Palliative/End of Life Care FLashcards

Which of the following best describes the goal of palliative care? A. Focus exclusively on comfort measures and bereavement support. B. Provide symptom management and quality of life alongside curative treatments. C. Offer only spiritual care for families after a child’s death. D. Stop all active treatments and focus solely on emotional support.

Which of the following best describes the goal of palliative care? A. Focus exclusively on comfort measures and bereavement support. B. Provide symptom management and quality of life alongside curative treatments. C. Offer only spiritual care for families after a child’s death. D. Stop all active treatments and focus solely on emotional support.

B

True or False: Hospice care can include curative treatments alongside comfort measures.

False

What are common physical signs of impending death in a pediatric patient? (Select All That Apply) A. Cool extremities. B. Increased appetite. C. Cheyne-Stokes respirations. D. Confusion. E. Hyperactivity.

A,C,D

Which developmental stage is associated with viewing death as temporary and reversible? A. 0–2 years B. 2–7 years C. 7–12 years D. Adolescents (12+ years)

B.

True or false: Children aged 7–12 years view death as irreversible but not always inevitable.

True

A nurse is supporting a grieving family after the loss of a child. Which interventions are appropriate? (Select All That Apply) A. Encourage memory-making activities before the child’s death. B. Offer grief counseling resources. C. Avoid discussing the child’s death to prevent distress. D. Respect cultural preferences in bereavement rituals. E. Provide follow-up to help the family navigate the grieving process.

A,B,D,E

Which response is most likely from an adolescent coping with their terminal illness? A. Regressive behavior and fear of separation from parents. B. Adult-like understanding of death but struggling with acceptance. C. Belief that death is temporary and reversible. D. Limited understanding of death, reflecting parental emotions.

B

True or False: Sibling grief often includes feelings of neglect and guilt, and responses vary by developmental stage.

True

Which nursing intervention is a priority during the final hours of a child’s life? A. Administer intravenous fluids to maintain hydration. B. Provide a calm, supportive environment for the child and family. C. Discourage parents from spending too much time with the child. D. Discuss funeral arrangements to prepare the family for the next steps.

B

What should a nurse include when providing anticipatory guidance to a family about the dying process? (Select All That Apply) A. Prepare families for physical changes like cool extremities and decreased appetite. B. Explain the process of death in age-appropriate terms. C. Advise families to avoid discussing the child’s death with siblings. D. Emphasize that Cheyne-Stokes respirations are a normal part of the process. E. Encourage families to express their emotions and ask questions.

A,B,D,E

True or False: Cultural sensitivity includes engaging spiritual leaders and respecting family rituals.

True

What is a key challenge faced by families of children with chronic illnesses? A. Increased financial stability due to insurance coverage. B. Decreased emotional strain due to consistent caregiving roles. C. Strained relationships and reduced social interactions. D. Reduced parental stress and increased quality time with siblings.

C

Which interventions support siblings grieving the loss of a child? (Select All That Apply) A. Provide age-appropriate explanations about the illness. B. Involve siblings in memory-making activities. C. Avoid discussing the death to protect siblings from emotional pain. D. Offer emotional support and grief resources. E. Encourage siblings to resume normal routines immediately.

A,B,D

True or False: It is inappropriate for nurses to discuss grief resources with families immediately after a child’s death.

False

Which cultural considerations should a nurse prioritize when providing end-of-life care? A. Encourage the family to follow standard hospital protocols. B. Assume the family will want open mourning practices. C. Offer individualized support that aligns with the family’s beliefs and traditions. D. Provide spiritual care only if the family requests it.

C

A nurse is caring for a family navigating a child’s chronic illness. Which interventions are appropriate? (Select All That Apply) A. Provide financial counseling resources. B. Refer the family to support groups for parents and siblings. C. Offer communication strategies to improve family dynamics. D. Focus only on the child’s physical needs and treatment plan. E. Advocate for respite care options for the family.

A,B,C,E

True or False: Anticipatory guidance prepares families for the physical, emotional, and spiritual changes associated with death.

True

What is the role of the nurse in supporting a family experiencing child loss? A. Offer follow-up support to help the family through the grieving process. B. Avoid discussing the child’s death to prevent further distress. C. Emphasize the importance of returning to normal routines immediately. D. Limit family involvement in decision-making to reduce their emotional burden.

A