H&I IV: Lifespan: Exam 2: child abuse and EOL practice questions

a nurse is caring for a family of a newborn who has just died. which of the following actions by the nurse is appropriate?

a)Invite the family to participate in post-mortem care such as bathing

b)Only allow the baby's parents in the room

c)Remove the newborn from the room to allow the family to grieve

d)Provide a list of numbers for funeral homes

a) invite family to participate in post-mortem care such as bathing

rationale: Inviting the family to participate in newborn care, such as bathing or dressing the newborn can allow for closure after fetal demise. There is no reason to remove the newborn from the room, if the family wishes to grieve with the newborn present. Families should be offered support by whomever they need after the loss of a child. In the time immediately following the death of a child, families may feel overwhelmed by not only the loss of the child but the process following. Instead of providing a list of funeral homes, social workers or chaplains are excellent resources to help families navigate this process when hospice care is not involved.

when discussing chronic or terminal illnesses and the possibility of death with children, there are many strategies nurses should include. which of the following strategies should a nurse incorporate across all developmental stages? SATA

a)Use developmentally appropriate language

b)Provide explanations to the client

c)Allow the client/caregivers time alone

d)Reassure the client that their illness is not their fault

e)Follow the client's lead

f)Discuss illness with the parents, not the child

a)Use developmentally appropriate language

b)Provide explanations to the client

c)Allow the client/caregivers time alone

d)Reassure the client that their illness is not their fault

e)Follow the client's lead

the Kubler-Ross stages of grief are: SATA

a)Acceptance

b)Anticipatory grief

c)Anger

d)Bargaining

e)Denial

f)Depression

g)Relief

a) acceptance

c) anger

d) bargaining

e) denial

f) depression

The family of a 4-year-old client who has a new diagnosis of a terminal illness asks the nurse for the best ways to discuss the illness with the client. Which of the following things should the nurse ensure are considered when discussing a terminal illness with a child? Select all that apply

a)The parents should not include the child when discussing the child's illness

b)Allow the child to ask questions

c)Prepare the child before hospital visits

d)Because of the child's age, they will not understand what a terminal illness is

b) allow child to ask questions

c) prepare the child before hospital visits

Which of the following is an effective approach for communicating with families who have recently received ​​​​​​a terminal diagnosis for their child?

a)Provide as much detail as possible, so information is complete

b)Use metaphors to share potentially distressing information

c)Use medical terminology to ensure accuracy

d)Be prepared to repeat information and allow plenty of time for emotional processing

d) be prepared to repeat information and allow plenty of time for emotional processing

rationale:

Families are likely to be in shock when they receive a life-threatening or life-limiting diagnosis and may not be able to comprehend detailed information. Confusion is a common reaction to shocking events. Using complex medical terminology will exacerbate confusion. Speaking openly about death and dying normalizes open dialogue on the topic. Metaphors and euphemisms should be avoided. It is preferable to begin conversations using simple, straightforward terms while conducting an ongoing assessment of the family's ability to absorb more information

What should you prioritize if you suspect that your patient is experiencing child abuse?

a)Reporting to Child Protective Services immediately

b)Ensuring safety of the child

c)Separating the child from the suspected abuser

d)Screen for risk factors for child abuse and neglect

b) ensuring safety of the child

A nurse is educating a group of parents about the signs and symptoms of emotional abuse in children. Which of the following statements by one of the parents indicates a need for further teaching?

A. "My child may become withdrawn or depressed if he is emotionally abused."

B. "My child may have difficulty sleeping or eating if he is emotionally abused."

C. "My child may show aggressive or disruptive behavior if he is emotionally abused."

D. "My child may have frequent accidents or injuries if he is emotionally abused."

d) my child may have frequent accidents or injuries if he is emotionally abused

rationale:

Having frequent accidents or injuries is not a sign or symptom of emotional abuse in children, but rather of physical abuse. This statement indicates a need for further teaching about the differences between emotional and physical abuse in children.

A nurse is providing education to a group of school teachers on how to identify and report suspected cases of child maltreatment. The nurse explains that some of the common indicators of sexual abuse in children are:

A. Difficulty walking or sitting

B. Frequent urinary tract infections

C. Changes in behavior or mood

D. All of the above

d) all of the above

A nurse is educating a group of parents on how to recognize signs and symptoms of sexual abuse in children. Which of the following statements by one of the parents indicates a need for further teaching?

A. "I should be concerned if my child suddenly becomes afraid of being alone with certain people."

B. "I should be alert if my child starts to have nightmares, bedwetting, or sleep problems."

C. "I should not worry if my child shows curiosity about sexual topics or behaviors."

D. "I should pay attention if my child develops genital infections, injuries, or bleeding.

c) i should not worry if my child shows curiosity about sexual topics or behaviors

A nurse is assessing a 5-year-old boy who was brought to the emergency department by his grandmother. The grandmother states that she noticed some bruises on his back when she was bathing him. She says that she does not know how he got them, but she suspects that his mother's boyfriend might have hit him. The nurse observes several linear bruises on his lower back that are consistent with belt marks. Which of the following questions should the nurse ask the boy?

A. "Did your mother's boyfriend hit you with a belt?"

B. "How did you get these bruises on your back?"

C. "Who takes care of you when your mother is not home?"

D. "Do you like your mother's boyfriend?"

b) how did you get these bruises on your back