Nokea
A preschooler is found digging up a pet bird that was recently buried after it died. What is the best explanation for this behavior?
- A. He has a morbid preoccupation with death.
- B. He is looking to see if a ghost took it away.
- C. He needs reassurance that the pet has not gone somewhere else.
- D. The loss is not yet resolved, and professional counseling is needed.
Correct Answer: C
Rationale: Preschoolers struggle with the permanence of death and may dig up the pet to confirm its presence, a normal developmental response. This is not a morbid preoccupation, not about ghosts, and does not immediately indicate a need for counseling unless persistent.
You may also like to solve these questions
The nurse is providing support to a family that is experiencing anticipatory grief related to their childs imminent death. What statement by the nurse is therapeutic?
- A. Your other children need you to be strong.
- B. You have been through a very tough time.
- C. His suffering is over; you should be happy.
- D. God never gives us more than we can handle.
Correct Answer: B
Rationale: Acknowledging the family?s tough experience validates their grief in a nonjudgmental way. Suggesting strength for other children, implying happiness over the death, or referencing God may dismiss their emotions or conflict with their beliefs.
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: C
Rationale: Due to egocentric thinking, preschoolers may feel guilty, believing they caused the death. They have a limited concept of death as a temporary state, their grief may involve regression or joking, and their expressions differ from adults, reflecting their developmental stage.
A critically injured child has died and is being removed from a ventilator in the pediatric intensive care unit. What is a priority nursing intervention for the family at this time?
- A. Ensure that parents are in the waiting room while the ventilator is removed.
- B. Help the parents understand that the child is already dead and no further interventions are necessary.
- C. Control the environment around the child and family to provide privacy.
- D. Encourage them to wait to see their child until the funeral home has prepared the body.
Correct Answer: C
Rationale: Controlling the environment to provide privacy respects the family?s need for dignity and space during this sensitive time. Forcing parents to the waiting room, stating no further interventions are needed, or delaying their time with the child disregards their emotional needs.
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: D
Rationale: An honest appraisal by the health care team that the child has no realistic chance for cure facilitates earlier DNR orders and appropriate palliative care. DNR orders are distinct from euthanasia, the presence of other children is not directly relevant, and the health care team?s prior experiences inform discussions but are secondary to acknowledging prognosis.
The nurse is often the individual who is in the optimum position to suggest tissue donation to a family (after consultation with the practitioner). What will occur if a family chooses organ or tissue donation?
- A. The funeral will be delayed.
- B. Cremation is the preferred method of burial.
- C. Written consent is required for tissue or organ donation.
- D. An open casket cannot be used subsequent to this procedure.
Correct Answer: C
Rationale: Written informed consent is required for organ or tissue donation, ensuring legal and ethical compliance. Funerals are not typically delayed, cremation is not required, and an open casket is possible as donation does not cause visible disfigurement.