Nokea
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.
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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: C
Rationale: Children, even young ones, sense the seriousness of their illness due to increased medical attention, making honesty essential. Denial is an ineffective coping mechanism, protecting the child does not primarily serve parental coping, and children may want to discuss their condition if given the opportunity.
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.
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.
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.
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.