Deck 30: Introduction to Childrens Health Care

Question 1

As a pediatric nurse, you should understand that a dying infant will exhibit what behavior that is characteristic of his or her developmental stage?

A) Reflect emotions displayed by the adults
B) Participate in magical thinking
C) Express fears specific to the dying process
D) Must have his or her needs cared for immediately to continue the process of building trust

Answer 1

D

Question 2

As a pediatric nurse, you should be aware that the siblings of a dying child may complain of what physical symptom?

A) Headaches
B) Gastrointestinal distress
C) Chest pain
D) Shortness of breath

Answer 2

B

Question 3

As a pediatric nurse, you should be aware that what physiological aspect of the dying process may lead to an increasing state of lethargy and eventually coma?

A) Slowed metabolism
B) Buildup of waste products in the blood
C) Loss of appetite
D) Peripheral blood shunting

Answer 3

B

Question 4

Symptom management for children who are dying a challenging and often the responsibility of the pediatric nurse. Research has shown that only 27% of dying children experience relief from which common symptom that is experienced during the child's last weeks of life?

A) Pain
B) Fatigue
C) Poor appetite
D) Respiratory distress

Question 5

While caring for a dying child, which type of medication would you administer to control oral secretions?

A) Benzodiazepines
B) Tricyclic antidepressants
C) Anticholinergics
D) Serotonin 5-hydroxytriptamine antagonists

Question 6

While caring for a dying child, the physician orders for the patient to be administered prokinetic agents. For what physiological aspect of the dying process would these medications provide relief?

A) Fatigue
B) Confusion
C) Inability to swallow
D) Decreased gastric emptying

Question 7

As a pediatric nurse, you should be aware that more parents feel prepared for the child's end of life if they perform what task?

A) Say goodbye
B) Plan the location of the death
C) Learn the physiological aspects of death
D) Gather all family members close to the child

Question 8

If a child dies unexpectedly in the emergency room, what additional action must be taken that is not required if the death would have occurred elsewhere?

A) A social worker must be notified
B) A nurse administrator must be notified
C) A hospital chaplain must be notified
D) A medical examiner must be notified

Question 9

When caring for a dying child in the emergency room, the parents should be allowed to witness what action of the healthcare team whenever possible?

A) Pronouncement of death
B) Resuscitation efforts
C) Wrapping of the body
D) Removal of life support

Question 10

A traumatic loss is a very different experience than the loss of a child who has been battling a chronic or life-threatening condition for a period of time. Both experiences produce great emotional response, but a traumatic loss can also produce a tremendous feeling of which emotion?

A) Guilt
B) Denial
C) Anger
D) Depression