A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school age brother should the nurse expect?

Believes that his brother's death will be reversible

Regresses to an earlier developmental level

Alienates himself from his peers

Believes his bad behavior is causing his brother's death

Answer and Explanation

The Correct Answer is D

A. This belief is more common in preschool-age children who may not fully understand the permanence of death. School-age children generally have a better grasp of the concept of death being final.

B. Regression can occur in children of any age dealing with significant stress or trauma, but it is more typically seen in younger children. Older children might exhibit other forms of stress responses.

C. While alienation can happen, it is not the most typical response for a school-age child. They are more likely to seek support from peers or blame themselves through magical thinking, as they are still developing their understanding of complex emotional and social dynamics.

D. This choice reflects the magical thinking common in school-age children, where they might believe that their actions or thoughts can influence events. This can lead to feelings of guilt and responsibility for their sibling's illness or death.

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Correct Answer is ["A","B","C"]

Explanation

The nurse should include the following information in the community health program for caregivers of clients with Alzheimer's disease:

Use written signs to assist the client with locating the bathroom: People with Alzheimer's disease often experience cognitive decline, including difficulties with memory and orientation.

Using written signs can help them navigate their environment and find essential areas like the bathroom. Clear signage with simple and easily recognizable symbols or words can be beneficial in reducing confusion and promoting independence.

Limit the number of choices for the client: Decision-making can become overwhelming for individuals with Alzheimer's disease. Providing too many options can lead to confusion, frustration, and decision paralysis. Caregivers should simplify choices and present them one at a time to reduce cognitive burden. For example, instead of asking what the person wants to eat from a variety of options, present a limited selection of two or three choices to make the decision-making process easier.

Provide a stimulating environment for the client: Engagement in meaningful activities and a stimulating environment can help maintain cognitive function and improve the quality of life for individuals with Alzheimer's disease. Caregivers should create a safe and enriching environment that includes activities tailored to the person's abilities and interests. This can involve puzzles, music, art, reminiscing, and other activities that promote mental and social engagement.

Do not use confrontation to manage the client's behavior: Confrontation can escalate agitation, anxiety, and confusion in individuals with Alzheimer's disease. It is important for caregivers to use non-confrontational approaches when managing challenging behaviors. Strategies such as redirection, validation, empathy, and gentle persuasion are more effective in de-escalating difficult situations and promoting a calm and supportive environment.

A. Loose stools B. Loss of taste C. Bladder infection D. Increased appetite

Correct Answer is B

Explanation

A. Loose stools are not a typical finding related to external radiation for throat cancer.
B. Correct. Loss of taste (dysgeusia. is a common side effect of radiation therapy, particularly in the treatment area?
C. Bladder infection is not a typical finding related to external radiation for throat cancer.
D. Increased appetite is not a common finding related to radiation therapy; it's more commonly associated with certain medications or hormonal changes.

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A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school age brother should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with a community health program for caregivers of clients who have Alzheimer's disease. Which of the following information should the nurse include?

Correct Answer is ["A","B","C"]

Explanation

A nurse is monitoring a client who has received external radiation for throat cancer. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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