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

The pediatric nurse providing nursing care for a 12-year-old girl listens as her mother describes her family situation.She states that the patient's 10-year-old sister is asking many questions about the patient's illness.The patient's mother feels that it is best not to talk about the patient with her sister.Which response by the nurse is the most appropriate?

A nurse is working with a school-age child who is dying.The child is hostile and uncooperative.Which action by the nurse is the most appropriate?

A nurse wants to participate in community service by providing education on the leading causes of death for various age groups coupled with appropriate preventative measures.When discussing deaths in teenagers,which topic does the nurse focus prevention on?

The pediatric nurse is caring for a child who has been in a motor vehicle collision.The doctor explains to the family that there are serious physical disabilities.The father is upset and states: "I don't know how we will be able to cope.We have two other children.What can we do?" Which response by the nurse is the most appropriate?

An experienced nurse is acting as preceptor to a new graduate and is discussing ways to develop a trusting relationship with the families of children who have chronic or terminal conditions.Which are helpful suggestions by the experienced nurse?

The pediatric nurse attends a debriefing session following the death of a young child who was hospitalized for several months with cancer.The nurse developed a strong relationship with the child and even worked overtime to care for the child.The nurse now describes feelings of sadness,insomnia,fatigue,helplessness,and frustration.Which type of suffering is this nurse experiencing?

The pediatric nurse is familiar with Kübler-Ross's stages of grief.Parents who are feeling guilty and try to find any cause for their child's illness or blame others for the illness are in which stage of grief?

A nurse is explaining the connection between family caregivers of chronically ill children and illness to a group of nursing students.What information about caregivers increases their risk of becoming ill?

A nurse is working in the emergency department when a child who was involved in a motor vehicle crash is admitted.The child is critically injured and,despite heroic efforts,does not survive.The nurse finds the family in the waiting room and several family members are agitated and do not listen to the nurse describe the child's injuries.One family member feels faint and another has vomited.What does the nurse understand about the current situation based on Epperson's theory of grieving?

A hospice nurse is working with the family of a child who has died.Which statement by the parent indicates that further action by the nurse is needed?