nerdexam
Test_Prep

NCLEX-RN · Question #371

A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospitalized for additional tests and to begin a course of chemotherapy designed to induce a remission. She is…

The correct answer is A. Explain what will take place and what she will see, feel, and hear. (A) Even though the child has had the procedure before, she will probably need additional explanations and emotional support. (B) The fact that the child has had the procedure before and possibly found it painful or uncomfortable may increase, not relieve, her stress. (C) This…

Psychosocial Integrity

Question

A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospitalized for additional tests and to begin a course of chemotherapy designed to induce a remission. She is scheduled to have a bone marrow aspiration tomorrow. She has had a bone marrow test previously and is apprehensive about having another. Which of the following interventions will be most effective in relieving her anxiety?

Options

  • AExplain what will take place and what she will see, feel, and hear.
  • BRemind her that she has had this procedure before and that it is nothing to be afraid of.
  • CTell her not to worry about it, that it will be over soon and she can join her friends in the playroom.
  • DGive her a big hug and tell her that she is a big girl now and that she will do just fine.

How the community answered

(30 responses)
  • A
    73% (22)
  • B
    13% (4)
  • C
    10% (3)
  • D
    3% (1)

Explanation

(A) Even though the child has had the procedure before, she will probably need additional explanations and emotional support. (B) The fact that the child has had the procedure before and possibly found it painful or uncomfortable may increase, not relieve, her stress. (C) This intervention does nothing to reassure the child and may well prevent her from expressing (D) This does not prepare the child for the test and burdens her with the expectation that she act bigger and braver than she is.

Topics

#procedural anxiety#therapeutic communication#pediatric oncology#bone marrow aspiration

Community Discussion

No community discussion yet for this question.

Full NCLEX-RN Practice