A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?
"You should be prepared to answer your child's questions about dying."
"Your child likely views death as temporary."
"You should hide your grief as much as possible around your child."
"You should limit visits between the siblings at this time."
The Correct Answer is A
A. "You should be prepared to answer your child's questions about dying." is appropriate because children at this age may have questions about death and dying. It is important for the guardian to be honest and provide age-appropriate answers to help the child understand and cope with their situation.
B. While younger children often view death as temporary, a 10-year-old child typically has a more developed understanding of the finality of death. This statement might not be accurate for this age group.
C. Hiding grief is not recommended as it can create an atmosphere of secrecy and fear. It is better to model healthy expressions of emotions and provide support for the child's feelings.
D. Limiting visits between siblings may not be necessary and can be detrimental. Sibling support can be very important for both the ill child and the sibling, providing comfort and a sense of normalcy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement reassures the child that they are not to blame for the maltreatment and supports their emotional well-being.
B. This statement could make the child feel guilty and is not supportive.
C. The nurse cannot promise confidentiality in cases of suspected abuse, as reporting is mandatory.
D. While this statement is supportive, it does not directly address the child's potential feelings of guilt or self-blame.
Correct Answer is A
Explanation
A. Giving small amounts of oral rehydration solution frequently helps to prevent dehydration without overwhelming the child's stomach. This method is effective in rehydrating the child gradually and is well tolerated.
B. Fruit juices, especially those high in sugar, can worsen diarrhea and dehydration. They are not recommended for rehydration in cases of gastrointestinal infections.
C. While bananas and rice are part of the BRAT diet and can be included in meals, they do not address the immediate need for rehydration as effectively as oral rehydration solutions.
D. Promethazine is an antiemetic that is not typically indicated for mild dehydration and can have sedative side effects. Oral rehydration is the priority in managing mild dehydration.
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