A nurse is caring for a preschooler who is terminally ill.Which of the following reactions to death should the nurse expect?
Worries about physical body changes.
Has feelings of isolation.
Perceives death as a punishment.
Understands that death is permanent.
The Correct Answer is C
Choice A rationale
Worrying about physical body changes is more typical of older children or adolescents who have a greater understanding of body image and self-concept. Preschoolers are usually not as concerned about changes in their physical appearance in relation to death, as their cognitive development is not yet at that level of comprehension.
Choice B rationale
Feelings of isolation are more commonly associated with older children and adolescents who have a better understanding of social relationships and separation. Preschoolers are more focused on immediate relationships and may not fully grasp the concept of isolation as it relates to death.
Choice C rationale
Preschoolers often perceive death as a punishment due to their egocentric thinking and limited understanding of cause and effect. They may believe that their actions or behavior have directly caused the death or that it is a form of retribution. This perception is a normal part of their cognitive and emotional development.
Choice D rationale
Understanding that death is permanent is a cognitive milestone that typically develops in later childhood. Preschoolers generally do not comprehend the finality of death and may see it as a temporary or reversible state. Their thinking is more concrete and influenced by their immediate experiences and observations. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Avoiding participation in school sports is not recommended for children with asthma. Regular physical activity is important for overall health, and with proper management, children with asthma can safely engage in sports. Exercise-induced asthma can be controlled with pre-exercise medication and an asthma action plan, allowing children to remain active without exacerbating their condition.
Choice B rationale
The correct technique for using a peak flow meter involves inhaling deeply and then exhaling quickly and forcefully, not inhaling deeply and quickly. This instruction is incorrect and could lead to improper use of the device, affecting the accuracy of peak flow measurements. Accurate use of the peak flow meter is essential for monitoring asthma control.
Choice C rationale
Pneumococcal immunization is recommended for children with asthma because they are at an increased risk of respiratory infections, which can trigger asthma exacerbations. The vaccine helps protect against pneumococcal bacteria, reducing the likelihood of serious respiratory complications and supporting overall asthma management.
Choice D rationale
Salmeterol is a long-acting beta-agonist used for the maintenance treatment of asthma. It is not intended for managing acute exacerbations. For acute asthma attacks, short-acting bronchodilators such as albuterol are recommended to provide quick relief of symptoms. Using salmeterol for acute exacerbations could result in inadequate asthma control.
Correct Answer is D
Explanation
Choice A rationale
Flavored yogurt often contains added sugars and lactose, which can exacerbate symptoms in individuals with lactose intolerance. Plain yogurt is typically better tolerated due to its lower lactose content.
Choice B rationale
Calcium-fortified orange juice is a suitable alternative for individuals with lactose intolerance, as it provides essential nutrients without causing digestive symptoms. Limiting intake is not necessary unless other dietary concerns exist.
Choice C rationale
Gradually increasing lactose products in the diet may help some individuals build tolerance over time, but it should be done under medical supervision to avoid discomfort and symptoms.
Choice D rationale
Rice milk is lactose-free and well-tolerated by individuals with lactose intolerance. It serves as a good alternative to cow's milk, providing essential nutrients without causing digestive issues. .
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