Exam 17: Quality of Life for Children Living with Chronic and Complex Diseases

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

Which nursing intervention should the nurse include to help the siblings of a child with special needs cope?

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

A mother of a 5-year-old child, with complex health care needs and cared for at home, expresses anxiety about attending a kindergarten graduation exercise of a neighbor's child. The mother says, "I wish it could be my child graduating from kindergarten." What should the nurse recognize the mother is experiencing?

Kelly, an 8-year-old girl, will soon be able to return to school after an injury that resulted in several severe, chronic disabilities. Which is the most appropriate action by the school nurse?

The home health nurse is caring for a child who requires complex care. The family expresses frustration related to obtaining accurate information about their child's illness and its management. Which is the best action for the nurse?

A 16-year-old with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. What is the best explanation for this behavior?

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

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

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?

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. How should the nurse interpret these feelings?

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?

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. Which is the nurse's best response?

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

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

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. What is the nurse's best interpretation of this statement?

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. Who should the nurse invite to the conference?

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. What should the nurse tell the parents?

Which describes avoidance behaviors parents may exhibit when learning that their child has a chronic condition? (Select all that apply.)

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?" How should the nurse's statement be interpreted?