An 8-year-old child is newly diagnosed with asthma. Which nursing intervention best promotes self-efficacy for the parents to help the child follow the prescribed treatments?

A) Ask parents to list all possible triggers for asthma
B) Requesting a spacer for the metered dose inhaler
C) Suggest the parents enforce a strict exercise regimen
D) Recommend replacing carpeting in the home with wood flooring

The most realistic and helpful interventions will promote self-management. A spacer is helpful for children learning to use inhaled medication. Listing all the triggers for asthma may be overwhelming. The parents should focus on the individual triggers for the child. Enforcing a strict exercise regimen is restrictive and will not promote self-management. Environmental changes must be feasible and cost-effective. Replacing carpeting is optimal but may not be affordable.