A nurse is caring for an adolescent who has metastatic osteosarcoma. While the parents are away, the adolescent asks the nurse if she is going to die. Which of the following responses should the nurse make?
“You should discuss with your parents when they return.”
“Your doctor can tell you about your prognosis.”
“Tell me more about what you are thinking.”
"You should just focus on getting better."
The Correct Answer is C
A. Redirecting the adolescent to discuss with parents when they return might avoid the conversation, dismissing their concerns.
B. Referring to the doctor about prognosis might not address the immediate emotional needs of the adolescent.
C. Encouraging the adolescent to express their feelings allows the nurse to understand their concerns and provide appropriate support.
D. Encouraging the adolescent to just focus on getting better might dismiss their emotional distress and fear about their prognosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inability to push a toy lawnmower might indicate strength or coordination issues but might not necessarily point to delayed motor development.
B. Having trouble undressing himself could relate to coordination or dexterity but doesn't directly reflect delayed motor development.
C. The inability to unscrew a jar lid suggests delayed fine motor skills, which could indicate delayed motor development at this age.
D. Falling when bending over might indicate balance or coordination concerns but might not solely indicate delayed motor development.
Correct Answer is B
Explanation
A. The influenza vaccine is typically recommended annually but might not be specifically administered during a pre-college physical unless it's flu season.
B. Meningococcal vaccine is often required for college admission due to the risk of meningitis outbreaks in communal living settings like college dormitories.
C. BCG vaccine is primarily used in countries with a higher prevalence of tuberculosis and is not routinely administered in most places for college entry.
D. Pneumococcal vaccine might be recommended for certain health conditions or specific circumstances but is not typically administered routinely during pre-college physicals.
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