Practice Question
A 16-year-old has been admitted to the hospital for advanced osteosarcoma with metastasis to the lungs. His prognosis is poor. He is continuing to require oxygen and needs to remain in the hospital for monitoring. The adolescent is very frustrated and states that he doesn't want to stay in the hospital and wants to be with his friends. Which of the following is the best option?
Answer Choices:
Correct Answer:
Arrange a multi-disciplinary team meeting, including the teenager and his family to discuss the situation and set goals together
Rationale:
🧑🤝🧑 Adolescents are in Erikson’s stage of identity vs. role confusion, where control and independence are crucial to their psychosocial development—even when facing terminal illness.
🧑🤝🧑 A multidisciplinary meeting that includes the teenager, their family, and healthcare professionals helps ensure that care is collaborative, respectful, and centered on the teen's goals and preferences.
🧑🤝🧑 This approach acknowledges the adolescent’s need for autonomy and provides emotional validation during a challenging time.
🧑🤝🧑 Alternatives like simply distracting the teen or emphasizing compliance fail to address his psychological, social, and developmental needs, which are especially important in palliative care settings.
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This question is from RN ATI Custom Paediatrics Comprehensive Exam which contains 60 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4