A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?
"Let's talk about what activities you are going to participate in tomorrow."
"This is something you should discuss with your parents when they return."
"You need to focus on getting better instead of what may or may not happen."
"Let's talk about it. Tell me more about what you are thinking."
The Correct Answer is D
A. Avoids the child's question and deflects to a future topic.
B. Defers the conversation and may not address the child's immediate concerns.
C. Minimizes the child's feelings and concerns about the future.
D. Encourages open communication and allows the child to express feelings and fears.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fecal occult blood tests are typically done annually, not every 4 years.
B. Flexible sigmoidoscopy is recommended every 5 years for colorectal cancer screening.
C. This timeframe is not a standard recommendation for flexible sigmoidoscopy.
D. Fecal occult blood tests are typically done annually, not every 2 years.
Correct Answer is D
Explanation
A. Cryosurgery involves freezing the lesion and is typically used for benign lesions.
Malignant melanoma often requires more extensive treatment.
B. Radiation therapy may be used in certain cases, but surgical excision is often the primary treatment for malignant melanoma.
C. Chemotherapy is not the primary treatment for localized malignant melanoma but may be used for advanced cases or metastatic disease.
D. Surgical excision is the primary treatment for localized malignant melanoma, aiming to remove the tumor along with a margin of normal tissue.
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