A nurse is caring for a child on a pediatric unit who is at the end-of-life stage. Which of the following actions should the nurse take to help the sibling cope with the child's diagnosis?
Consult the Child Life Specialist to speak with the sibling.
Discourage the sibling from talking about their feelings with the child.
Limit the amount of time the sibling spends at the hospital.
Have the sibling leave the room during the child's care.
The Correct Answer is A
A. Consult the Child Life Specialist to speak with the sibling. Child Life Specialists are trained to help children and their families cope with illness, hospitalization, and the end-of-life process. This is an appropriate and supportive action.
B. Discourage the sibling from talking about their feelings with the child. Discouraging the sibling from expressing their feelings can be harmful and inhibit healthy emotional processing. Open communication should be encouraged.
C. Limit the amount of time the sibling spends at the hospital. Limiting time at the hospital might make the sibling feel excluded or increase feelings of fear and anxiety. Involvement and presence can be beneficial for coping.
D. Have the sibling leave the room during the child's care. Excluding the sibling during care can increase feelings of anxiety and helplessness. Involvement in appropriate aspects of care can be helpful for the sibling's coping process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Unable to roll from back to abdomen. Incorrect. Many infants do not roll over until closer to 6 months old, so this is not a concerning finding at 5 months.
B. Absent grasp reflex. Incorrect. The grasp reflex typically disappears around 4 to 6 months of age, so its absence is normal at this stage.
C. Unable to hold a bottle. Incorrect. Holding a bottle can vary widely, and many 5-month-olds do not yet have this skill.
D. Exhibits head lag when pulled to a sitting position. Correct. By 5 months, most infants should have sufficient neck muscle control to not exhibit head lag. Persistent head lag could indicate a developmental delay or neurological problem.
Correct Answer is B
Explanation
A. A 3-year-old child with a newly applied cast for a fractured arm who stutters: Stuttering in a 3-year-old is not an immediate indicator for an auditory evaluation unless accompanied by other signs of hearing issues.
B. A 3-month-old infant discharged two days ago after hospitalization for bacterial meningitis: Bacterial meningitis can lead to hearing loss, so an auditory evaluation is appropriate for this infant to assess for any hearing impairment resulting from the infection.
C. A 24-month-old toddler who recently completed a course of erythromycin for treatment of pertussis: Erythromycin use is not typically associated with hearing loss. The focus should be on monitoring recovery from pertussis.
D. A 6-month-old infant who is experiencing loose stools and is babbling loudly: Loose stools and babbling are not related to hearing issues and do not indicate the need for an auditory evaluation.
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