NURS 232- Exam Three (Cancer/EOL, Hematology, GI) Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.

True or False: the school aged child with a chronic condition often understands they are different and knows why they are left out - ️️False; they understand they are different than their peers but still feel left out do to physical limitations Which of the following factors plays a significant role in a nurse's ability to provide safe and effective care to a terminally ill child? A. knowledge of advanced psychomotor skills B. understanding of the dying process C. experience with terminally ill adults D. acknowledgement of own feelings about dying and death - ️️D (own feelings about dying and death) Examples of ways older school aged children with a chronic condition can manage their own care - ️️glucose monitoring, intermittent self cath, monitoring skin under braces True or False: Parents often hinder independence in toddlers with a chronic condition - ️️True; parents often do tasks for their child because they believe they are incapable The parents of a 10 year old child with an inoperable brain tumor insist that the child not be informed of his condition. Parents are reluctant to a tell a child he's dying due to: A. fear B. anger C. denial D. shock - ️️C (denial) A 6 year old girl has been receiving chemotherapy. She is also receiving TPN via a central line. Which of the following nursing diagnoses is of HIGHEST priority? A. imbalanced nutrition: less than requirements B. risk for deficient fluid volume C. risk for infection D. activity intolerance - ️️C. (risk for infection) The nurse is caring for a child with leukemia. The nurse should be aware that children being treated for leukemia may experience which of the following: (SATA)A. anemia B. infection C. bleeding tendencies D. bone deformities E. polycythemia - ️️A, B, C The universal first reaction of a parents to a child's life threatening illness or death is: A. acceptance B. anger C. depression D. shock - ️️D (shock) The nurse is assigned to a child with ALL who has a platelet count of 35,000. The nurse should implement which of the following interventions? A. provide a soft toothbrush for mouth care B. isolation precautions should be started immediately C. the child's VS monitored Q4hr D. all visitors should be discouraged from coming to the hospital - ️️A (soft toothbrush) The nurse overhears the parent of a critically injured child who is praying at the child's bedside saying, "I will stop drinking and smoking." The nurse understands that the parent is in which stage of the grieving process? A. denial B. accceptance C. bargaining D. anger - ️️C (bargaining) A nurse is caring for a 5 year old who has terminal cancer. Which of the following statements are true? (SATA) A. parents may be at different stages in dealing with the child's death B. the child is thinking about the future and knows he may not be able to participate C. the dying child may become clingy and act like a toddler D. whispering in the room will help the child cope E. death of a child my have long term disruptive effects on a family F. child doesn't fully understand concept of death - ️️A, C, E, F Which of the following nursing interventions is the most appropriate when working with a school-aged child who has a terminal disease?A. give factual explanations of the disease, medications, and procedures B. perform all care for the child C. tell the child everything will be okay D. reinforce that being in the hospital is not punishment for any thoughts or actions - ️️D (not their fault) Which of the following interventions by the nurse should have the HIGHEST priority for the family following the death of their child? A. verbalizing sorrow and sadness for the loss of their child B. discouraging the family from holding or touching their child C. asking the family to immediately leave the room so that all medical equipment can be removed D. allowing the family time to be alone with their child - ️️D (alone time) What are newborns and infants with a chronic condition at risk for? - ️️brain injury, oxygen deprivation, respiratory problems True or false: Because newborns in the NICU are exposed to an aggravating environment, their development can be affected - ️️true How can you encourage parent-child bonding for a newborn or infant with a chronic condition? - ️️Encourage them to spend time with their child, including face to face interactions when stable: offer opportunity to touch, soothe, care for infant What items can you give an infant with a chronic condition to encourage sensory stimulation? - ️️mobiles, soft music, different textures For toddlers with a chronic illness,what is often affected? - ️️achievement of autonomy and self-control True or False: The nurse caring for a toddler with a chronic condition should not offer choices - ️️False; offering choices can promote development How can a nurse assist parents of a toddler with a chronic condition? - ️️Help parents recognize the child's capabilities, allow time to practice and learn skills, teach strategies to offer learning opportunities True or False: Preschool aged children often understand that their chronic condition was caused by external factors - ️️False; they often believe disease/illness is a form of punishment for something they did or thoughtWhat may interfere with preschooler who has a chronic condition ability to develop independence? - ️️hospitalization; including treatment regimen and new medications How can the nurse support development in a preschooler with a chronic condition? - ️️-explaining purpose and procedures in simple terms and emphasize this is not punishment for wrongdoing -encourage self care and interaction with peers -give positive feedback True or false: preschoolers understand association between body parts and problems associated with their chronic condition - ️️True