Test Bank For Pediatric Nursing An Introductory Text Edition 11 by Debra L. Price All Chapters Covered.

Chapter 22: End-of-Life Care for Children and Their Families 1. A nurse is discussing end-of-life care with a family of a child with terminal cancer. What should the nurse prioritize in the conversation? A) Financial concerns B) The child’s current symptoms C) Future care plans D) The family’s coping strategies Answer: B Rationale: Addressing the child's current symptoms is essential to ensure comfort and manage pain effectively. NCLEX Reference: Psychosocial Integrity – Coping and Adaptation 2. A nurse is assessing a child in palliative care. Which assessment finding indicates the need for immediate intervention? A) Increased fatigue B) Difficulty breathing C) Mild fever D) Decreased appetite Answer: B Rationale: Difficulty breathing indicates a potential respiratory crisis and requires immediate intervention to ensure comfort. NCLEX Reference: Physiological Integrity – Basic Care and Comfort 3. A child is approaching the end of life. What is the most appropriate nursing intervention to promote comfort? A) Administer sedatives regularly B) Involve the child in care decisions C) Isolate the child from family members D) Limit pain medication to avoid dependency Answer: B Rationale: Involving the child in care decisions can promote a sense of control and dignity during end-of-life care. NCLEX Reference: Psychosocial Integrity – Coping and Adaptation 4. A nurse is caring for a family who is facing the impending death of their child. What is the most important action for the nurse to take? A) Encourage family members to express their feelings B) Suggest they stay strong for the child C) Discourage discussions about death D) Provide distractions to avoid the subject Answer: A Rationale: Encouraging family members to express their feelings helps facilitate healthy coping and grieving processes. NCLEX Reference: Psychosocial Integrity – Coping and Adaptation 5. When caring for a dying child, which nursing intervention is most important to address the child’s physical comfort? A) Providing a quiet environment B) Keeping the child sedated at all times C) Administering frequent vital sign checks D) Restricting visitors to limit stress Answer: A Rationale: A quiet environment promotes peace and relaxation, enhancing the child's physical comfort during the dying process. NCLEX Reference: Physiological Integrity – Basic Care and Comfort 6. A nurse is providing education to a family about hospice care. What key point should the nurse include? A) Hospice care is only for adults. B) Hospice care focuses on curing the illness. C) Hospice care supports the family as well as the patient. D) Hospice care is initiated only when death is imminent. Answer: C Rationale: Hospice care is designed to support both the patient and the family, addressing physical, emotional, and spiritual needs. NCLEX Reference: Psychosocial Integrity – Coping and Adaptation 7. A child with a terminal illness expresses fear of dying. What is the best response for the nurse? A) "You don’t need to worry about that." B) "Tell me what you’re afraid of." C) "It’s better to think about happy things." D) "All children go through this." Answer: B Rationale: Encouraging the child to express fears can help the nurse understand and address specific concerns effectively. NCLEX Reference: Psychosocial Integrity – Coping and Adaptation 8. Which nursing action is essential when providing emotional support to a grieving family? A) Avoiding discussions about the deceased child B) Listening actively and empathetically C) Suggesting they move on quickly D) Telling them how to feel Answer: B Rationale: Active listening and empathy validate the family's feelings and provide essential emotional support during grief. NCLEX Reference: Psychosocial Integrity – Coping and Adaptation 9. A nurse is discussing advance directives with the parents of a child with a terminal illness. What should the nurse explain? A) Advance directives are not needed for children. B) Advance directives can include specific wishes for care. C) Only physicians can create advance directives. D) Advance directives are legally binding only for adults. Answer: B Rationale: Advance directives can articulate the child's wishes and preferences for care, which is important even in pediatric populations. NCLEX Reference: Safety and Infection Control – Safety 10. When caring for a terminally ill child, which symptom is the most common and should be monitored closely? A) Anxiety B) Constipation C) Pain D) Insomnia Answer: C Rationale: Pain is a common symptom in terminally ill children and must be assessed and managed effectively to ensure comfort. NCLEX Reference: Physiological Integrity – Basic Care and Comfort 11. A nurse is teaching a family about pain management for their child receiving end-of-life care. What is the most important instruction to provide? A) Pain medications should be given only when the child complains. B) Regular administration of pain medication is crucial for effective management. C) Non-pharmacological methods should be used instead of medications. D) Pain management is not a priority at this stage. Answer: B Rationale: Regular administration of pain medication is essential for effective pain control and comfort in end-of-life care. NCLEX Reference: Physiological Integrity – Pharmacological and Parenteral Therapies 12. A nurse is assessing a child in hospice care. Which finding would indicate a need for additional pain management? A) The child is asleep most of the time. B) The child is irritable and restless. C) The child expresses feelings of sadness. D) The child has decreased appetite. Answer: B Rationale: Irritability and restlessness may indicate the child is experiencing pain that is not adequately managed. NCLEX Reference: Physiological Integrity – Basic Care and Comfort 13. When discussing death with a child, what is the most appropriate nursing approach? A) Use euphemisms to soften the message. B) Provide clear and honest explanations. C) Avoid the topic until the child brings it up. D) Focus on the positive aspects of death. Answer: B Rationale: Clear and honest explanations about death help children understand and process their feelings. NCLEX Reference: Psychosocial Integrity – Coping and Adaptation 14. Which nursing intervention is essential when providing care to a child with a terminal illness? A) Establishing strict visiting hours B) Ignoring the family’s needs C) Encouraging open communication D) Discouraging family involvement Answer: C Rationale: Open communication allows the family to express their concerns and facilitates shared decision-making regarding care. NCLEX Reference: Psychosocial Integrity – Coping and Adaptation 15. A nurse is educating a family about the signs of approaching death in a child. Which sign is commonly observed? A) Increased energy B) Heightened alertness C) Decreased need for sleep D) Changes in breathing patterns Answer: D Rationale: Changes in breathing patterns, including periods of apnea or irregular breathing, are common signs as death approaches. NCLEX Reference: Physiological Integrity – Basic Care and Comfort