Exam 34: Caring for the Child With a Chronic Condition or the Dying Child

A 4-year-old girl diagnosed with leukemia will begin palliative care.The 6-year-old brother does not visit often.The parents worry their son will remember his sister as a "sad,thin,child in the hospital" rather than as his playful sister.Which response by the nurse is the most appropriate?

A nurse is evaluating how well the family of a dying child understands the concept of hospice care in the home.Which statement by the family indicates the need for further instruction?

A nurse is teaching the parents of a dying child how to recognize impending death.Which manifestations does the nurse tell the parents to expect?

An infant has been hospitalized since birth.What nursing intervention takes priority for this child?

The parents of a chronically ill child confide in the nurse that they are increasingly frustrated with the ill child's younger sibling,who has become very negative toward the ill child and occasionally even hostile.What response by the nurse is the most appropriate?

The parents of a chronically ill 8-year-old do not want him to go outside and play or to attend his friends' birthday parties for fear he will become ill.What response by the nurse is most appropriate?

The nurse caring for infants and children understands that which are the scariest aspects of being hospitalized for a 3-year-old?

A nurse notes that a patient with cystic fibrosis develops difficult breathing.The nurse calls the father to report his condition.The father,who has been continually present,cannot be there because the patient's sister has influenza and the father stayed at home to care for his daughter.In the morning,the nurse sees the patient's father and approaches him to talk.Which statement by the nurse is most appropriate at this time?

A pediatric nurse advocates for the children's oncology clinic by initiating a fundraising project that will help pay for expansion of the bathrooms to accommodate wheelchairs.The nurse's motivation is in response to an awareness of which of concept?

The nurse is caring for the parents of a chronically ill child,who display chronic sorrow.Which action by the nurse would be most beneficial for this family?

A preschool-age child with a chronic condition is brought to the clinic for a checkup.During the visit she throws things,yells at her mother,and attempts to hit the nurse.The mother sighs and says "I'm afraid yelling at her will make her sicker." What response by the nurse is the most appropriate?

As part of therapeutic play for the patients,the pediatric nurse reads a book about children receiving injections.For which age group is this nursing intervention most appropriate?

A nurse has to perform a brief procedure on a toddler.What action by the nurse is the most developmentally appropriate for this patient?

The nurse is teaching the parents of a child with a severe,chronic condition ways to promote growth and development.Which suggestion by the nurse is the most appropriate?

The pediatric nurse is caring for an adolescent with cancer.The parents are interested in exploring complementary and alternative (CAM)therapies.Which response by the nurse is the most appropriate?

A teenager with a chronic medical condition requiring frequent hospitalizations has the nursing diagnosis of impaired self-esteem.Which action by the adolescent best indicates that outcomes for this diagnosis have been met?

A child with a severe,chronic illness is hospitalized and the staff finds it difficult to deal with the mother,who is overbearing and controlling.What action by the nursing manager would be most appropriate to help the situation?

The pediatric nurse understands that with a sudden catastrophic loss,family members can experience physical symptoms such as rapid respirations,agitation,nausea,and diarrhea.According to Epperson,which stage of grief are these individuals experiencing?

A nurse is caring for a dying child.What intervention by the nurse would be best to promote hope and peace in the family?

During a pediatric nursing orientation session to a new unit,the child-life specialist is introduced as an important member of the heath-care team.What is an important role of the child-life specialist?