Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
50. The parents of a baby boy, who is newly diagnosed with hemophilia, state "This can't be true! No one in our family has hemophilia." A nurse's most factual response would be:
. "You are right. Additional testing is necessary to rule out a diagnostic error."
. "Difficult as it is, you must try and accept the diagnosis."
. "Only about 60% of affected children have a positive history for the disease."
. "Up to one third of all hemophilia cases may be caused by a gene mutation."
Test-Taking Tip
Look at the two answers with statistical data (i.e., 60% and ⅓) and choose the lesser percentage.
Content Area: Child Health, Hematological; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because it supplies the parents with false hope that the diagnosis is inaccurate. The diagnosis would not have been presented to the parents without thorough confirmation of the positive diagnostic tests. Answer 2 is incorrect because it does not address the parents' concerns. It is a "closed-ended" response that does not allow for further dialogue between the parents and the nurse. Answer 3 is incorrect because, while it may be accurate, it does not supply the parents with why this happened to their infant. Answer 4 is correct because it is the response that supplies the parents with the most facts/information. It tells the parents why this disease is present in their infant.