A nurse is caring for a family immediately after the death of their child. The family expresses intense grief and wishes to remain with the child for as long as possible. Which of the following nursing actions is the most appropriate to support the family during this time?
Immediately arrange for the removal of the child's body to the morgue to allow the family privacy.
Us language such as "passed away" when discussing the child's death to soften the impact.
Delay any contact with the family until the attending physician pronounces the death to avoid interfering with medical protocols.
Encourage the family to participate in bathing and collecting mementos, explaining the changes they may observe in the child's body.
The Correct Answer is D
A. Immediately arrange for the removal of the child's body to the morgue to allow the family privacy: Removing the body too quickly can prevent the family from spending meaningful time with their child and interfere with the grieving process. Privacy should be maintained while allowing time for farewell.
B. Use language such as "passed away" when discussing the child's death to soften the impact: Gentle language is supportive but does not actively address the family’s needs to see, touch, and say goodbye to their child, which is critical in the immediate aftermath of death.
C. Delay any contact with the family until the attending physician pronounces the death to avoid interfering with medical protocols: While confirmation of death is necessary, supportive presence can begin immediately once death is imminent or pronounced, ensuring the family is not left alone during intense grief.
D. Encourage the family to participate in bathing and collecting mementos, explaining the changes they may observe in the child's body: Allowing the family to engage in care activities and creating mementos supports emotional closure, helps with the grieving process, and provides compassionate care while preparing them for the natural changes that occur after death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. It can lead to physical manifestations in children, like stomach pain, even in the absence of a specific illness or cause: Hospitalization can be a stressful experience for toddlers, and stress may manifest as somatic symptoms such as stomachaches, headaches, or changes in appetite, even without an underlying medical cause.
B. Children who are undergoing hospitalization are not affected by changes in their usual routine and environment: Hospitalization disrupts familiar routines and environments, which can increase anxiety, stress, and behavioral changes in children.
C. Stress during hospitalization is unlikely to influence the recovery and health outcomes of pediatric clients: Stress can negatively affect immune function, pain perception, and overall recovery, making it an important factor to address in pediatric care.
D. It can negatively impact children's mental health: Hospitalization can lead to fear, anxiety, regression, and emotional distress, particularly in toddlers who have limited coping mechanisms and understanding of medical procedures.
E. Pediatric clients of all ages experience hospitalization in a similar manner: Children’s reactions to hospitalization vary widely depending on their developmental stage, temperament, previous experiences, and support systems, so experiences are not uniform across all ages.
Correct Answer is D
Explanation
A. Provide the parents with pamphlets for support groups for children with developmental delays: While connecting families to support resources is important, this action is not the immediate priority before confirming or further evaluating the suspected delay.
B. Utilize social work for referral to early intervention: Referral to early intervention is essential, but the nurse must first communicate concerns and assessment findings to the primary care provider to initiate formal evaluation and referral.
C. Educate the parents on the developmental delays their child is diagnosed with: Education should follow formal diagnosis; at this point, the child has only suspected developmental delays, so education would be premature.
D. Discuss the assessment findings with the primary care provider: Sharing findings with the provider is the priority because it ensures the child receives a timely and appropriate diagnostic evaluation and any necessary referrals, forming the foundation for early intervention.
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