A nurse is caring for a preschooler who is terminally ill.
Which of the following reactions to death should the nurse expect?
Perceives death as a punishment.
Worries about physical body changes.
Understands that death is permanent.
Has feelings of isolation.
The Correct Answer is A
Choice A rationale
Preschoolers often perceive death as a punishment due to their egocentric thinking and limited understanding of causality. Terminal illness may amplify this belief, especially if caregivers have previously used punitive language. Developmentally, they attribute events, including death, to personal fault. This rationale aids caregivers in providing comfort tailored to the preschooler’s emotional perspective.
Choice B rationale
Preschoolers typically lack awareness of physical body changes during terminal illness, as their understanding focuses on immediate experiences rather than internal health alterations. Their concrete thinking inhibits abstract comprehension of physiological processes, rendering this response less accurate in predicting their reaction to death.
Choice C rationale
Understanding death's permanence is beyond preschoolers’ cognitive development. Their magical thinking often leads them to believe death is reversible or temporary. Cognitive maturity to grasp concepts of finality emerges later, around school age, so they do not perceive death as permanent during this stage.
Choice D rationale
Feelings of isolation are more common in older children and adolescents due to their advanced emotional maturity and social complexities. Preschoolers, rooted in egocentric thought, primarily seek comfort through caregiver presence and reassurance, making isolation a less typical reaction in this developmental stage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Phantom limb pain education is important but not an immediate priority. It focuses on post-amputation sensation caused by disrupted nerve signals. However, addressing complications like infection is crucial in the immediate postoperative phase to prevent further morbidity.
Choice B rationale
Inspecting the incision site prioritizes infection control. Early signs of infection such as erythema, warmth, or exudate must be addressed immediately to prevent systemic spread. Postoperative infections can impede healing and increase hospital stay. This action directly impacts the child's recovery.
Choice C rationale
Range-of-motion exercises are vital in the long-term rehabilitation phase to prevent contractures. However, these exercises do not address immediate concerns like postoperative infection, making them a secondary priority in acute care.
Choice D rationale
The prone position helps prevent hip flexion contractures in patients post-lower extremity amputation. While essential for long-term musculoskeletal health, this action is not the most critical during the acute recovery phase when infection is a larger concern.
Correct Answer is ["5"]
Explanation
Step 1 is to convert the child’s weight to kilograms. 33 lb ÷ (2.2 lb/kg) = 15 kg.
Step 2 is to calculate the total daily dose. 50 mg × 15 kg = 750 mg/day.
Step 3 is to divide the total daily dose into three doses, as it is given every 8 hours. 750 mg ÷ 3 = 250 mg per dose.
Step 4 is to calculate the volume per dose. (250 mg ÷ 250 mg/5 mL) = 5 mL. The nurse should administer 5 mL per dose.
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