31. At the time of a child’s death, the nurse : 1361507.
31. 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:
a. pretending to be experiencing grief.
b. expressing personal feelings of loss.
c. denying the mother’s sense of loss.
d. talking when listening would be better.
32. Which is an appropriate nursing intervention when providing comfort and support for a child when death is imminent?
a. Limit care to essentials.
b. Avoid playing music near child.
c. Explain to child need for constant measurement of vital signs.
d. Whisper to child instead of using normal voice.
33. 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?
a. Be available to family.
b. Attempt to “lighten the mood.”
c. Suggest activities to cheer up the family.
d. Discourage crying until actual time of death.
34. 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?
a. “Palliative care serves to hasten death and make the process easier for the family.”
b. “Palliative care provides pain and symptom management for the child.”
c. “The goal of palliative care is to place the child in a hospice setting at the end of life.”
d. “The goal of palliative care is to act as the liaison between the family, child, and other health care professionals.”
35. 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?
a. Birth to 1 year of age
b. Birth to 3 years of age
c. Ages 1 to 4
d. Ages 4 and 5
36. A nurse is planning palliative care for a child with severe pain. Which should the nurse expect to be prescribed for pain relief?
a. Opioids as needed
b. Opioids on a regular schedule
c. Distraction and relaxation techniques
d. Nonsteroidal anti-inflammatory drugs
MULTIPLE RESPONSE
1. Which describes avoidance behaviors parents may exhibit when learning that their child has a chronic condition? (Select all that apply.)
a. Refuses to agree to treatment
b. Shares burden of disorder with others
c. Verbalizes possible loss of child
d. Withdraws from outside world
e. Punishes self because of guilt and shame
2. Which are appropriate statements the nurse should make to parents after the death of their child? (Select all that apply.)
a. “We feel so sorry that we couldn’t save your child.”
b. “Your child isn’t suffering anymore.”
c. “I know how you feel.”
d. “You’re feeling all the pain of losing a child.”
e. “You are still young enough to have another baby.”
3. Which are adaptive coping patterns used by children with special needs? (Select all that apply.)
a. Feels different and withdraws
b. Is irritable, moody, and acts out
c. Seeks support
d. Develops optimism
4. A nurse is caring for a child who is near death. Which physical signs indicate the child is approaching death? (Select all that apply.)
a. Body feels warm
b. Tactile sensation decreasing
c. Speech becomes rapid
d. Change in respiratory pattern
e. Difficulty swallowing
