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Chapter 20: Family-Centered Palliative Care
Chapter 20: Family-Centered Palliative Care
MULTIPLE CHOICE
1. What is a principle of palliative care that can be included in the care of children?
a. Maintenance of curative therapy
b. Child and family as the unit of care
c. Exclusive focus on the spiritual issues the family faces
d. Extensive use of opiates to ensure total pain control
ANS: B
The principles of palliative care involve a multidisciplinary approach to the management
illness or the dying process that focuses on symptom control and support rather than on cu
longation in the absence of the possibility of a cure. In pediatric palliative care, the focus
the family. Palliative care requires the transition from curative to palliative care. The trans
,drugs.
DIF: Cognitive Level: Applying REF: p. 792 TOP: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity
2. What factor is most important for parents implementing do not resuscitate (DNR) order
a. Parents’ beliefs about euthanasia
b. Presence of other children in the home
c. Experiences of the health care team with other children in this situation
d. Acknowledgment by health care team that child has no realistic chance for cure
ANS: D
Earlier implementation of DNR orders, use of less aggressive therapies, and greater provi
tive care measures are associated with an honest appraisal of the child’s condition. Euthan
an action carried out by a person other than the patient to end the life of the patient sufferi
minal condition. DNR orders do not involve euthanasia but give permission for health car
allow the child to die without intervention. Parents state that regardless of the number of c
have, the death of a child is a new experience and nothing can prepare them for it. Health
may base their discussions with families on prior experiences, but families base their deci
honest appraisal of their child’s condition.
DIF: Cognitive Level: Applying REF: p. 794
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
, a. This attitude is helpful to give parents time to cope.
b. This will help the child cope effectively by denial.
c. Terminally ill children know when they are seriously ill.
d. Terminally ill children usually choose not to discuss the seriousness of their illness.
ANS: C
The child needs honest and accurate information about the illness, treatments, and progno
the increased attention of health professionals, children, even at a young age, realize that s
seriously wrong and that it involves them. Thus, denial is ineffective as a coping mechani
should help parents understand the importance of honesty. Parents may need professional
guidance from a nurse or social worker in this process. Children will usually tell others ho
mation they want about their condition.
DIF: Cognitive Level: Analyzing REF: p. 795
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
4. A 12-year-old child has failed several courses of chemotherapy. An experimental drug i
his parents want him to receive. He has told his parents and the oncologists that he is read
does not want any more chemotherapy. The nurse recognizes what to be true?
a. Parents and child both need support in the decision making.
b. Twelve-year-olds are minors and cannot give consent or refuse treatments.
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Chapter 20: Family-Centered Palliative Care
Chapter 20: Family-Centered Palliative Care
MULTIPLE CHOICE
1. What is a principle of palliative care that can be included in the care of children?
a. Maintenance of curative therapy
b. Child and family as the unit of care
c. Exclusive focus on the spiritual issues the family faces
d. Extensive use of opiates to ensure total pain control
ANS: B
The principles of palliative care involve a multidisciplinary approach to the management
illness or the dying process that focuses on symptom control and support rather than on cu
longation in the absence of the possibility of a cure. In pediatric palliative care, the focus
the family. Palliative care requires the transition from curative to palliative care. The trans
,drugs.
DIF: Cognitive Level: Applying REF: p. 792 TOP: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity
2. What factor is most important for parents implementing do not resuscitate (DNR) order
a. Parents’ beliefs about euthanasia
b. Presence of other children in the home
c. Experiences of the health care team with other children in this situation
d. Acknowledgment by health care team that child has no realistic chance for cure
ANS: D
Earlier implementation of DNR orders, use of less aggressive therapies, and greater provi
tive care measures are associated with an honest appraisal of the child’s condition. Euthan
an action carried out by a person other than the patient to end the life of the patient sufferi
minal condition. DNR orders do not involve euthanasia but give permission for health car
allow the child to die without intervention. Parents state that regardless of the number of c
have, the death of a child is a new experience and nothing can prepare them for it. Health
may base their discussions with families on prior experiences, but families base their deci
honest appraisal of their child’s condition.
DIF: Cognitive Level: Applying REF: p. 794
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
, a. This attitude is helpful to give parents time to cope.
b. This will help the child cope effectively by denial.
c. Terminally ill children know when they are seriously ill.
d. Terminally ill children usually choose not to discuss the seriousness of their illness.
ANS: C
The child needs honest and accurate information about the illness, treatments, and progno
the increased attention of health professionals, children, even at a young age, realize that s
seriously wrong and that it involves them. Thus, denial is ineffective as a coping mechani
should help parents understand the importance of honesty. Parents may need professional
guidance from a nurse or social worker in this process. Children will usually tell others ho
mation they want about their condition.
DIF: Cognitive Level: Analyzing REF: p. 795
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
4. A 12-year-old child has failed several courses of chemotherapy. An experimental drug i
his parents want him to receive. He has told his parents and the oncologists that he is read
does not want any more chemotherapy. The nurse recognizes what to be true?
a. Parents and child both need support in the decision making.
b. Twelve-year-olds are minors and cannot give consent or refuse treatments.
