Pediatric Death and Dying practice Questions and Correct
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The pediatric nurse is having a conversation with parents who have
children that have recently passed away. The nurse knows the parents
understand the difference between bereavement and grief when the
participants state:
1. I am trying to prepare for my daughters death, but I just am not ready to
do so.
2. Bereavement has caused me to experience sorrow for the loss of my
daughter.
3. I cant believe my daughter is gone.
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4. If I make a deal that God takes me, then my daughter could come back to
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my family.
Ans: 2
The medical chart states that the parents are requesting withdrawal of care
for a child with terminal leukemia. The nurse understands this request to
mean:
1. To keep support measures which sustain life for the child.
2. To keep providing comfort care for the child.
3. To stop life-saving measures and allow the child to die naturally.
4. To stop providing comfort measures for the child.
Ans: 3
Withdrawal of care relates to stopping heroic measures to sustain life.
Ashley is a 5-year-old girl who is severely mentally handicapped and has
been bedridden for the last 3 years after a near-drowning accident. Ashley
has developed pneumonia and sustaining her life would require ventilator
support. The staff nurse is to obtain information about legal guardianship
because her parents have abandoned her at the hospital. The nurse knows
that:
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1. Legal guardianship is needed for a person to have medical information
released to him/her.
2. The legal guardian must be present to care for the child.
3. Legal guardianship can only be obtained by her parents.
4. The legal guardian must take physical responsibility for the child.
Ans: 1
The medical information and consent needs to be given by someone with
the best interests of the child in mind who can legally make decisions. Only
information can be released to this person.
Identify a developmentally-appropriate activity that can be used to speak to
a 6 year old about the terminal illness of his sibling.
1. Playing checkers and speaking about the illness.
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2. Playing with action figures and discussing how death occurs.
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3. Playing with crayons and drawing pictures of how a child views his
sibling at this time.
4. All of the above are correct.
Ans: 4
Diversion, acting, and art can help children express and discuss the death
process.
Palliative care should be considered for a terminally-ill child:
1. Within 1 year of death.
2. Within 2 months of death.
3. When a terminal illness is present.
4. At no time. It is not appropriate for children.
Ans: 3
The knowledge of the terminal illness and letting the family and patient be
involved in the decision-making processes facilitates palliative care so that
the patient is as comfortable as possible.
Palliative care allows the child to: