A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

"Palliative care will begin once your child has been given 6 months left to live."

"Palliative care only addresses your child's physical and mental needs."

"Your child will have the final say in all decisions regarding palliative care."

"The primary goal of palliative care is to improve your child's quality of life."

Answer and Explanation

The Correct Answer is D

A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.

B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.

C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.

D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.

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Correct Answer is C

Explanation

A. Encopresis refers to the inappropriate passage of stool, typically seen in children with chronic constipation. It is not associated with mechanical obstruction.

B. Pyloric stenosis involves a narrowing of the pyloric sphincter, leading to projectile vomiting rather than a mechanical obstruction of the intestines.

C. Hirschsprung's disease involves inadequate motility of part of the colon due to a lack of ganglion cells, leading to a mechanical obstruction.

D. Enterocolitis refers to inflammation of the intestines and is not a primary cause of mechanical obstruction.

A. Allow for adjustment of rules to correlate with the child's behavior. B. Provide a flexible schedule that adjusts to the child's interests. C. Establish a reward system for positive behavior. D. Allow for imaginative play with peers without supervision.

Correct Answer is C

Explanation

A. While consistency is important for children with autism, allowing for frequent rule adjustments can be confusing. Rules should be stable to help the child feel secure.

B. A flexible schedule that adjusts to the child's interests may not work well. Children with autism benefit from a predictable, structured routine.

C. Establishing a reward system for positive behavior is a key intervention. Positive reinforcement can encourage desired behaviors and support the child's development.

D. Children with autism often struggle with social interactions, and unsupervised imaginative play may result in challenges. Supervision is important to support safe and appropriate social engagement.

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A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

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