Chronic Illness & Family
What service provides temporary care for a child with a chronic condition to allow primary family caregivers a period of rest and refreshment?
What is respite care?
This type of maltreatment is defined by acts of omission, such as failing to provide adequate hygiene, healthcare, nutrition, or supervision.
What is child neglect?
Under state law (such as Tennessee), what is a nurse’s legal requirement upon suspecting child abuse?
What is reporting the suspicion immediately without regard to confidentiality?
What is the number one leading cause of death in children aged 1 to 14 years old?
What are accidents?
What is the name of the mourning process that begins when a family receives a terminal diagnosis and grieves before the actual death occurs?
What is anticipatory grief?
What initial emotional reaction is commonly observed in parents when their child is first diagnosed with a chronic illness?
What is shock, disbelief, and denial?
What condition involves a caregiver deliberately fabricating or inducing an illness in a child to gain attention for themselves?
What is Munchausen syndrome by proxy?
While shins, elbows, and foreheads are typical spots for accidental toddler injuries, bruises on these areas raise high suspicion for intentional abuse.
What are the buttocks, thighs, genitalia, back of knees, or upper back?
Infants and toddlers do not understand death cognitively, but they primarily experience intense fear regarding this.
What is separation from family caregivers?
When a child’s level of consciousness decreases as death approaches, which sensory perception typically remains intact the longest?
What is hearing?
When a parent continually visits multiple healthcare providers seeking a different diagnosis for their child, they are demonstrating this coping mechanism.
What is denial (or "shopping" for providers)?
An infant presenting with lethargy, poor feeding, vomiting, and retinal hemorrhages is likely suffering from this condition caused by violent shaking.
What is Shaken Baby Syndrome?
During an assessment, a patient is accompanied by an individual who refuses to let the patient speak for themselves and answers all questions. What red flag does this raise?
What is potential human trafficking?
At what approximate age do children outgrow magical thinking and gain a realistic concept that death is universal and irreversible?
What is 8 to 9 years old?
Before a nurse can effectively care for a dying child and their family, what essential self-assessment must the nurse perform?
What is examining and understanding their own personal feelings about death and dying?
What is a primary goal of the nursing care plan for the caregiver or family of a child living with a chronic condition?
What is decreasing feelings of grief, anger, and guilt?
A parent telling a young child they will abandon them and never return if they do not stop crying is an example of this type of abuse.
What is emotional abuse (or verbal abuse)?
What physical changes in bowel and bladder habits might a child experiencing sexual abuse exhibit?
What is enuresis (bed-wetting)?
Adolescents have an adult understanding of death, but they often struggle with a terminal diagnosis because they possess this core belief.
What is the belief that they are immortal?
What is a major communication "DON'T" when supporting a grieving or dying child?
What is using euphemisms, telling fairy tales/half-truths, or praising stoicism?
How might a preschool-aged child cognitively perceive a newly diagnosed chronic condition?
What is punishment for a bad thought or action?
Deliberate, repeated peer abuse directed toward a shyer or physically weaker individual is classified as this.
What is bullying?
A school-aged child who acts as an overachiever in school while remaining emotionally isolated may be hiding this dynamic at home.
What is parental substance abuse (or severe family dysfunction)?
How should a nurse interpret vocal aggression displayed by a school-aged child facing a terminal diagnosis?
What is an expression of fear regarding a loss of control?
What is the main philosophical emphasis of hospice care for a pediatric patient?
What is providing humane care focused on pain relief and the needs of the total person (without heroic lifesaving measures)?