A nurse is caring for a child who has terminal cancer.
Which of the following responses by the child's siblings should the nurse expect?
The adolescent brother criticizes the parents' plan to have a funeral service.
The school-age sister views death as being a type of temporary sleep.
The adolescent brother fears the terminal illness is contagious.
The school-age sister is concerned about the impact of her sibling's death on herself.
The Correct Answer is D
d. The school-age sister is concerned about the impact of her sibling's death on herself.
Explanation:
When a child is facing a terminal illness, it is common for their siblings to have various emotional and cognitive responses. Option a, where the adolescent brother criticizes the parents' plan for a funeral service, may not be a typical response as it focuses on a specific aspect of the situation rather than the broader understanding of death and loss. Option b, where the school-age sister views death as temporary sleep, might be a simplified understanding of death that is more commonly seen in younger children. Option c, where the adolescent brother fears the terminal illness is contagious, could be a possible response but is less common than the concern about the impact of the sibling's death on oneself.
Option d, where the school-age sister is concerned about the impact of her sibling's death on herself, is a common response in siblings of terminally ill children. Siblings often experience a range of emotions, including fear, sadness, confusion, and concern about their own well-being and future. It is important for healthcare professionals to provide support and resources to help siblings navigate these emotions and cope with the challenging circumstances they are facing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should recommend that the client who has diminished breath sounds and paradoxical chest movement receive care first. This client is likely experiencing a tension pneumothorax, which is a life-threatening condition that requires immediate intervention.
Option a is incorrect because a client who has a head injury and whose pupils are fixed and dilated may have experienced brain death and may not be able to be resuscitated.
Option b is incorrect because a dislocated shoulder, while painful, is not immediately life-threatening. Option c is incorrect because a scalp laceration with intermittent bleeding can be managed with pressure and is not immediately life-threatening.
Correct Answer is D
Explanation
d. Pinpoint pupils.
Explanation:
Opioid intoxication is characterized by various signs and symptoms, including central nervous system depression. One common manifestation of opioid intoxication is pinpoint pupils (miosis), which is caused by the effect of opioids on the pupillary constrictor muscles. The pupils become constricted and appear as small dots, hence the term "pinpoint."
The other options are not typical manifestations of opioid intoxication. Tachycardia (rapid heart rate) is more commonly associated with stimulant use rather than opioids. Mental alertness is typically reduced in cases of opioid intoxication, as opioids cause sedation and CNS depression. Hyperreflexia (exaggerated reflexes) is not a typical finding in opioid intoxication; instead, it may occur in withdrawal from certain substances such as alcohol or benzodiazepines.
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