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 B

Explanation

A. Confusion and altered mental status can be signs of increased ICP, but these symptoms are not specific. Confusion or altered consciousness may also be observed in other conditions, so this alone may not definitively indicate increased ICP.

B. Increased diastolic pressure with narrowing pulse pressure is a classic sign of increased intracranial pressure and is a key component of Cushing's triad. This triad, which also includes bradycardia and irregular respirations, is a critical indicator of impending brain herniation and requires immediate intervention.

C. Irregular, rapid heartbeat is not a direct sign of increased ICP. While heart rate changes can occur with changes in ICP, they are usually seen as part of Cushing’s triad and would typically present with bradycardia, not rapid heartbeat.

D. Rapid, shallow breathing can occur in response to other conditions, but it is not the most specific or early sign of increased ICP. Changes in the respiratory pattern with increased ICP often involve more distinct alterations like Cheyne-Stokes or irregular breathing patterns.

A. White rice B. Applesauce C. Fruit juice D. Bananas

Correct Answer is C

Explanation

A. White rice is typically recommended during diarrhea as it is easy to digest and helps bind stools. It is part of the BRAT diet (bananas, rice, applesauce, toast), which is often advised during gastrointestinal upset.

B. Applesauce is also commonly recommended as part of the BRAT diet during diarrhea. It is gentle on the stomach and can help firm up stools.

C. Fruit juice should be avoided during diarrhea. It contains high levels of sugar and can worsen diarrhea by increasing the osmotic load in the intestines, potentially leading to more fluid loss.

D. Bananas are a good option during diarrhea as they are gentle on the stomach, provide potassium, and help bind stools. They are also part of the BRAT diet, which is often recommended for children with diarrhea.

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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 child with a head injury is at risk for increased intracranial pressure (ICP). Which change in status would alert the nurse to believe an increase in ICP has occurred?

Correct Answer is B

Explanation

A 5-year-old child is experiencing diarrhea and the nurse is providing education to the parent about dietary changes. Which of the following foods should the parent avoid giving to the child during this time?

Correct Answer is C

Explanation

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