A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and had decided to move out of the house. Which of the following statements should the nurse make?

“I think it is important that you provide emotional support for your family at this time."

"Let's talk about some of the ways, you have handled previous stressors in your life."

"I agree that you have to do what you feel is best for yourself during this stressful time."

"You can't mean that; I'm sure you want to be there for your family."

Answer and Explanation

The Correct Answer is B

A. While emotional support is important, this response may come across as directive and may not acknowledge the father's current emotional state.

B. Asking about how the father has handled previous stressors allows him to reflect on coping mechanisms and may provide insight into how he can manage the current situation.

C. While acknowledging the father's feelings is important, agreeing without further exploration may not help him address the emotional distress he is experiencing.

D. Dismissing the father’s feelings or emotions can invalidate his experience, which could prevent him from opening up about his struggles.

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Correct Answer is D

Explanation

A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.

B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.

C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.

D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.

A. Keep the infant NPO for 6 hr prior the procedure. B. Hold the infant's chin to his chest and knees to his abdomen during the procedure. C. Apply a eutectic mixture of lidocaine and prilocaine cream topically 15 min prior to the procedure. D. Place the infant in an infant seat for 2 hr following the procedure.

Correct Answer is B

Explanation

A. Typically, infants are kept NPO for 1-2 hours before a lumbar puncture, not 6 hours.

B. Holding the infant’s chin to the chest and knees to the abdomen during the lumbar puncture is the correct positioning. This position opens the intervertebral spaces and allows for easier access to the spinal cord.

C. Eutectic mixture of lidocaine and prilocaine (EMLA) cream should be applied 60 minutes before the procedure for effective local anesthesia, not 15 minutes.

D. After the procedure, the infant should be placed flat to avoid pressure on the lumbar area, not in an infant seat. The infant should be positioned on their back or side to prevent strain.

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A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and had decided to move out of the house. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

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