Nokea
A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?
- A. Believes that his brother's death will be reversible
- B. Alienates himself from his peers
- C. Believes his bad behavior is causing his brother's death
- D. Regresses to an earlier developmental level
Correct Answer: A
Rationale: School-age children often see death as reversible, like sleep.
You may also like to solve these questions
A nurse is contributing to the plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include?
- A. Monitor the client for 1 hr after meals.
- B. Weigh the client every 2 days.
- C. Check the client's vital signs two times per week.
- D. Allow the client 2 hr to finish meals.
Correct Answer: A
Rationale: Monitoring for 1 hour after meals prevents purging, a key intervention for anorexia.
The son of a client who has Alzheimer's disease and mild hypertension.
A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease and mild hypertension. Which of the following responses should the nurse make?
- A. You owe it to your mother to take care of her now that she needs you.
- B. Let me give you some information about respite care for your mother.
- C. I think you should find other family members who could help your mother.
- D. You should think about placing your mother in a long-term care facility.
Correct Answer: B
Rationale: Respite care information supports the caregiver's well-being.
A nurse is reinforcing teaching with a client about reducing dietary caffeine intake. The nurse should remind the client that 240 mL (8 oz) of which of the following beverages contains the least amount of caffeine?
- A. Brewed green tea
- B. Cola soft drink
- C. Hot cocoa
- D. Instant coffee
Correct Answer: C
Rationale: Hot cocoa has the least caffeine compared to tea, soda, and coffee.
The nurse notes that the skin around the catheter's insertion site is edematous and cool.
A nurse is caring for a client who is receiving a continuous IV infusion. The nurse notes that the skin around the catheter's insertion site is edematous and cool. Which of the following actions should the nurse take first?
- A. Document the infiltration
- B. Apply a warm compress
- C. Elevate the arm
- D. Stop the infusion
Correct Answer: D
Rationale: Stopping the infusion prevents further fluid extravasation.
A nurse is reinforcing teaching with a client who is postpartum about keeping her newborn safe while in the facility. Which of the following instructions should the nurse include in the teaching?
- A. Carry your newborn back to the nursery in your arms when you need to rest.
- B. Request that the nurses show their nursing license prior to removing your newborn from the room.
- C. Alert the staff if any of your newborn's identification bands are missing.
- D. Leave your newborn in the bassinet in your room while you use the bathroom.
Correct Answer: C
Rationale: Missing ID bands increase abduction risk, requiring immediate staff notification.