The nurse is caring for a 5-year-old girl with a disseminated ...

[Kikoku]

The nurse is caring for a 5-year-old girl with a disseminated medulloblastoma. Which of the following interventions would be most appropriate for this situation?
 
  A) Providing emotional support to the parents and siblings of the child
  B) Recommending support groups for people whose children have cancer
  C) Encouraging the family to cry and express feelings away from the child
  D) Educating the family about the disease, its treatments, and side effects

Question 2

The nurse is caring for a 13-year-old boy with acute myelogenous leukemia who is experiencing feelings of powerlessness due to the effects of chemotherapy. Which of the following interventions will best help the teen's sense of control?
 
  A) Involving the boy in decisions whenever possible
  B) Acknowledging the boy's feelings of anger with the disease
  C) Providing realistic expectations of treatments and outcomes
  D) Recognizing abilities that are unaffected by the disease

[akudia]

Answer to Question 1

C
Feedback:
The outcome of this highly malignant medulloblastoma is not positive. Helping the family through anticipatory grieving by encouraging the family to cry and express feelings away from the child would be unique to this child's situation. Educating the family about the disease, its treatments, and side effects; recommending support groups; and providing emotional support to the parents and siblings would be appropriate for any child with cancer.

Answer to Question 2

A
Feedback:
Involving the boy in the decision-making process will best help his sense of control. Whether he is included in important decisions about therapy or minor decisions like menus or dress, it will give him a sense of control over his situation. Acknowledging feelings of anger, recognizing his abilities, and providing realistic expectations will reduce body image disturbance and build self-esteem.

[Kikoku]

Correct answers!

[akudia]

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