Family-Centered Care of the Child During Illness and Hospitalization

Question 1 of 5

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

A. Maintenance of curative therapy

B. Child and family as the unit of care

C. Exclusive focus on the spiritual issues the family faces

D. Extensive use of opiates to ensure total pain control

Correct Answer:

Rationale:

Question 2 of 5

What factor is most important for parents implementing do not resuscitate (DNR) orders?

A. Parents beliefs about euthanasia

B. Presence of other children in the home

C. Experiences of the health care team with other children in this situation

D. Acknowledgment by health care team that child has no realistic chance for cure

Correct Answer:

Rationale:

Question 3 of 5

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?

A. This attitude is helpful to give parents time to cope.

B. This will help the child cope effectively by denial.

C. Terminally ill children know when they are seriously ill.

D. Terminally ill children usually choose not to discuss the seriousness of their illness.

Correct Answer:

Rationale:

Question 4 of 5

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. Parents and child both need support in the decision making.

B. Twelve-year-olds are minors and cannot give consent or refuse treatments.

C. The oncologists needs to make the decision because the parents and child disagree.

D. The parents have the right and responsibility to make decisions for their children younger than age 18 years.

Correct Answer:

Rationale:

Question 5 of 5

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

A. Grief is acute but does not last long at this age.

B. Children this age are too young to have a concept of death.

C. Preschoolers may feel guilty and responsible for the death.

D. They express grief in the same way that the adults in the preschoolers life are expressing grief.

Correct Answer:

Rationale:

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