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
Explanation
A. The child does not point to named body parts. By the age of 2, most children can point to at least two body parts when asked. This ability indicates that the child understands and can process verbal instructions, which is a key cognitive milestone.
B. The child cannot say name, age, and gender. While knowing their name, age, and gender is important, it is more typical for children to achieve this milestone closer to 3 years old. Therefore, this would not necessarily indicate a developmental delay at 2 years.
C. The child cannot follow a series of two independent commands. By 2 years old, children should be able to follow simple two-step commands, such as "Pick up the toy and give it to me." This ability demonstrates their understanding and processing of sequential instructions.
D. The child has a vocabulary of 40 to 50 words. A vocabulary of 40 to 50 words is within the normal range for a 2-year-old. Most children at this age are expected to have a vocabulary of at least 50 words and start combining them into simple sentences.
Correct Answer is A
Explanation
A. Questioning and curiosity, like a 3-year-old asking 'Why?' frequently, is a normal part of language development and cognitive growth.
B. A 15-month-old pointing to his eyes when asked is a developmental milestone indicating language and communication skills.
C. Using words and gestures to communicate is also a developmental milestone observed in toddlers, usually around 18 months.
D. Understanding prepositions like 'under' or 'on' is a language milestone typically achieved around 2 years old, indicating comprehension skills in toddlers.
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