The nurse is caring for a 14-year-old boy with an osteosarcoma. Which communication technique would be least effective for him?

Letting him choose juice or soda to take pills

Seeking the teenager's input on all decisions

Avoiding undue criticism of noncompliance

Discussing the benefits of chemotherapy with him

Answer and Explanation

The Correct Answer is A

A.   This technique might be appropriate for younger children, but not for teenagers who want more autonomy and respect. Letting him choose juice or soda might make him feel like he is being treated like a child, and not as a partner in his own care.
B.   Seeking the teenager's input on decisions promotes autonomy and empowerment, which can be effective in adolescent healthcare.
C.   Avoiding undue criticism of noncompliance is important for maintaining a supportive and trustful nurse-patient relationship, especially with adolescents.
D.   The nurse should also discuss the benefits of chemotherapy with him, such as how it can kill cancer cells, shrink tumors, and improve his chances of survival. The nurse should explain the rationale and goals of chemotherapy in a clear and honest way, and answer any questions or concerns the teenager might have. By doing so, the nurse can help him understand the importance of adhering to the treatment plan, and motivate him to cope with the challenges.

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Correct Answer is A

Explanation

A. Presenting food matter-of-factly and allowing the child to choose what to eat can help promote autonomy and reduce mealtime stress, encouraging healthier eating habits over time.
B. Allowing the child to pick out foods for meals may reinforce picky eating habits and may not necessarily promote balanced nutrition.
C. Offering high-fat snacks to entice the child to eat may reinforce unhealthy eating habits and may not address the root causes of picky eating.
D. Offering a special treat as a reward for eating all the food on the plate may create an unhealthy association with food and may not promote long-term healthy eating habits.

A. "Are you having concerns about depression in your son?" B. "If you notice that your son is having mood issues, we can certainly refer him for an evaluation with a therapist." C. "Screening in at risk teens should be completed annually after age 14." D. "Children should be screened for depression every year beginning at age 11."

Correct Answer is D

Explanation

A. While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B. Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C. While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D. Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.

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The nurse is caring for a 14-year-old boy with an osteosarcoma. Which communication technique would be least effective for him?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is counseling parents of a picky eater on how to promote healthy eating habits in their child. Which intervention would be appropriate advice?

Correct Answer is A

Explanation

The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

Correct Answer is D

Explanation

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