The nurse works in an oncology clinic. A preschool-age child is being seen in the clinic, and the nurse anticipates a diagnosis of cancer
The nurse prepares for which of the common reactions preschool-age children have following illnesses and hospitalizations? 1. Unawareness of the illness and its severity
2. Acceptance, especially if able to discuss the disease with children their own age
3. Understanding of what cancer is and how it is treated
4. Thoughts that they caused their illness and are being punished
4
Rationale 1: Infants and toddlers are unaware of the severity of the disease.
Rationale 2: Immediate acceptance will not occur with children of any age. Adolescents find contact with others who have gone through their experience helpful.
Rationale 3: School-age children can understand a diagnosis of cancer.
Rationale 4: Preschool-age children are egocentric and have magical thinking, and thus they might believe they caused their own illness.
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The nurse plans care for four patients and assigns patient feeding to nursing assistive personnel (NAP). Which patient should the nurse watch during mealtime?
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