The nurse works on 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. Acceptance, especially if able to discuss the disease with children their own age
2. Thoughts that they caused their illness, and are being punished
3. Understanding of what cancer is and how it is treated
4. Unawareness of the illness and its severity


2. Thoughts that they caused their illness, and are being punished

Rationale:
Preschool-age children are egocentric, and have magical thinking, and thus might believe they caused their own illness. Immediate acceptance will not occur with children of any age. Adolescents find contact with others who have gone through their experience helpful. School-age children can understand a diagnosis of cancer. Infants and toddlers are unaware of the severity of the disease.

Nursing

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