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 ["A","B","C","D","E","F","G","H","I","J"]
Explanation
- Heart rate 104/min – The heart rate has decreased from 114/min on Day 1, indicating improvement.
- Respiratory rate 24/min – The respiratory rate has decreased from 26/min, showing stabilization.
- SpO₂ 98% on room air – Oxygen saturation remains stable and adequate.
- Mucous membranes pink and moist – Indicates improved hydration.
- Radial pulse 2+ bilateral – Stronger pulse compared to the previous day’s 1+, suggesting better circulation.
- Capillary refill less than 2 seconds – Improved from the previous day’s delayed refill (4 seconds), showing better perfusion.
- Extremities warm and dry to touch – Indicates adequate circulation and hydration.
- Good skin turgor – Suggests the child is well-hydrated.
- Bowel sounds active in all 4 quadrants – Indicates normal gastrointestinal function.
- Breath sounds clear anterior and posterior bilaterally – No respiratory distress or abnormal findings.
Findings that do not indicate improvement:
- Temperature 38.9°C (102°F) – Slightly higher than the previous day (38.7°C), suggesting persistent fever.
- Drowsy and lethargic – The child is still lethargic, which may indicate ongoing illness.
- Nuchal rigidity present – No improvement in meningitis-related symptoms.
- Cervical lymph slightly enlarged – Indicates ongoing immune response.
Correct Answer is B
Explanation
A. "It is okay to blame others for your feelings." Blaming others is a negative coping mechanism that does not help the child manage emotions in a healthy way.
B. "When you feel angry and overwhelmed, take some deep breaths." Deep breathing is a positive coping strategy that helps reduce stress and manage emotions effectively.
C. "Take a break from group activities when you are stressed." Social support is an important stress reliever, and withdrawing from activities may lead to isolation and worsen stress.
D. "Keep your strong feelings to yourself." Bottling up emotions can lead to increased stress and anxiety. Children should be encouraged to express their feelings in a healthy way.
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