NURS 4140: Child Health Exam 2 Questions And All Correct Answers.
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Course
Complex child health
Institution
Complex Child Health
A nurse is caring for a child who is near death. Which physical signs indicate the child is approaching death? (Select all that apply.)
a. Speech becomes rapid
b. Difficulty swallowing
c. Tactile sensation decreasing
d. Body feels warm
e. Change in respiratory pattern - Answer The correct a...
NURS 4140: Child Health Exam 2
Questions And All Correct Answers.
A nurse is caring for a child who is near death. Which physical signs indicate the child is approaching
death? (Select all that apply.)
a. Speech becomes rapid
b. Difficulty swallowing
c. Tactile sensation decreasing
d. Body feels warm
e. Change in respiratory pattern - Answer The correct answers are: Tactile sensation decreasing,
Change in respiratory pattern, and Difficulty swallowing.
Physical signs of approaching death include tactile sensation beginning to decrease, a change in
respiratory pattern, and difficulty swallowing. Even though there is a sensation of heat the body feels
cool, not warm, and speech becomes slurred, not rapid.
At which age do most children have an adult concept of death as being inevitable, universal, and
irreversible?
a. 12 to 13 years
b. 6 to 7 years
c. 9 to 11 years
d. 4 to 5 years - Answer The correct answer is: 9 to 11 years
By age 9 to 11 years, children have an adult concept of death. They realize that it is inevitable, universal,
and irreversible.
The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?
a. Toddler
b. Preschooler
c. Adolescent
,d. School-age child - Answer The correct answer is: Preschooler
Preschoolers are most likely to be affected by feelings of guilt that they caused the illness or disability or
are being punished for wrongdoings. Toddlers are focused on establishing their autonomy. The illness
will foster dependence. The school-age child will have limited opportunities for achievement and may
not be able to understand limitations. Adolescents face the task of incorporating their disabilities into
their changing self-concept.
The nurse is talking with the parents of a child who died 6 months ago. They sometimes still "hear" the
child's voice and have trouble sleeping. How would the nurse interpret these feelings?
a. These grief responses are more typical of the early stages of grief.
b. This grieving is essential until the pain is gone and the child is gradually forgotten.
c. These are normal grief responses.
d. The pain of the loss is usually less by this time. - Answer The correct answer is: These are normal
grief responses.
These are normal grief responses. The process of grief work is lengthy.
The parents of a child born with disabilities ask the nurse for advice about discipline. Which information
about discipline would the nurse's response include?
a. It is not needed unless the child becomes problematic.
b. It is essential for normal development.
c. It is best achieved with punishment for misbehavior.
d. It is too difficult to implement with a special-needs child. - Answer The correct answer is: It is
essential for normal development.
Discipline is essential for the child. It provides boundaries on which to test out their behavior and
teaches them socially acceptable behaviors. The nurse should teach the parents ways to manage the
child's behavior before it becomes problematic. Punishment is not effective in managing behavior.
When considering palliative care for a young child with a life-threatening illness, which is an important
consideration?
a. The family is included in the decision to shift the goals of treatment.
, b. The decision must be made by the health professionals involved in the child's care.
c. The decision should not be communicated to the family because it will encourage a sense of
hopelessness.
d. The family needs to understand that palliative care takes place in the home. - Answer The correct
answer is: The family is included in the decision to shift the goals of treatment.
When the child reaches the terminal stage, the nurse and physician should explore the family's wishes.
The family should help decide what interventions will occur as they plan for their child's death.
Which is a characteristic of chronic sorrow often experience by parents who have a chronically ill child?
a. Periods of intensified sorrow when experiencing anger and guilt
b. Lack of acceptance of the child's limitation
c. Periods of intensified sorrow and loss that occur in waves over time
d. Lack of available support to prevent sorrow - Answer The correct answer is: Periods of intensified
sorrow and loss that occur in waves over time.
Chronic sorrow is manifested by feelings of sorrow and loss that recur in waves over time. The sorrow is
in response to the recognition of the child's limitations. The family should be assessed in an ongoing
manner to provide appropriate support as the needs of the family change. The sorrow is not
preventable. The chronic sorrow occurs during the reintegration and acknowledgment stage.
Which nursing intervention would the nurse include to help the siblings of a child with special needs
cope?
a. Encourage the parents not to expect siblings to help them care for the child with special needs
b. Provide information to the siblings about the child's condition only as they request it
c. Explain to the siblings that embarrassment is unhealthy
d. Suggest to the parents ways of showing gratitude to the siblings who help care for the child with
special needs - Answer The correct answer is: Suggest to the parents ways of showing gratitude to the
siblings who help care for the child with special needs
The presence of a child with special needs in a family will change the family dynamic. Siblings may be
asked to take on additional responsibilities to help the parents to care for the child. The parents should
show gratitude, such as an increase in allowance, special privileges, and verbal praise. Embarrassment
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