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Ignoring feelings of guilt is unhealthy and can lead to burnout or unresolved grief. Nurses are encouraged to acknowledge and process these emotions rather than suppress them.

It is not appropriate to disclose the nurse’s personal grief to the family; professional boundaries must be maintained. The focus should remain on supporting the family, not on the nurse’s personal emotions.

Personal involvement with clients and families is expected in pediatric end-of-life care, as it fosters therapeutic relationships and empathetic care. Emotional engagement is natural and part of providing quality care.

While the overriding aorta is one component of tetralogy of Fallot, this statement is incomplete and does not address the other three defects.

A VSD is part of the condition, but this explanation omits the additional defects (pulmonary stenosis, right ventricular hypertrophy, and overriding aorta), making it incomplete.

This statement incorrectly lists three defects that are not part of tetralogy of Fallot (aortic stenosis, atrial septal defect, left ventricular hypertrophy) and misidentifies the number of defects, making it inaccurate.

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Bradypnea, or abnormally slow breathing, is not associated with VSD. In fact, the pulmonary overcirculation caused by a large VSD leads to tachypnea, not bradypnea. Although a murmur and fatigue with feeds are consistent, the presence of bradypnea makes this option inaccurate.

Excessive weight gain is unlikely in infants with a large VSD. Due to tachypnea and fatigue during feeding, infants often have poor weight gain or failure to thrive. While murmur and tachypnea are correct, the inclusion of excessive weight gain makes this choice incorrect.

This option is incorrect for two reasons. Bradypnea is not a feature of VSD, and excessive weight gain does not occur; infants with a large VSD are at risk for growth delays because of increased metabolic demands and feeding difficulties. Fatigue with feeds is correct, but the other two signs do not align with the pathophysiology of a large VSD.

Not appropriate because it ignores the adolescent’s social and emotional needs. Academic focus alone does not address social withdrawal or help develop coping strategies.

Inappropriate at this stage because the adolescent may feel anxious or overwhelmed by sudden social demands. Gradual exposure is safer.

Not appropriate because isolation can reinforce withdrawal and worsen social anxiety. Gradual, supported social engagement is preferable.

There is no clinical recommendation to limit vaccines to one per visit in children with vWD. Multiple vaccines can safely be given if proper precautions are taken, as delaying vaccines increases the risk of preventable infections.

Avoiding vaccinations is not recommended; the benefits of immunization significantly outweigh the manageable risk of minor bleeding in children with vWD.

While intranasal vaccines avoid intramuscular injections, not all vaccines are available in this form. Most children with vWD can safely receive intramuscular vaccines with proper precautions. Limiting to nasal sprays could leave the child unprotected from many important infections.

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While partially true, this statement is not the focus of the discussion about the importance of play. The goal is to educate caregivers on using play as a tool for bonding and development rather than assessing delays.

Infants benefit most from direct interaction with caregivers rather than passive media exposure. Face-to-face play, talking, and gestures provide visual, auditory, and social stimulation essential for healthy development. Excessive screen time is not recommended in infants.

Infants begin to engage in simple forms of play from birth, such as responding to caregiver voices, facial expressions, and gentle tactile interactions. Play evolves as the infant grows, but it starts long before 3 months.