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.
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.
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