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 ["A","B","C","D"]
Explanation
A. Walking independently is a major motor skill milestone usually achieved by most toddlers by 15 to 18 months.
B. Drinking from a cup, often without spilling, is a fine motor skill that most toddlers can accomplish around 12 to 15 months.
C. Feeding themselves with a spoon, although messy at times, is a skill that many toddlers are starting to master around 18 to 24 months.
D. By 2 years old, most toddlers have a vocabulary of around 50 words and can start to combine words into simple sentences. Speaking up to 20 words is within the expected range.
E. Associative play, where children begin to interact and play with others but may not yet play together in an organized way, typically emerges later, around ages 3 to 4.
Correct Answer is B
Explanation
A. Offering the client an antiemetic doesn't address the issue of refusal of treatment.
B. In this situation, the nurse should notify the provider of the conflict between the client's refusal of treatment and the parent's insistence, allowing for further assessment and intervention.
C. Administering a sedative to calm the client is not appropriate without further assessment and consent.
D. Initiating an IV per the parent's request doesn't address the ethical and legal complexities involved in a competent minor's refusal of treatment.
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