating with parents of a newly diagnosed child with cystic fibrosis about prognosis, what approach is most appropriate?

• A. The physician will come to speak to you about treatment options.
• B. The child will be cured.
• C. There is no hope for improvement.
• D. The nurse answers their questions briefly, listens to concerns, and is available later.

Answer: (D)

This question tests how prognosis should be communicated with families in a compassionate, ongoing way. The best approach is for the nurse to engage with the parents, answer their questions briefly but clearly, listen to their concerns, and let them know you’re available for follow-up later. This combination of concise information, active listening, and accessible support helps parents feel heard and supported at a stressful moment, which is crucial when a child is newly diagnosed with a chronic condition like cystic fibrosis. It also sets realistic expectations: there is no cure yet for CF, but therapies can improve quality of life and outcomes, so statements implying a cure or no possibility for improvement aren’t accurate or helpful. The emphasis on immediate, empathetic contact and ongoing availability aligns with best practices for delivering difficult news and supporting families over time.