YOU
The nurse is caring for an 8-year-old child hospitalized with a chronic illness. The child has a tracheostomy and a parent is rooming-in. The parent insists on providing almost all of the child’s care and tells the nurses how to care for the child. When planning the child’s care, the primary nurse should recognize that the parent is
A. controlling and demanding.
B. assuming the nurse’s role.
C. the expert in care of the child.
D. afraid to allow the nurses to function independently.
C. the expert in care of the child.
A 4-year-old’s concept of death is that
A. death is temporary.
B. death is permanent.
C. death is personified in various forms.
D. death is inevitable at some age.
A. death is temporary.
In developing palliative care for a child with a terminal disease, the nurse would incorporate
A. efforts to restore level of function to pre-disease status.
B. have the child hospitalized as this clinical setting is the best place to provide this type of care.
C. it begins when the likelihood of impending death becomes clearly evident.
D. it allows for the incorporation of a multidisciplinary approach to meet the emerging needs of the patient and family members.
D. it allows for the incorporation of a multidisciplinary approach to meet the emerging needs of the patient and family members.
Denial is a common reaction to the diagnosis of a disability or chronic illness. Which applies to denial as a defense mechanism?
A. Denial is maladaptive.
B. Denial is a necessary cushion to prevent disintegration of the family’s psyche.
C. Denial prevents a sense of hope.
D. Denial prevents the mobilization of energies toward goal-directed, problem-solving behavior.
B. Denial is a necessary cushion to prevent disintegration of the family’s psyche.
A 5-year-old child’s sibling dies from sudden infant death syndrome (SIDS). The parents are concerned because the child showed more outward grief when their cat died than for the sibling’s death. Based on the nurse’s knowledge of development, the nurse explains that
A. this behavior suggests maladaptive coping, and a referral is needed for counseling.
B. the child is not old enough to have a concept of death.
C. the child is not old enough to have formed a significant attachment to her sibling.
D. the death may be so painful and threatening that the child must deny it for now to protect her psyche.
D. the death may be so painful and threatening that the child must deny it for now to protect her psyche.
Following a child’s death in the hospital, hospital policy dictates that the family must be asked about the possibility of organ donation. What measures would help to support the family and nurse during this difficult time with regard to this issue?
A. Even though it may be hospital policy, consider each death individually and if the parents seem too upset, refrain from asking the question.
B. Make sure that the question has already been addressed prior to the child’s death for it will be too difficult to discuss afterwards.
C. The hospital should provide training for health care providers to assist them in having to ask this question following any patient’s death.
D. Ask the family members about this option just prior to the body being removed from the unit, so they will have less time to dwell on the dilemma.
C. The hospital should provide training for health care providers to assist them in having to ask this question following any patient’s death.
The potential effects of chronic illness or disability on a child’s development vary at different ages. What is a threat to a toddler’s normal development?
A. Hindered mobility
B. Poorly defined body image
C. Limited opportunities for socialization
D. Limited opportunities to achieve and accomplish
A. Hindered mobility
The nurse is caring for a child dying from cancer. A physical sign that the child is approaching death is
A. rapid pulse.
B. change in respiratory pattern.
C. sensation of cold although body feels hot.
D. loss of hearing followed by loss of other senses.
B. change in respiratory pattern.
Which question would the nurse utilize in order to assess family stress levels with regard to chronic disease of their 4-year-old child?
A. Do you find satisfaction in your work?
B. What is your educational level?
C. How do you think your other children feel about their brother’s condition?
D. Are there any other problems that I could help you with?
C. How do you think your other children feel about their brother’s condition?
A 9-year-old boy has several physical disabilities. His father explains to the nurse that his son concentrates on what he can do, rather than what he cannot do, and is as independent as possible. Based on the nurse’s knowledge of family-centered care and various disabilities, the nurse interprets the child’s behavior and father’s attitude as that the
A. father is experiencing denial.
B. child is using an adaptive coping style.
C. child is using a maladaptive coping style.
D. father is expressing his own fears about his child’s disability.
B. child is using an adaptive coping style.
Several nurses tell their nursing supervisor that they want to be able to attend the funeral of a child for whom they had cared. They say that they felt especially close to both the child and the family. The supervisor should recognize that attending the funeral is
A. appropriate because families expect this expression of concern.
B. appropriate because it can assist in the resolution of personal grief.
C. inappropriate because it is considered unprofessional behavior on the part of the nurses.
D. inappropriate because it increases burnout of the nursing staff.
B. appropriate because it can assist in the resolution of personal grief.
Based on clinical findings, a child is going to die soon and the parents have established a “death vigil.” Nurses on the unit can assist the family by
A. making sure that the family remains at the bedside until the child passes.
B. arranging for other family members and ancillary services such as hospice to alternate time spent with the child.
C. asking that the child be medicated continuously with the hopes that it speed up the process.
D. talking about funeral arrangements to provide a sense of closure.
B. arranging for other family members and ancillary services such as hospice to alternate time spent with the child.
The nurse notes that the parents of a critically ill child spend a large amount of time talking with the parents of another child who is also seriously ill. They talk with these parents more than with the nurses. The nurse should recognize that this behavior indicates
A. that parent-to-parent support is valuable.
B. that parent-to-parent dependence is unhealthy.
C. the situation has developed because the nurses are unresponsive to the parents.
D. the situation is unusual and has the potential to increase friction between the parents and nursing staff.
A. that parent-to-parent support is valuable.
The nurse is working with a family of a child who died. Which behaviors should alert the nurse that family members may be experiencing a complicated grief reaction ? (Select all that apply.)
A. Child has died 2 months ago from a chronic disease.
B. Family member relates significant sleep pattern disturbances.
C. Child has died more than a year ago.
D. Family member states that he/she feels empty and lonely.
E. Family is having difficulty coping.
B. Family member relates significant sleep pattern disturbances.
C. Child has died more than a year ago.
D. Family member states that he/she feels empty and lonely.
In reaction to a child’s death which individuals may exhibit going through the grief stage reactions? (Select all that apply.)
A. Family members.
B. Nurses involved in patient’s care.
C. Physicians taking care of the patient and family.
D. Only family members who were at the hospital with the patient.
E. Potentially any individual who may have come in contact with the child or family during the hospitalizations.
A. Family members.
B. Nurses involved in patient’s care.
C. Physicians taking care of the patient and family.
E. Potentially any individual who may have come in contact with the child or family during the hospitalizations.