A nurse is teaching a newly hired nurse about emotional responses when caring for a terminally ill child and their family. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

"Nurses should ignore the guilt they feel when a child dies."

"The family members should be made aware that the nurse is experiencing anticipatory grief."

"It is unexpected for you to be personally involved with the client and their family."

"Nurses should participate in grief and death education to resolve grief."

Answer and Explanation

The Correct Answer is D

A. "Nurses should ignore the guilt they feel when a child dies." This statement reflects an unhealthy response to grief. Nurses should acknowledge and process their feelings of guilt, rather than ignoring them, to maintain emotional well-being and provide appropriate care.

B. "The family members should be made aware that the nurse is experiencing anticipatory grief." While nurses may experience anticipatory grief, it is not appropriate to burden the family with the nurse’s own emotional experiences. Nurses should maintain professional boundaries and provide support for the family without disclosing personal grief.

C. "It is unexpected for you to be personally involved with the client and their family." This statement suggests emotional detachment, which can be counterproductive in palliative care. Nurses may form emotional connections, but they should manage their emotional responses appropriately. It’s important to balance emotional involvement with professional boundaries.

D. "Nurses should participate in grief and death education to resolve grief." This statement is correct. Nurses need education on grief and death to understand their emotional responses and help process them effectively. Education helps nurses to support their patients and families while managing their own emotions in a professional way.

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Correct Answer is D

Explanation

A. Placing the client in a semi-Fowler's position is appropriate to help alleviate pressure on the brain and improve comfort. This position can also help with respiratory function, which may be compromised in meningitis.

B. Admitting the client to a private room is necessary to prevent the spread of the infection to other patients. Bacterial meningitis is highly contagious, and isolation is important to limit exposure.

C. Implementing seizure precautions is essential in managing a child with bacterial meningitis because the infection can cause increased intracranial pressure, which may lead to seizures.

D. Measuring head circumference every shift is unnecessary for this child, as it is typically done for infants to monitor for signs of hydrocephalus or increased intracranial pressure. In a 6-year-old child, clinical signs and imaging studies are more reliable for monitoring ICP.

A. Increased appetite B. Pallor C. Tachycardia D. Brittle spoon-shaped nails

Correct Answer is A

Explanation

A. Increased appetite is not an expected finding in a child with iron deficiency anemia. Children with iron deficiency anemia typically experience a reduced appetite or may develop pica (craving non-food substances) rather than an increased appetite.

B. Pallor is a common sign of iron deficiency anemia, as a lack of iron reduces the number of red blood cells and the amount of hemoglobin, leading to pale skin and mucous membranes.

C. Tachycardia is a compensatory response to anemia, as the heart works harder to deliver oxygen to tissues due to a reduced capacity of the blood to carry oxygen.

D. Brittle spoon-shaped nails (koilonychia) are a classic physical finding in iron deficiency anemia, caused by the reduced oxygen delivery to the nails and skin.

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A nurse is teaching a newly hired nurse about emotional responses when caring for a terminally ill child and their family. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Correct Answer is D

Explanation

A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?

Correct Answer is A

Explanation

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