A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?
"Let's talk about what activities you are going to participate in tomorrow."
"This is something you should discuss with your parents when they return."
"You need to focus on getting better instead of what may or may not happen."
"Let's talk about it. Tell me more about what you are thinking."
The Correct Answer is D
A. Avoids the child's question and deflects to a future topic.
B. Defers the conversation and may not address the child's immediate concerns.
C. Minimizes the child's feelings and concerns about the future.
D. Encourages open communication and allows the child to express feelings and fears.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While E. coli is a common cause of urinary tract infections and other gastrointestinal infections, it is not a typical pathogen associated with osteomyelitis.
B. This bacterium is the most common cause of acute osteomyelitis, especially the methicillin-resistant Staphylococcus aureus (MRSA) strain.
C. Pseudomonas is more commonly associated with infections in immunocompromised individuals or those with chronic diseases, but it is not a typical cause of acute osteomyelitis.
D. Group B Streptococcus is not a common cause of acute osteomyelitis.
Staphylococcus aureus, including MRSA, is more frequently implicated in bone infections.
Correct Answer is D
Explanation
This statement is directive and may not encourage open discussion.
B: This is prescriptive and may not be well-received in a group therapy setting.
C: Making definitive statements about the effectiveness of the therapy group may not be appropriate.
D: This statement encourages open communication and exploration of the client's concerns, fostering a therapeutic environment in group therapy.
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