A nurse is assisting with the care of a school-age child who is terminally ill. Which of the following interventions should the nurse perform?
Encourage the family to involve siblings when caring for the child.
Reinforce with the family that they should avoid discussing death with the child.
Collect vital signs every 2 hr as the child's condition deteriorates.
Perform passive range of motion to the child's extremities every 4 hr.
The Correct Answer is A
A. Encouraging the family to involve siblings in the care of the terminally ill child is important for fostering family support, allowing siblings to understand the situation, and promoting emotional bonding.
B. Avoiding discussions about death is not recommended. It is important to communicate with the child about death in an age-appropriate manner to help them understand and cope with the situation.
C. While monitoring vital signs is important, it is not the most therapeutic intervention in the final stages of terminal illness. Comfort care, including pain management and emotional support, takes priority.
D. Passive range of motion is not essential for a child in the final stages of terminal illness unless necessary for specific comfort or mobility needs. Care should focus on comfort measures rather than routine interventions.
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Related Questions
Correct Answer is C
Explanation
A. Removing outer clothing can be uncomfortable or distressing for toddlers, so it is often better to do this gradually, allowing the child to feel more at ease.
B. Allowing the toddler to sit in the parent's lap can provide comfort and security during the examination.
C. Allowing the toddler to inspect the stethoscope is an effective way to reduce anxiety and establish trust with the child.
D. Traumatic procedures, such as immunizations or blood draws, should be done last to avoid causing unnecessary distress during the examination.
Correct Answer is C
Explanation
A. Preschoolers typically have a limited understanding of death and may not experience isolation in the way older children or adults do. They may be more concerned about the reactions of those around them rather than feeling isolated.
B. At this stage, preschoolers are more likely to be concerned with bodily functions and their emotional state rather than worrying about physical body changes after death.
C. Preschoolers often perceive death as a form of punishment due to magical thinking. They may believe that death happens because of something they did wrong or something they caused, reflecting a child’s egocentric thinking.
D. Preschoolers generally do not understand the permanence of death. They may believe that the person will return or that they could wake up from a nap. This understanding typically develops around the age of 6.
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