Chapter 18 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 18  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
The nurse working on a pediatric unit is speaking to a child who is terminally ill. The child is describing her illness in terms of mutilation to her body. The nurse understands this to be representative of the development of which age group?
1. Adolescents
2. Preschoolers
3. School-age children
4. Infants
Correct Answer: 2
Rationale 1: Adolescents have a mature understanding of death, but the normal developmental milestones of adolescence add to their problems in facing a terminal illness.
Rationale 2: Preschool-age children can see their bodies deteriorate and feel the effects of medications used during disease progression and treatment.
Rationale 3: School-age children have subtle fears about body integrity and anxieties about the seriousness of their illness.
Rationale 4: Infants and toddlers are not actually aware of death, but they are aware of and react to changes in normal routines and the behavior of their parents.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 18-1

Question 2
Type: MCMA
The nurse is caring for a child with a terminal illness. Physical care for the dying child would include which interventions?
Standard Text: Select all that apply.
1. Providing oral care to moisten a dry mouth
2. Administering ordered laxatives to counter the effects of opioids
3. Encouraging a favorite food
4. Keeping the child pain-free
5. Taking vital signs and blood pressure every two hours
Correct Answer: 1,2,3,4
Rationale 1: Oral care will provide moisture to a dry mouth and increase the child’s physical comfort.
Rationale 2: Opioids given for pain often cause constipation. Relief of constipation will increase the child’s comfort.
Rationale 3: Offering and encouraging favorite foods and liquids as tolerated should be part of the physical care.
Rationale 4: Providing analgesia to promote optimal pain relief. Oral, transdermal, or rectal analgesia is available for families who choose to withhold intravenous fluids.
Rationale 5: Measuring vital signs will be intrusive, uncomfortable, and provide no benefit to the dying child.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-6

Question 3
Type: MCSA
The nurse is providing postmortem care to a child. Along with following the facility’s guidelines, what else should the nurse consider?
1. Identifying the family’s wishes for postmortem care before performing care
2. Avoiding delay in moving the body to the morgue
3. Removing all articles from patient’s body
4. Leaving all equipment in the room during postmortem care
Correct Answer: 1
Rationale 1: There are many cultural variations in how the body should be handled after death. For example, in some cultures, the family will wish to wash and dress the body.
Rationale 2: The family may want to spend time with the deceased and should be allowed to spend as much time as they need with the child’s body.
Rationale 3: Ask before removing any jewelry or other items from the child because cultural and spiritual practices might specify that the articles remain on the child after death.
Rationale 4: The nurse can remove the equipment in the room during postmortem care.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-7

Question 4
Type: MCSA

The nurse is working in a PICU with several children with life-threatening illnesses. The children come from a variety of cultural and religious groups. Because of their religious beliefs, the parents of which religious group should not be contacted regarding organ and tissue donation?
1. Jehovah’s Witness
2. Islam
3. Hinduism
4. Buddhism
Correct Answer: 1
Rationale 1: Jehovah’s Witnesses forbid organ donation.
Rationale 2: In Islam, organ donation is acceptable.
Rationale 3: In Hinduism, autopsy and organ donation are acceptable.
Rationale 4: In Buddhism, organ donation is considered an act of mercy.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-2

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