Evolve Pediatrics Ch 36 12Qw/exp LOOK OVER

A 5-year-old girl's sibling dies from sudden infant death syndrome. The parents are concerned because she showed more outward grief when her cat died than she is showing now. The nurse should explain that:
A. this is suggestive of maladaptive coping and r

D
This suggests limited defense mechanisms, not maladaptive coping. The child is beginning to understand the permanence of death. At 5 years old, this child will have formed a relationship with the infant sibling. A child at this age has limited defense m

The potential effects of chronic illness or disability on a child's development vary at different ages. Which is a threat to a toddler's normal development?
A. Hindered mobility
B. Poorly defined body image
C. Limited opportunities for socialization
D. Se

A
The inability to move about and master the environment will inhibit the toddler's developing autonomy. These indicate effects on a preschooler's development. These indicate effects on a preschooler's development. These indicate effects on a preschooler'

The nurse is caring for a child dying from cancer. Physical signs that the child is approaching death include:
A. rapid pulse
B. change in respiratory pattern
C. sensation of cold, although body feels hot
D. loss of hearing followed by loss of other sense

B
The pulse becomes weak and slowed. In the final hours of life the respiratory pattern may become labored, with periods of apnea. The opposite is true; there is a sensation of heat, although the body feels cold. Hearing is the last sense to fail.

A terminally ill male adolescent is being admitted to the hospital due to lack of pain relief. When communicating with this patient about his feelings on death, the nurse should incorporate which actions into the plan of care? (Select all that apply).
A.

A, F
Adolescents are likely to see deviations from accepted behavior as reasons for their illness. The nurse should avoid alliances with either parent or child when discussing death. Adolescents usually have a mature understanding of death rather than vie

The nurse is caring for an 8-year-old child who has a chronic illness. The child has a tracheostomy, and a parent is rooming-in during this hospitalization. The parent insists on providing almost all of the child's care and tells the nurses how to care fo

C
Because these parents care for this child with complex health needs at home, they are most familiar with the care requirements and routine. The nurse's role includes assessment and evaluation, not just the implementation phase. The nurse recognizes that

Denial is a common reaction to the diagnosis of a disability or chronic illness. The nurse knows that the use of denial as a defense mechanism:
A. is maladaptive
B. is a necessary cushion to prevent disintegration
C. prevents the mobilization of energies

B
Denial is not maladaptive until it interferes with treatment goals. Adaptive denial is effective as the family begins to learn the effect that the diagnosis will have on their family. Denial may allow a sense of hope at a time when the family is feeling

Several nurses tell their nursing supervisor that they want to be able to attend the funeral of a child for whom they had cared. They say they felt especially close to both the child and the family. The supervisor should recognize that attending the funer

B
Families may or may not expect this expression of concern. Nurses should attend the funeral of a child if they felt closeness with the family. This will help the nurses grieve and gain closure. The behavior is appropriate if a relationship existed betwe

A 9-year-old child has several physical disabilities. His father explains to the nurse that his son concentrates on what he can, rather than cannot do and is as independent as possible. The nurse's best interpretation of this is that:
A. the father is exp

C
The father is describing an adaptive coping style. The father views his son's coping as adaptive. This description is characteristic of a child using an adaptive coping style. The child learns to accept physical limitations but finds achievements in a v

When planning a child safety health fair presentation addressing causes of death in children, the nurse should include which topics? (Select all)
A. Suicide prevention support groups for 5 to 9 year olds
B. Sexually transmitted infection prevention for 15

B, C, D, E
The leading causes of death in children 5 to 9 years old include injuries (accidents), malignant neoplasms, congenital anomalies, assault (homicide), and heart disease. In children 10 to 14 years old, suicide is the third leading cause of death

The nurse notes that the parents of a critically ill child spend a large amount of time talking with the parents of another child who is also seriously ill. They talk with these parents more than with the nurses. The nurse should recognize that the:
A. pa

A
This type of support is unique and not available from other sources. Being with other parents who have shared similar experiences (e.g., hospitalization) allows a mutually supportive environment. Rather than being a dependent relationship, parents provi

Parents ask the nurse for advice when telling their 4-year-old about a grandmother's death. The nurse's best response involves teaching the parents that the child's concept of death is:
A. temporary
B. permanent
C. personified in various forms.
D. inevita

A
Death is seen as a temporary departure. Death is thought of as not permanent; life and death can change places with each other. Personification is typical of school-age children. Children 9 to 10 years old have this understanding of death.

A child who is terminally ill with bone cancer is in severe pain. Nursing interventions should be based on knowledge that:
A. children tend to be overmedicated for pain
B. giving large doses of opioids causes euthanasia
C. narcotic addiction is common in

D
Continuing studies report that children are consistently undermedicated for pain. The dose is titrated to relieve pain. Addiction refers to a psychologic dependence on the medication, which does not happen in terminal care. Large doses may be needed bec