A nurse is caring for an adolescent who has metastatic osteosarcoma. While the parents are away, the adolescent asks the nurse if she is going to die. Which of the following responses should the nurse make?
“You should discuss with your parents when they return.”
“Your doctor can tell you about your prognosis.”
“Tell me more about what you are thinking.”
"You should just focus on getting better."
The Correct Answer is C
A. Redirecting the adolescent to discuss with parents when they return might avoid the conversation, dismissing their concerns.
B. Referring to the doctor about prognosis might not address the immediate emotional needs of the adolescent.
C. Encouraging the adolescent to express their feelings allows the nurse to understand their concerns and provide appropriate support.
D. Encouraging the adolescent to just focus on getting better might dismiss their emotional distress and fear about their prognosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Turning off the room light might aid sleep, but providing specific bedtime rituals is more effective in establishing a sleep routine and signaling to the toddler that it's time to rest.
B. While addressing fears is important, it might not immediately resolve the toddler's difficulty sleeping; establishing bedtime rituals helps create a calming environment.
C. Evening play exercises might energize the toddler rather than promoting sleep, so they might not be conducive to improving sleep during hospitalization.
D. Bedtime rituals, like a soothing bath, reading a book, or soft music, can create a predictable routine that signals to the toddler it's time to wind down and sleep.
Correct Answer is B
Explanation
A. Sexual curiosity typically emerges in later stages of development and is not a primary characteristic of the toddler stage.
B. Erikson's stage of initiative versus guilt occurs in early childhood (ages 3 to 6) and involves the child's exploration of the world and taking initiative in activities, leading to a sense of purpose or potential guilt if they're restricted or criticized.
C. Imaginary playmates might appear around this age but are not the primary characteristic defining this stage of development.
D. Negative behaviors associated with the need for autonomy are more commonly observed in toddlers, but they are not the defining characteristic of this developmental stage.
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