A nurse manager is preparing to discuss methods to help staff who care for terminally ill children cope with the stress of caring for their patients and families. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Mindfulness meditation techniques

Work extended shifts

Develop professional support systems

Take sleep aids at night

Attend funeral services if desired

Answer and Explanation

Correct Answer : A,C,E

A. Mindfulness meditation techniques are effective strategies for managing stress and improving emotional well-being. These techniques help staff process their feelings and reduce anxiety, allowing for better coping with the emotional demands of caring for terminally ill children.

B. Work extended shifts is not recommended. Long shifts without adequate breaks contribute to burnout and fatigue, which can impair the ability to provide quality care and negatively affect staff well-being.

C. Develop professional support systems is critical. Building a support network with peers, supervisors, or mental health professionals can help staff process difficult emotions and prevent burnout.

D. Take sleep aids at night is not an ideal solution. While sleep is essential for stress management, reliance on sleep aids can lead to dependency and does not address the underlying stress or emotional challenges. Healthy sleep hygiene practices are more beneficial in the long term.

E. Attend funeral services if desired can be a meaningful way for staff to express their grief and provide closure. It also offers an opportunity for emotional support, which is crucial in maintaining emotional health after working with terminally ill children.

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Correct Answer is B

Explanation

A. "We will avoid giving our child any dairy products during an exacerbation." Avoiding dairy products during a Crohn's disease exacerbation is often recommended because many individuals with Crohn's disease are lactose intolerant, and dairy can exacerbate symptoms such as diarrhea.

B. "We will make sure our child eats plenty of fruits and vegetables during an exacerbation." During an exacerbation of Crohn's disease, a high-fiber diet (including many fruits and vegetables) can be problematic, as it may irritate the intestines and worsen symptoms. This statement indicates a need for further teaching.

C. "We will increase our child's intake of high-fiber foods, such as whole grains and legumes." High-fiber foods should generally be avoided during a Crohn's disease flare-up because they can be difficult to digest and may worsen symptoms. However, this advice might be appropriate during periods of remission.

D. "We will encourage our child to drink plenty of fluids, especially water." Hydration is important, particularly during exacerbations, when the risk of dehydration increases due to diarrhea. This is a correct statement.

A. They may believe that death is punishment for bad behavior. B. They may believe that death is temporary or reversible. C. They may have a fear of death and view it as something to be avoided. D. They understand death as a natural part of the life cycle. E. They may believe that death is caused by their thoughts. F. They have a concrete understanding of death as a permanent cessation of life.

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

Explanation

A. They may believe that death is punishment for bad behavior. Preschool-aged children may have a limited understanding of death and may see it as a form of punishment for wrongdoing. They may not fully comprehend that death is a natural event.

B. They may believe that death is temporary or reversible. At this age, children tend to have magical thinking and may believe that the deceased person can come back to life or that they will return after a period of time.

E. They may believe that death is caused by their thoughts. Preschoolers often struggle with the concept of causality and may believe that their thoughts or wishes could cause something to happen, including death.

C. They may have a fear of death and view it as something to be avoided. While some preschoolers may fear death, this is more common in older children or adolescents who begin to grasp the permanency of death.

D. They understand death as a natural part of the life cycle. Preschool children typically do not have a fully developed understanding of death as part of the life cycle; they may not recognize its natural inevitability.

F. They have a concrete understanding of death as a permanent cessation of life. A concrete understanding of death is usually not achieved until later childhood (around 7-9 years of age) when children start to understand the permanence and finality of death.

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A nurse manager is preparing to discuss methods to help staff who care for terminally ill children cope with the stress of caring for their patients and families. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing teaching to the parents of a school-aged child newly diagnosed with Crohn's disease about dietary measures to implement during an exacerbation. Which statement made by the parents indicates a need for further instruction?

Correct Answer is B

Explanation

How do preschool-aged children typically understand death? (Select All that Apply.)

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

Explanation

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