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 B

Explanation

A. "Adolescents may feel responsible for the illness." While younger children may engage in magical thinking and believe they caused their illness, adolescents typically have a more developed understanding of disease processes and are less likely to blame themselves.

B. "Adolescents may feel frustrated for being dependent on others." Adolescents value independence and autonomy, so a terminal illness that forces them to rely on caregivers can lead to frustration, anger, and emotional distress. This struggle with dependency is a common psychosocial challenge in adolescent patients.

C. "Children 3 to 5 years old are too young to understand the difference between life and death." Preschool-aged children may not fully grasp the permanence of death, but they do have some awareness of it. They often see death as temporary or reversible, influenced by their limited cognitive development and exposure to media or stories.

D. "Children around 5 or 6 years old may try to be brave and shield loved ones from distress." While school-aged children may begin to understand the finality of death, the tendency to "be brave" and protect loved ones is more common in older children and adolescents, who have a stronger sense of emotional responsibility.

A. Atrial fibrillation on the cardiac monitor B. Elevated BUN and creatinine on morning laboratory results C. Involuntary movements of extremities D. Alopecia E. Report of chest pain F. Oliguria

Correct Answer is ["C","E"]

Explanation

A. Atrial fibrillation on the cardiac monitor. Rheumatic fever can cause carditis, but atrial fibrillation is not a typical finding. Instead, valvular damage, tachycardia, or murmurs are more commonly observed.

B. Elevated BUN and creatinine on morning laboratory results. Rheumatic fever primarily affects the heart, joints, skin, and brain, not the kidneys. Elevated BUN and creatinine are more indicative of post-streptococcal glomerulonephritis, a separate complication of streptococcal infection.

C. Involuntary movements of extremities. Sydenham’s chorea, characterized by involuntary, jerky movements, is a classic neurologic manifestation of rheumatic fever. It results from inflammation affecting the basal ganglia of the brain.

D. Alopecia. Rheumatic fever does not cause alopecia. Hair loss is more commonly associated with autoimmune diseases such as lupus, not post-streptococcal complications.

E. Report of chest pain. Chest pain can indicate carditis, a major criterion for rheumatic fever. Inflammation of the heart's endocardium, myocardium, or pericardium may lead to pain, murmurs, or heart failure symptoms.

F. Oliguria. Decreased urine output is more commonly seen in post-streptococcal glomerulonephritis rather than rheumatic fever, as rheumatic fever primarily affects the heart, joints, and nervous system.

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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

A hospice nurse is reinforcing teaching to a parent about how age affects how their child experiences a terminal illness. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

A nurse is collecting data from the chart of a child who has streptococcal pharyngitis after being admitted for suspected rheumatic fever. Which of the following findings should the nurse identify as an indication of possible rheumatic fever? (Select All that Apply)

Correct Answer is ["C","E"]

Explanation

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