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    Ati rn paediatrics 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 don’t want my family to know about my child’s diagnosis.": Avoiding communication with family about the diagnosis can indicate denial or isolation, which may hinder emotional support and coping. Keeping such information secret can increase stress and reduce available support systems. B. "I wish I knew what I did to cause my child to be sick.": Expressing self-blame reflects feelings of guilt and confusion. This can interfere with healthy coping and adjustment, as it focuses on assigning fault rather than processing the illness and its impact. C. "I am not sure how to care for my dying child.": Expressing uncertainty about caregiving needs shows awareness of the situation and a realistic concern. While it may indicate anxiety, it also reflects openness to learning and adapting, but it is less indicative of positive adjustment compared to seeking new information. D. "I saw on the internet that there’s a new treatment option.": Actively seeking information demonstrates acceptance and a proactive approach to coping. Looking for new treatments suggests the guardian is engaged and hopeful, showing a positive adjustment to the child’s illness and a willingness to explore options.

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