A nurse is preparing an educational program about death and dying for the guardians of children who have a terminal illness. Which of the following information should the nurse include?
Preschoolers believe their illness is punishment for their misbehavior.
Preschoolers are interested in what happens to the body after death.
Adolescents worry more about death than the physical changes that can occur as a result of the illness.
Toddlers personify death as being a type of monster.
The Correct Answer is A
A. Preschoolers believe their illness is punishment for their misbehavior: This statement is true. Preschool-aged children often have a limited understanding of illness and may associate it with punishment. They might think that their illness is a consequence of something they did wrong. As a nurse, it’s essential to address these misconceptions and provide age-appropriate explanations to help them understand their condition better.
B. Preschoolers are interested in what happens to the body after death: Preschoolers may have curiosity about death and what happens afterward, but their understanding is typically limited. They may ask simple questions about death and may need age-appropriate explanations about the concept. Providing information in a sensitive and honest manner can help address their curiosity and alleviate fears.
C. Adolescents worry more about death than the physical changes that can occur as a result of the illness: Adolescents facing terminal illness may have complex emotions and concerns about both death and the physical changes associated with their illness. It's important to acknowledge and address both aspects of their experience, providing opportunities for adolescents to express their feelings and concerns in a supportive environment.
D. Toddlers personify death as being a type of monster: Toddlers often have limited understanding of death and may personify it in different ways, including as a monster or some other abstract concept. It's essential for guardians to provide comfort and reassurance to toddlers who may experience fear or confusion about death. Providing simple and concrete explanations about death, tailored to their developmental level, can help alleviate anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I should place the shoulder harness above the level of my baby's shoulders."
This statement is incorrect. Placing the shoulder harness above the baby's shoulders could lead to improper restraint in the event of a crash. The harness should be positioned at or slightly below the level of the baby's shoulders to provide effective protection.
B. "I should place the car seat rear-facing until my baby is 2 years old."
This statement is correct. The American Academy of Pediatrics recommends that infants and toddlers ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height and weight limit specified by the car seat manufacturer. This position provides optimal protection for the baby's head, neck, and spine in the event of a crash.
C. "I will place the retainer clip over my baby's abdomen."
This statement is incorrect. The retainer clip, also known as the chest clip, should be positioned at armpit level to secure the harness straps. Placing it over the baby's abdomen could result in serious injuries in the event of a crash.
D. "I should position my baby at a 30-degree angle in the car seat."
This statement is incorrect. Infants should be positioned at a 45-degree angle in their car seats. This angle helps to keep the baby's airway open and prevents the head from flopping forward, which could restrict breathing. Placing the baby at a 30-degree angle may not provide adequate support and protection.
Correct Answer is D
Explanation
A. Depressed scalp veins: This is an incorrect choice. In hydrocephalus, there is increased pressure within the skull due to the accumulation of cerebrospinal fluid (CSF). This increased pressure typically leads to distended scalp veins rather than depressed ones.
B. Sunken anterior fontanels: This is an incorrect choice. The fontanel, also known as the soft spot on an infant's head, may actually bulge rather than appear sunken in cases of hydrocephalus due to increased intracranial pressure.
C.Bulging eyes:In individuals with hydrocephalus, especially infants and young children, bulging eyes can sometimes occur.The increased pressure inside the skull can affect various structures within the brain, including the optic nerve and the muscles that control eye movement. This can lead to a condition called papilledema, where the optic nerve becomes swollen due to the pressure. Papilledema can cause changes in vision and, in some cases, contribute to the appearance of bulging eyes.
D.Separated cranial sutures:The separation of cranial sutures in hydrocephalus occurs due to the increased pressure from the excess CSF. This pressure can cause the bones of the skull to move apart, leading to visible gaps or widening of the sutures. Clinically, this can be observed through imaging studies such as CT scans or MRI.
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