Exam 18: Quality of Life for Children Living with Chronic or Complex Diseases

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,"Whom do you talk to when something is worrying you?" This should be interpreted as:

At what developmental period do children have the most difficulty coping with death,particularly if it is their own?

At the time of a child's death,the nurse tells his mother,"We will miss him so much." The best interpretation of this is that the nurse is:

Which represents a common best practice in the provision of services to children with special needs?

Parents are asking about an early intervention program for their child who has special needs.The nurse relates that this program is for which age of child?

Which is the most appropriate nursing intervention to promote normalization in a school-age child with a chronic illness?

A preschooler is found digging up a pet bird that was recently buried after it died.The best explanation for this behavior is that:

The nurse and a new nurse are caring for a child who will require palliative care.Which statement made by the new nurse would indicate a correct understanding of palliative care?

A common parental reaction to a child with special needs is parental overprotection.Parental behavior suggestive of this includes:

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.The nurse should recognize that:

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

Nursing interventions to help the siblings of a child with special needs cope include:

Which nursing intervention is especially helpful in assessing parental guilt when a disability or chronic illness is diagnosed?

A nurse is caring for a child who is near death.Which physical signs indicate the child is approaching death? (Select all that apply.)

Which term best describes a multidisciplinary approach to the management of a terminal illness that focuses on symptom control and support?

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

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

A 9-year-old boy has several physical disabilities.His father explains to the nurse that his son concentrates on what he can,rather than cannot,do and is as independent as possible.The nurse's best interpretation of this is that the:

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.The nurse's most appropriate response is to:

Approach behaviors are those 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 disability.Which is considered an approach behavior?