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

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

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 her disability was so severe. What is the best interpretation of this situation?

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

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. What is the nurse's most appropriate response?

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

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

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

The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death. Which of the following is an appropriate nursing intervention?

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

A child dependent on medical technology is preparing to be discharged from the hospital to home. Which predischarge assessments should the nurse ensure? (Select all that apply.)

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

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. What characterizes chronic sorrow?

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

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?

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

The nurse observes that a seriously ill child passively accepts all painful procedures. What should the nurse recognize this child is most likely experiencing?

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 which of the following responses?

Which are adaptive coping patterns used by children with special needs? (Select all that apply.)