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

What is a priority nursing diagnosis for the preschool child with chronic illness?

Nursing interventions to help the siblings of a child with a complex or chronic condition cope include:

Chris,age 9 years,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:

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

Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability.After the shock phase,a period of adjustment usually follows.This is often characterized by:

What should the nurse identify as major fears in the preschool child who is hospitalized with a chronic illness (select all that apply)?

An appropriate nursing intervention when providing comfort and support for a child whose death is imminent is to:

Approach behaviors 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 disability.What is considered an approach behavior in parents?

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 chronic or complex conditions?

The nurse comes into the room of a child who was just diagnosed with a chronic disability.The child's parents begin to yell at the nurse about a variety of concerns.The nurse's best response is:

Which best describes how preschoolers react to the death of a loved one?

Which are appropriate statements the nurse should make to parents after the death of their child (select all that apply)?

Which describe avoidance behaviors a parent may exhibit when learning that his or her child has a chronic condition (select all that apply)?

A cure is no longer possible for a young child with cancer.The nursing staff recognizes that the goal of treatment must shift from cure to palliation.Which is an important consideration at this time?

A nurse is planning palliative care for a child with severe pain.Which should the nurse expect to be prescribed for pain relief?

Lindsey,age 5 years,will be starting kindergarten next month.She has cerebral palsy,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 that her disability was so severe.The best interpretation of this situation is that:

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

What is the most appropriate response to a school-age child who asks if she can talk to her dying sister?