Exam 36: Chronic Illness, disability, and End-Of-Life Care

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?

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

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

The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities.The nurse notices that the parents keep asking the same questions.The nurse should:

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.The nurse should explain that:

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

At what age do most children have an adult concept of death as being inevitable,universal,and irreversible?

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 should:

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 parents of a child born with disabilities ask the nurse for advice about discipline.The nurse's response should be based on knowledge that discipline is:

A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication.The nurse should explain to his parents that:

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:

The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?

Most parents of children with special needs tend to experience chronic sorrow.This is characterized by:

Kelly,age 8 years,will soon be able to return to school after an injury that resulted in several severe,chronic disabilities.What is the most appropriate action by the school nurse?

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

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

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

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