The nurse is caring for a child who has a diagnosis of metastatic brain cancer. The father states "I can't believe this is happening to us, I feel numb." Which of the following nursing interventions by the nurse is the first priority?
Instruct the family about anticipatory grieving
Explore effective ways of family coping
Encourage the family’s expression of their feelings
Discuss the disease and its manifestations with family members
The Correct Answer is C
A. Instruct the family about anticipatory grieving: While anticipatory grieving is important, it is better addressed after the family has had time to express initial feelings.
B. Explore effective ways of family coping: This is important but should come after encouraging the family to process their immediate feelings.
C. Encourage the family’s expression of their feelings. The first priority is to allow the family to express their emotions and begin the grieving process. Encouraging emotional expression helps the family cope with the overwhelming news and facilitates their emotional support needs.
D. Discuss the disease and its manifestations with family members: While understanding the disease is essential, focusing on the family's emotional response is more critical at this initial stage of shock and grief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Religion is a personal belief system, while spirituality involves organized practices and rituals: This reverses the definitions of religion and spirituality.
B. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines: This is inaccurate as religion often involves doctrine and spirituality includes personal growth.
C. Religion and spirituality are synonymous and can be used interchangeably in-patient care assessments: They are related but not interchangeable concepts.
D. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices. Religion is structured and involves established practices, rituals, and communal participation. Spirituality is broader, often focusing on personal meaning, connection, and values, which may exist independently of organized religion.
Correct Answer is D
Explanation
A. "I promise I won't tell anyone about this." This is incorrect because nurses are mandated reporters and must report abuse to appropriate authorities. Promising confidentiality is misleading and violates legal obligations.
B. "Your family is bad for doing this to you." Making judgmental statements about the family can hinder the therapeutic relationship and may increase the child’s stress or feelings of loyalty conflict.
C. "Let's discuss what happened with your family here." Discussing abuse in the presence of the family may put the child at risk for retaliation and discourage open communication.
D. "It is not your fault that this happened." This statement reassures the child and helps mitigate feelings of guilt or shame that are common in abuse victims. It is supportive, nonjudgmental, and developmentally appropriate, fostering trust and safety.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.