Exam 20: Family-Centered Palliative Care

Several nurses tell their nursing supervisor that they want to attend the funeral of a child for whom they had cared.They say they felt especially close to both the child and the family.The supervisor should recognize that attending the funeral serves what purpose?

What nursing intervention is most appropriate when providing comfort and support for a child when death is imminent?

An 8-year-old girl has been uncooperative and angry since the diagnosis of cancer was made.Her parents tell the nurse that they do not know what to do "because she is always so mad at us." What nursing action is most appropriate at this time?

A 7-year-old child is in the end stages of cancer.The parents ask you how they will know when death is imminent.What physical sign is indicative of approaching death?

What is a principle of palliative care that can be included in the care of children?

What are common respiratory symptoms dying children experience?

What characterizes a toddler's concept of death?

The nurse is making a home visit 48 hours after the death of an infant from sudden infant death syndrome (SIDS).What intervention is an appropriate objective for this visit?

Parents tell the nurse they do not want to let their school-age child know his illness is terminal.What response should the nurse make to the parents?

What characterizes an infant's concept of death?

Parents ask the nurse,"When should palliative care be initiated?" What is the best response by the nurse?

When is an autopsy required?

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

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

A 12-year-old child has failed several courses of chemotherapy.An experimental drug is available that his parents want him to receive.He has told his parents and the oncologists that he is ready to die and does not want any more chemotherapy.The nurse recognizes what to be true?

A health care provider prescribes morphine sulfate,0.2 mg/kg IV every 2 to 4 h as needed for pain for a child with a terminal illness.The child weighs 10 kg.The medication label states: "Morphine sulfate 5 mg/ml." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer using one decimal place. ________________

The sibling of a 4-year-old girl dies from sudden infant death syndrome.The parents are concerned because the 4-year-old girl showed more outward grief when her cat died than now.How should the nurse explain this reaction to the parents?

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 provide which explanation?