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Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 19 : Family-Centered Care of the Child During Illness and Hospitalization Questions
Question 1 of 5
The nurse is often the individual who is in the optimum position to suggest tissue donation to a family (after consultation with the practitioner). What will occur if a family chooses organ or tissue donation?
Correct Answer: C
Rationale: Written informed consent is required for organ or tissue donation, ensuring legal and ethical compliance. Funerals are not typically delayed, cremation is not required, and an open casket is possible as donation does not cause visible disfigurement.
Question 2 of 5
When is an autopsy required?
Correct Answer: A
Rationale: An autopsy is required in cases of suspected suicide, unexplained, or violent deaths to determine the cause. It is optional for terminal illnesses, hospice deaths, or motor vehicle collisions unless the cause is unclear, and family consent may be sought.
Question 3 of 5
The nurse is providing support to a family that is experiencing anticipatory grief related to their childs imminent death. What statement by the nurse is therapeutic?
Correct Answer: B
Rationale: Acknowledging the family?s tough experience validates their grief in a nonjudgmental way. Suggesting strength for other children, implying happiness over the death, or referencing God may dismiss their emotions or conflict with their beliefs.
Question 4 of 5
What is a principle of palliative care that can be included in the care of children?
Correct Answer: B
Rationale: Palliative care for children emphasizes a multidisciplinary approach focusing on symptom control and support for the family as the unit of care, rather than cure when it is no longer possible. Curative therapy is transitioned away from, spiritual issues are one aspect among others, and opiate use is balanced to manage pain while minimizing side effects.
Question 5 of 5
What factor is most important for parents implementing do not resuscitate (DNR) orders?
Correct Answer: D
Rationale: An honest appraisal by the health care team that the child has no realistic chance for cure facilitates earlier DNR orders and appropriate palliative care. DNR orders are distinct from euthanasia, the presence of other children is not directly relevant, and the health care team?s prior experiences inform discussions but are secondary to acknowledging prognosis.