A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and had decided to move out of the house. Which of the following statements should the nurse make?

“I think it is important that you provide emotional support for your family at this time."

"Let's talk about some of the ways, you have handled previous stressors in your life."

"I agree that you have to do what you feel is best for yourself during this stressful time."

"You can't mean that; I'm sure you want to be there for your family."

Answer and Explanation

The Correct Answer is B

A. While emotional support is important, this response may come across as directive and may not acknowledge the father's current emotional state.

B. Asking about how the father has handled previous stressors allows him to reflect on coping mechanisms and may provide insight into how he can manage the current situation.

C. While acknowledging the father's feelings is important, agreeing without further exploration may not help him address the emotional distress he is experiencing.

D. Dismissing the father’s feelings or emotions can invalidate his experience, which could prevent him from opening up about his struggles.

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Correct Answer is D

Explanation

A. A WBC of 6,000/mm³ is within the normal range (4,500-11,000/mm³), and a postoperative infection is more likely to result in an elevated WBC count.

B. Purulent nasogastric drainage is more suggestive of a gastrointestinal issue unrelated to a perforated appendix and is not a common finding post-surgery.

C. Passage of dark red stool with mucus could suggest gastrointestinal bleeding or infection, but it is not typical postoperatively after a perforated appendix.

D. After surgery for a perforated appendix, peristalsis may be absent initially due to the effects of anesthesia, bowel manipulation, or inflammation from the infection. This is a normal postoperative finding.

A. Lack of eye contact when being spoken to B. Lack of gesturing to indicate wants after age 15 months C. Absence of babbling by age 7 months D. Absence of the Moro reflex

Correct Answer is C

Explanation

A. Lack of eye contact can indicate a developmental concern, but it is not specific to hearing impairment.

B. Lack of gesturing by 15 months could be concerning, but it is more related to social development than to hearing.

C. By 7 months, infants should begin babbling. The absence of babbling at this age is a red flag for potential hearing issues.

D. The absence of the Moro reflex is expected after the first few months of life, so it is not a sign of hearing impairment.

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A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and had decided to move out of the house. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a school-age child immediately postoperative following a perforated appendix. Which of the following finding should the nurse expect?

Correct Answer is D

Explanation

The nurse would suspect a hearing impairment in an infant who demonstrates which behavior?

Correct Answer is C

Explanation

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