A child who is diagnosed with leukemia has a sibling who is ...

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A child who is diagnosed with leukemia has a sibling who is expressing feelings of anger and guilt. How would the nurse characterize this reaction by the sibling?
 
  1. Abnormal; the sibling should be referred to a psychologist.
  2. Normal; the illness doesn't affect the sibling.
  3. Unexpected; the cancer is easily treated.
  4. Normal; the sibling is affected too, and anger and guilt are expected feelings.

Question 2

A preschool-age child is brought to the clinic by the mother, who says the child has been lethargic and anorexic lately and complains of bone pain. On exam, the nurse notes petechiae, joint pain, and an enlarged liver.
 
  Which diagnosis does the nurse anticipate for this child?
  1. Hodgkin disease
  2. Leukemia
  3. Rhabdomyosarcoma
  4. Ewing sarcoma

[wtf444]

Answer to Question 1

Correct Answer: 4
Rationale: A diagnosis of cancer affects the whole family, and initial feelings experienced by the sibling may be anger and guilt. Seldom will the sibling be unaffected; however, the response is not abnormal.

Answer to Question 2

Correct Answer: 2
Rationale: Hodgkin disease, rhabdomyosarcoma, and Ewing sarcoma are all childhood cancers, but they do not have the clinical manifestations listed. Leukemia is one of the most common childhood cancers, and has those clinical symptoms.