Nokea
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. Explain to child that anger is not helpful.
- B. Help the parents deal with her anger constructively.
- C. Ask the parents to find out what she is angry about.
- D. Encourage the parents to ignore the anger at this time.
Correct Answer: B
Rationale: Helping parents manage the child?s anger constructively addresses her loss of control and promotes communication and coping. Explaining anger is unhelpful, finding the cause may be difficult for the child, and ignoring anger dismisses her emotional needs.
You may also like to solve these questions
What statement is most descriptive of a school-age childs reaction to death?
- A. Very interested in funerals and burials
- B. Little understanding of words such as forever
- C. Imagine the deceased person to be still alive
- D. Can explain death from a religious or spiritual point of view
Correct Answer: A
Rationale: School-age children are curious about the physiological and naturalistic aspects of death, such as funerals and burials. They understand concepts like ?forever,? do not typically imagine the deceased as alive, and spiritual explanations are more common in adolescents.
When is an autopsy required?
- A. In the case of a suspected suicide
- B. When a person has a known terminal illness
- C. With a hospice patient who dies at home
- D. With the victim of a motor vehicle collision
Correct Answer: A
Rationale: An autopsy is required in cases of suspected suicide, unexplained, or violent deaths to determine the cause. It is optional for terminal illnesses, hospice deaths, or motor vehicle collisions unless the cause is unclear, and family consent may be sought.
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: A
Rationale: Supporting both parents and child in resolving this conflict respects the child?s autonomy, especially given the poor prognosis. Twelve-year-olds can assent or refuse under certain conditions, oncologists guide but don?t decide, and parental authority may be limited if the child?s decision is informed and verified.
At which age do most children have an adult concept of death as being inevitable, universal, and irreversible?
- A. 4 to 5 years
- B. 6 to 8 years
- C. 9 to 11 years
- D. 12 to 16 years
Correct Answer: C
Rationale: By ages 9 to 11, children develop an adult-like understanding of death as inevitable, universal, and irreversible. Younger children have less mature concepts, and adolescents have a fully mature understanding.
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?
- A. Hunger
- B. Tachycardia
- C. Increased thirst
- D. Difficulty swallowing
Correct Answer: D
Rationale: Difficulty swallowing is a physical sign of approaching death, reflecting declining bodily functions. Appetite and fluid intake decrease, and the pulse slows, not quickens, in the final stages.