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
Explanation
A. "Your child should have their blood pressure checked every time they are seen for a health care visit.": Children with a strong family history of hypertension are considered at increased risk, so regular monitoring at each health care visit allows for early detection and intervention if elevated blood pressure develops.
B. "Your child should have blood pressure screening annually, starting at 3 years of age.": Standard guidelines recommend routine annual screening starting at 3 years for children without risk factors, but those with a family history of hypertension require more frequent monitoring.
C. "Your child should have blood pressure screenings every 6 months, starting at 2 years of age.": While increased frequency may be considered in some high-risk children, standard recommendations prioritize checking at each visit rather than a fixed 6-month schedule.
D. "Your child will not have blood pressure screening until they are in high school.": Delaying screening until adolescence would miss opportunities for early identification and management of elevated blood pressure, particularly in children at risk due to family history.
Correct Answer is B
Explanation
A. "A provider will explain the changes you may see in your child's body after they have died.": Nurses are often the primary professionals who prepare families for expected postmortem changes such as skin cooling, color changes, and cessation of breathing. Limiting this role to a provider is inaccurate and may delay timely, compassionate education.
B. "Several members of the team will assist you after your child dies.": After a child’s death, an interprofessional team—including nurses, providers, chaplains, social workers, and bereavement specialists—supports the family. This assistance includes emotional support, guidance through next steps, and honoring cultural or spiritual practices. Preparing families for this support helps reduce anxiety and feelings of isolation.
C. "A nurse must obtain locks of hair from the deceased child.": Creating keepsakes such as locks of hair is optional and should be guided by family preference and cultural considerations. It is never mandatory and should only be offered sensitively. Presenting this as a requirement may be distressing to families.
D. "Warming blankets can minimize the body changes in deceased children.": After death, physiologic changes such as cooling and mottling are expected and cannot be prevented with warming measures. Applying warming blankets may create false expectations or confusion. Comfort measures are directed toward the family rather than altering postmortem changes.
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