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14 Cards in this Set
- Front
- Back
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Which of the following terms best describes a multidisciplinary approach to the management to the management of a terminal illness that focuses on symptom contol and support?
a) Dying care b) Curative care c) Palliative care d) Restorative care |
Palliative care
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A cure is no longer possible for a young child with cancer. The nursing staff recognizes that the goal of treatment must shift from cure to palliation. Which of the following is an important consideration at this time?
a) The family is included in the decision to shift the goals of treatment b) The family needs to understand that palliative care takes place in the home c) The decision must be made by the health professionals involved in the child's care d) The decision should not be communicated to the family because it will encourage a sense of hopelessness |
The family is included in the decision to shift the goals of treatment
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Which of the following best describes the 4 year old child's concept of death?
a) Death is temporary b) Death is permanent c) Death is inevitable d) Death is personified in various forms |
Death is temporary
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A school-age child with cancer is beginning to feel better now that the necessary medical procedures and treatments are not so taumatic. The child has also become very uncooperative with the parents. The nurse should explain that:
a) The child is denying the seriousness of the illness b) This is a common reaction and a way to express anger c) More discipline is needed to deal with the uncooperativeness d) Permissiveness is needed as child copes with a life-threatening illness |
This is a common reaction and a way to express anger
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An important component of hospice care is:
a) The child is cared for in the home b) Medical interventions are discontinued c) Supportive care is provided until the child's death d) Needs of the family are considered as important as those of the child |
Needs of the family are considered as important as those of the child
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Children are often undermedicated for pain during the terminal phase of illness. A factor that contributes to the lack of treatment is:
a) Lack of pain assessment tools for children b) Balancing of effective dosage with side effects c) Parent's concerns about the risk of addiction d) The necessity of using a parenteral route for medications for this type of pain |
Balancing of effective dosage with side effects
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The nurse is providing support to a family who is experiencing anticipatory gried related to their child's imminent death. Which of the following is an appropriate nursing intervention?
a) Be available to family b) Attempt to lighten the mood c) Suggest activities to cheer up the family d) Discourage crying until actual time of death |
Be available to family
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The nurse is caring for a child dying from cancer. Parents ask how they will know that the child is approaching death. The nurse's answer should include which of the following?
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 senses |
Change is respiratory pattern
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At the time of a child's death, the nurse tells his mother, "We will miss him so much." The best interpretation of this is that the nurse is doing which of the following?
a) Denying the mother's sense of loss b) Pretending to be experiencing grief c) Expressing personal feelings of loss d) Talking when listening would be better |
Expressing personal feelings of loss
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The nurse is caring for a child who has just died. The parents ask to be left alone so that they can rock their child one more time. The nurse should do which of the following?
a) Grant their request b) Assess why they think this is necessary c) Discourage this because it will only prolong their grief d) Kindly explain that they need to say good-bye to their child now and leave |
Grant their request
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An adolescent girl dies in the emergency department after a card accident. Her family arrives at the hospital shortly after death. They request to see her body. Because she is disfigured from the accident, the most appropriate nursing action is which of the following?
a) Contact a clergyperson to discuss this problem with them b) Explain that their daughter is disfigured and it would be best not to see her c) Encourage them to wait for viewing until the funeral home has prepared her body d) Inform them of what to expect and then let them see their daughter |
Inform them of what to expect and then let them see their daughter
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Parents tell the nurse that their 7 year old daughter wants to see her brother's body and attend the funeral. Which of the following should the nurse do?
a) Encourage the child to attend funeral but not see the body b) Refer the child to someone who can assess her readiness for these experiences c) Suggest that instead of these experiences the child visit the grave site after the services are over d) Explain that her parents or another significant person should provide support during these experiences |
Explain that her parents or another significant person should provide support during these experiences
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The nurse is talking with the parents of a child who died 6 months ago. They sometimes still "hear" the child's voice and have trouble sleeping. They describe feeling empty and depressed. The nurse should recognize which of the following?
a) These are normal grief responses b) The pain of the loss is usually less by this time c) These grief responses are more typical of the early stages of grief d) This grieving is essential until the pain is gone and the child is gradually forgotten |
These are normal gried responses
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Mandatory requests for organ and tissue donation have been instituted in several states. The nurse recognizes that which of the following children would most likely be acceptable as a transplant donor?
a) Infant with sepsis b) Child who died from a motor vehicle collision c) Adolescent with leukemia d) Child who had prolonged cardiac arrest |
Child who died from a motor vehicle collision
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