Which describes avoidance behaviors parents may exhibit when ...

[Beheh]

Which describes avoidance behaviors parents may exhibit when learning that their child has a chronic condition? (Select all that apply.)
 
  a. Refuses to agree to treatment
  b. Shares burden of disorder with others
  c. Verbalizes possible loss of child
  d. Withdraws from outside world
  e. Punishes self because of guilt and shame

Question 2

A nurse is planning palliative care for a child with severe pain. Which should the nurse expect to be prescribed for pain relief?
 
  a. Opioids as needed
  b. Opioids on a regular schedule
  c. Distraction and relaxation techniques
  d. Nonsteroidal anti-inflammatory drugs

[frankwu0507]

Answer to Question 1

ANS: A, D, E
A parent who refuses to agree to treatment, withdraws from the outside world, and punishes self because of guilt and shame is exhibiting avoidance coping behaviors. A parent who shares the burden of disorder with others and verbalizes possible loss of child is exhibiting approach coping behaviors.

Answer to Question 2

ANS: B
Pain medications, for children in palliative care, should be given on a regular schedule, and extra doses for breakthrough pain should be available to maintain comfort. Opioid drugs such as morphine should be given for severe pain, and the dose should be increased as necessary to maintain optimal pain relief. Techniques such as distraction, relaxation techniques, and guided imagery should be combined with drug therapy to provide the child and family strategies to control pain. Nonsteroidal anti-inflammatory drugs are not sufficient to manage severe pain for children in palliative care.