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    Ati rn pediatric nursing 2023 proctored exam

    A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer. Which of the following statements by the guardian demonstrates positive adjustment?

    Explanation & Rationale

    A. "I saw on the internet that there's a new treatment option.": Seeking information and showing interest in possible treatment reflects active coping and problem-focused adjustment. It demonstrates hope, engagement, and willingness to explore ways to support the child. B. "I don't want my family to know about my child's diagnosis.": Avoiding sharing important information with family members indicates denial and isolation, which can interfere with healthy coping and access to emotional or practical support. C. "I wish I knew what I did to cause my child to be sick.": This reflects guilt and self-blame, which are common but maladaptive responses. Such thoughts can hinder acceptance and increase emotional distress rather than promoting adjustment. D. "I am not sure how to care for my dying child.": Expressing uncertainty about caregiving demonstrates anxiety and lack of confidence. While it opens the door for teaching, it does not reflect positive coping or adjustment at this stage.

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