A hospice nurse is reinforcing teaching to a parent about how age affects how their child experiences a terminal illness. Which of the following statements should the nurse include?

"Adolescents may feel responsible for the illness."

"Adolescents may feel frustrated for being dependent on others."

"Children 3 to 5 years old are too young to understand the difference between life and death."

"Children around 5 or 6 years old may try to be brave and shield loved ones from distress."

Answer and Explanation

The Correct Answer is B

A. "Adolescents may feel responsible for the illness." While younger children may engage in magical thinking and believe they caused their illness, adolescents typically have a more developed understanding of disease processes and are less likely to blame themselves.

B. "Adolescents may feel frustrated for being dependent on others." Adolescents value independence and autonomy, so a terminal illness that forces them to rely on caregivers can lead to frustration, anger, and emotional distress. This struggle with dependency is a common psychosocial challenge in adolescent patients.

C. "Children 3 to 5 years old are too young to understand the difference between life and death." Preschool-aged children may not fully grasp the permanence of death, but they do have some awareness of it. They often see death as temporary or reversible, influenced by their limited cognitive development and exposure to media or stories.

D. "Children around 5 or 6 years old may try to be brave and shield loved ones from distress." While school-aged children may begin to understand the finality of death, the tendency to "be brave" and protect loved ones is more common in older children and adolescents, who have a stronger sense of emotional responsibility.

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Correct Answer is A

Explanation

A. Recommending early intervention services for developmental support within the first month after birth. Early intervention is critical for children with Down syndrome to support cognitive, motor, and social development. Services such as physical therapy, speech therapy, and occupational therapy should begin as soon as possible to maximize the child's developmental potential.

B. Suggesting the parents consider genetic testing to guide future reproductive decisions. While genetic counseling can be beneficial for family planning, this is not the immediate priority for parents who are just beginning to care for their newborn with Down syndrome. The focus should be on supporting the child's development and parental education.

C. Encouraging the parents to research advancements in treatments for Down syndrome independently. While learning about Down syndrome is important, parents should receive guidance from healthcare professionals and support organizations rather than being left to navigate information on their own. Providing credible resources is more appropriate.

D. Providing the parents with a list of local pediatricians for well-child check-ups and vaccinations. While pediatric follow-ups are necessary, Down syndrome care goes beyond standard well-child visits. A more comprehensive approach includes early intervention services, specialty care (e.g., cardiology, ENT), and developmental support.

A. Leukocytes B. Germ cells C. Epithelial cells D. Lymphocytes

Correct Answer is B

Explanation

A. Leukocytes. Leukocytes (white blood cells) are involved in the immune response and are not the primary cells affected in testicular cancer. Cancers of leukocytes include leukemia and lymphoma, not testicular cancer.

B. Germ cells. This is correct. Testicular cancer most commonly arises from germ cells, which are the cells responsible for producing sperm. Germ cell tumors (GCTs) account for over 90% of testicular cancers, including seminomas and non-seminomas.

C. Epithelial cells. Epithelial cells line various tissues and organs, but they are not the primary source of testicular cancer. Epithelial cell cancers, like carcinomas, more commonly affect the skin, lungs, and digestive tract.

D. Lymphocytes. Lymphocytes are a type of white blood cell involved in the immune system. Testicular lymphoma can occur but is rare compared to germ cell tumors, which are the most frequent type of testicular cancer in adolescents and young adults.

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A hospice nurse is reinforcing teaching to a parent about how age affects how their child experiences a terminal illness. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing education to the parents of a newborn who has Down syndrome. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assisting in the care of an adolescent client who has been diagnosed with testicular cancer. The nurse understands that testicular cancer most often develops from mutations of which of the following types of cells?

Correct Answer is B

Explanation

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