Exam 40: Chronic Illness, Complex Conditions, and End-of-Life Care

Which is an appropriate nursing intervention when providing comfort and support for a child when death is imminent?

A preschooler is found digging up a pet bird that was recently buried after it died.What is the best explanation for this behaviour?

A school-age child is diagnosed with a life-threatening illness.The parents want to protect their child from knowing the seriousness of the illness.What should the nurse explain to the parents?

The nurse case manager is planning a care conference for a young child who has complex health care needs and will soon be discharged home.Who should the nurse invite to the conference?

Kelly,an 8-year-old,will soon be able to return to school after an injury that resulted in several severe,chronic disabilities.What is the most appropriate action for the school nurse to take?

The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death.Which is an appropriate nursing intervention?

A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks,such as missing doses of his medication.What should the nurse explain about this behaviour to his parents?

Approach behaviours are coping mechanisms that result in a family's movement toward adjustment and resolution of the crisis of having a child with a chronic illness or complex condition.Which is considered an approach behaviour?

Which sentence is most descriptive of a school-age child's reaction to death?

When assessing the family with a child that has a severe complex condition,which will the nurse document as characteristic of parental overprotection? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

A common parental reaction to a child with special needs is overprotection.Which is suggestive of this type of behaviour?

The nurse is talking with the parent of a child newly diagnosed with a chronic illness.The parent is upset and tearful.The nurse asks,"Who do you talk to when something is worrying you?" What is the nurse's intention when asking this question?

Which intervention will encourage a sense of autonomy in a toddler with complex conditions?

The nurse is talking with the parents of a child who died 6 months ago.They sometimes still "hear" the child's voice and have trouble sleeping.They describe feeling "empty" and depressed.What should the nurse recognize about this situation?

A 5-year-old with cerebral palsy will be starting kindergarten next month,and it has been determined that she needs to be in a special education classroom.Her parents are tearful when telling the nurse about this and state that they did not realize her condition was so severe.What is the best way for the nurse to interpret this situation?

The nurse is caring for a child who has just died.The parents ask to be left alone so that they can rock their child one more time.What should the nurse do?

The feeling of guilt that the child "caused" the disability or illness is especially important in children from which age group?

Families progress through various stages of reactions when a child is diagnosed with a chronic illness or complex condition.Which characterizes the period of adjustment that usually follows the shock phase?

A father explains to the nurse that his 9-year-old,who has several physical limitations,concentrates on what he can do rather than what he cannot do,and is as independent as possible.What is the best way for the nurse to interpret of this information?

Most parents of children with special needs tend to experience chronic sorrow.What is one characteristic of chronic sorrow?