A nurse is reinforcing teaching to the parent of a terminally ill child about end-of-life care. Which of the following statements by the parents indicates an understanding of the teaching?

"My child should not be involved in their treatment plan.”

"My child is too young for medication techniques to help with pain."

“Hospice will provide my child with spiritual and mental health care."

"We should not discuss the possibility of death with our child."

Answer and Explanation

The Correct Answer is C

A. "My child should not be involved in their treatment plan." Children, even those who are terminally ill, benefit from age-appropriate involvement in their care. Allowing them to participate in decisions when possible helps reduce anxiety and provides a sense of control.

B. "My child is too young for medication techniques to help with pain." Pain management, including medications and non-pharmacologic methods, is essential for children of all ages. Palliative care ensures comfort, regardless of age.

C. "Hospice will provide my child with spiritual and mental health care." Hospice care addresses the physical, emotional, and spiritual needs of terminally ill children and their families. Counseling, pastoral support, and grief resources are essential components of end-of-life care.

D. "We should not discuss the possibility of death with our child." Open and age-appropriate discussions about death help children understand their condition and process emotions. Avoiding the topic can lead to confusion and increased fear.

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Correct Answer is C

Explanation

A. "Vaccinations, especially the MMR vaccine, have been proven to be a leading cause of autism in children." This statement is false. Extensive research has shown no link between vaccines, including the MMR vaccine, and autism. The original study suggesting a connection was discredited and retracted due to fraudulent data.

B. "ASD is primarily caused by poor parenting and a lack of nurturing in early childhood." This outdated theory, once known as the "refrigerator mother" hypothesis, has been debunked. Autism is a neurodevelopmental disorder with biological origins, not a result of parenting style.

C. "The exact causes of autism spectrum disorder are not fully understood, but it is believed to be related to a combination of genetic and environmental factors." This is correct. Research suggests that genetic predisposition, along with environmental influences (such as prenatal factors or advanced parental age), plays a role in ASD development. However, no single cause has been identified.

D. "ASD can be caused by consuming gluten and casein, which are found in wheat and dairy products, respectively." There is no scientific evidence that gluten or casein causes autism. While some parents report behavioral improvements on gluten-free or casein-free diets, these diets do not cause or cure autism.

A. Bullying B. Absenteeism C. Decreased intelligence quotient score D. Behavioral issues towards other students E. Mental health concerns

Correct Answer is ["A","B","E"]

Explanation

A. Bullying. Children with chronic illnesses may be at higher risk of bullying due to visible symptoms, medical devices (e.g., insulin pumps, braces), or frequent absences. Bullying can negatively impact their self-esteem and emotional well-being.

B. Absenteeism. Chronic illnesses often require frequent medical appointments, hospitalizations, or rest periods, leading to increased school absences. This can affect academic performance and social integration.

C. Decreased intelligence quotient (IQ) score. While chronic illness can affect cognitive function in some cases (e.g., severe epilepsy, untreated hypothyroidism), most children with chronic illnesses do not inherently have lower IQ scores. Learning difficulties are more often linked to fatigue, medication side effects, or missed instruction time rather than a direct decrease in intelligence.

D. Behavioral issues toward other students. While some children may struggle with frustration or emotional distress due to their illness, chronic illness does not inherently cause aggressive behavior toward peers. However, emotional regulation difficulties may arise due to stress or anxiety related to their condition.

E. Mental health concerns. Anxiety, depression, and feelings of isolation are common among children with chronic illnesses. They may struggle with self-identity, fear of medical procedures, and social exclusion, increasing the risk of mental health disorders.

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A nurse is reinforcing teaching to the parent of a terminally ill child about end-of-life care. Which of the following statements by the parents indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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