Author Question: During rounds, the interdisciplinary team is discussing the care of a child with a newly diagnosed ... (Read 68 times)

abc · **on:** Jun 28, 2018

During rounds, the interdisciplinary team is discussing the care of a child with a newly diagnosed Wilms' tumor. The nurse describes the mother as being angry and upset that they are not caring properly for her child.

What behavior probably is the cause of the mother's anger? 1. The nurses are negligent in providing safe care for the child.
2. The mother does not have adequate support from Social Services.
3. The mother is feeling guilty for not recognizing that the child was ill.
4. The mother is beginning the stages of grief over loss of her previously well child.

Question 2

A nurse is performing a developmental assessment on several children in a clinic setting. Which children exhibit a delay in meeting developmental milestones? Standard Text: Select all that apply.

1. An 18-month-old toddler who is unable to speak in sentences
2. A two-year-old who is unable to cut with scissors
3. A two-year-old who cannot recite her phone number
4. A six-year-old who is unable to sit still for a short story
5. A five-year-old who is unable to button his shirt

joewallace · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

4
Rationale:
1. The mother is in the anger stage of grief, and it is not reflective of the nursing care.
2. This is not evident in the question.
3. This is not evident in the question
4. Anger is the first stage of the grief process, and can be applied in this instance to the mother's loss of a normal child and potential death.

Answer to Question 2

4,5
Rationale 1: An 18-month-old is not usually able to speak in sentences. This is a skill to be accomplished by the age of two-and-a-half years.
Rationale 2: A child who cannot cut with scissors by kindergarten age is considered abnormal.
Rationale 3: A two-year-old is not expected to be able to recite a phone number.
Rationale 4: A six-year-old should be able to sit still for a short story. A three- to five-year-old should be able to sit still through a short story.
Rationale 5: A five-year-old should be able to button his shirt.
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