A nurse is caring for three toddlers and one preschooler. Which represents the major stressor of hospitalization for these four patients?
Fear of bodily injury
Fear of pain
Separation anxiety
Loss of control
The Correct Answer is C
A. Fear of bodily injury is a concern but may not be as prominent as separation anxiety, particularly in younger children.
B. Fear of pain is significant but often secondary to the anxiety of being separated from parents.
C. Separation anxiety is the most prominent stressor for toddlers and preschoolers, as they struggle with being away from their caregivers.
D. Loss of control can contribute to stress but is more relevant in older children who understand their environment more clearly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clinicians should be involved in discussions about the child’s prognosis to ensure that the family receives clear, compassionate information for decision-making.
B. Palliative care can and should be introduced earlier in the course of the illness, not just when the child is expected to live less than 6 months.
C. Parents expressing hope for survival do not necessarily reject palliative care. Palliative care can focus on comfort and quality of life even when there is still hope for recovery.
D. Palliative care should be integrated with curative care, as it can improve the quality of life while still pursuing treatment options.
Correct Answer is B
Explanation
A. Palliative care does not always take place in the home. It can be provided in hospitals, hospices, or other care settings based on the child’s needs.
B. Palliative care focuses on providing relief from symptoms and improving quality of life for the patient. It is essential that the family is included in the decision-making process to align care with the child’s and family’s goals, ensuring informed choices.
C. While healthcare professionals provide guidance, the decision to transition to palliative care is collaborative and includes the family, respecting their values and wishes.
D. Not communicating the option of palliative care to the family may lead to confusion and a lack of understanding. Transparent discussions are necessary to ensure that families are aware of all care options.
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