A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer. Which of the following statements by the guardian demonstrates positive adjustment?
"I wish I knew what I did to cause my child to be sick."
"I saw on the internet that there's a new treatment option."
"I don't want my family to know about my child's diagnosis."
"I am not sure how to care for my dying child."
The Correct Answer is B
A. "I wish I knew what I did to cause my child to be sick." This statement reflects self-blame and guilt, which are signs of poor coping.
B. "I saw on the internet that there's a new treatment option." This demonstrates hope and proactive coping, as the guardian is seeking information and exploring options.
C. "I don't want my family to know about my child's diagnosis." Avoiding support from family may indicate denial or isolation, which are maladaptive coping strategies.
D. "I am not sure how to care for my dying child." Expressing uncertainty about caregiving suggests distress and a need for additional support and education, rather than positive adjustment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Mucosal ulceration – This is an acute side effect of radiation therapy, not a late adverse effect.
B. Nausea – Nausea is a short-term side effect that occurs during or shortly after radiation therapy.
C. Desquamation – Skin peeling (desquamation) is a common acute reaction to radiation but is not considered a late effect.
D. Short stature – Radiation therapy in young children can affect growth, particularly if the brain or spine is irradiated. Damage to the pituitary gland can lead to growth hormone deficiency, resulting in delayed growth and short stature, which are considered late effects of radiation therapy.
Correct Answer is ["89"]
Explanation
Determine the infant's weight in kg:13 lb ÷ 2.2 = 5.91 kg
Calculate the total daily dose:30 mg/kg/day × 5.91 kg = 177.3 mg/day
Divide the total daily dose by 2 (since the medication is given every 12 hours):177.3 mg ÷ 2 = 88.65 mg per dose
Round to the nearest whole number:89 mg per dose
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