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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urine specific gravity 1.015 is correct. A specific gravity of 1.015 indicates good hydration status and that the child is effectively retaining fluids after oral rehydration therapy. Normal urine specific gravity ranges from 1.010 to 1.020.
B. Respiratory rate 24/min is not directly related to hydration status and does not necessarily indicate that rehydration therapy has been effective. It is a normal rate for a 3-year-old child, but respiratory rate alone isn't an indicator of fluid balance.
C. Heart rate 130/min is elevated for a 3-year-old child and may indicate dehydration or other stressors, suggesting that oral rehydration therapy has not been completely effective. A normal heart rate for this age is typically 80-120 beats per minute.
D. Capillary refill greater than 3 seconds is a sign of dehydration and poor perfusion, indicating that the oral rehydration therapy has not been effective in restoring hydration. Normal capillary refill time is less than 2 seconds.
Correct Answer is C
Explanation
A. 2-3 months is too early for palatoplasty, as the child’s palate and facial structures need time to develop. Surgical repair of the palate is typically done later, once the child is more developed.
B. 18-24 months is too late for the initial palatoplasty. Early intervention is preferred for speech development and other aspects of the child’s overall growth.
C. 6-12 months is the recommended age range for palatoplasty, as this is the time when the child’s palate has matured enough for surgery, and earlier intervention supports optimal outcomes for speech and facial development.
D. 4-5 years is too late for the first palatoplasty. However, additional surgeries or interventions may be needed during this age range as the child grows and their oral structures continue to develop.
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