A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school age brother should the nurse expect?
Believes that his brother's death will be reversible
Regresses to an earlier developmental level
Alienates himself from his peers
Believes his bad behavior is causing his brother's death
The Correct Answer is D
A. This belief is more common in preschool-age children who may not fully understand the permanence of death. School-age children generally have a better grasp of the concept of death being final.
B. Regression can occur in children of any age dealing with significant stress or trauma, but it is more typically seen in younger children. Older children might exhibit other forms of stress responses.
C. While alienation can happen, it is not the most typical response for a school-age child. They are more likely to seek support from peers or blame themselves through magical thinking, as they are still developing their understanding of complex emotional and social dynamics.
D. This choice reflects the magical thinking common in school-age children, where they might believe that their actions or thoughts can influence events. This can lead to feelings of guilt and responsibility for their sibling's illness or death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice a. Wear shoes with rubber soles.
Choice A rationale:
Wear shoes with rubber soles () - Quiet footwear minimizes noise disruption during sleep hours, promoting a better sleep environment.
Choice B rationale:
Conduct change of shift reports near the clients’ rooms () - Conducting reports near rooms creates noise and disrupts sleep. It’s best done in designated areas away from patients.
Choice C rationale:
Open curtains between clients in semi-private rooms () - Privacy and individual light control are crucial for sleep. Open curtains can disrupt a client’s sleep cycle.
Choice D rationale:
Turn on overhead lights briefly when checking IV lines () - Bright lights suppress melatonin production, a hormone vital for sleep. Using alternative light sources or dimmed lighting minimizes sleep disruption.
Correct Answer is B
Explanation
A. Incorrect. Recurring urinary tract infections are related to health and hygiene and are not typically considered external stressors.
B. Correct. A recent move to a new city is an external stressor because it is an environmental change that can lead to feelings of stress and adjustment.
C. Incorrect. Lack of nutritional knowledge is an internal stressor related to the client's knowledge and awareness, not an external factor.
D. Incorrect. Feeling depressed is an internal emotional state and is not an external stressor.
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