The nurse recognizes that the priority goal for the child with a ...

[armygirl]

The nurse recognizes that the priority goal for the child with a chronic illness is to:
 
  a. maintain the intactness of the family.
  b. eliminate all stressors.
  c. achieve complete wellness.
  d. obtain the highest level of wellness.

Question 2

Which is an important focus of nursing care for the dying child and his or her family?
 
  a. Nursing care should be organized to minimize contact with the child.
  b. Adequate oral intake is crucial to the dying child.
  c. Families should be made aware that hearing is the last sense to stop functioning before death.
  d. It is best for the family if nursing care takes place during periods when the child is alert.

[emsimon14]

Answer to Question 1

D
To obtain the highest level of health and function possible is the priority goal of nursing of children. Maintaining the intactness of the family is a goal for the family, not specifically the child. It is not a realistic goal to eliminate all stressors because life will continue to present stressors. It is also unrealistic to achieve complete wellness because chronic illness by definition is a long-term condition either without a cure or with residual limitations.

Answer to Question 2

C
Families should be encouraged to talk to the child because verbal communication and physical touch are important both for the family and child. Nursing care should minimize disruptions but not contact. When a child is dying, fluids should be based on the child's requests, with a focus on comfort and preventing a dry mouth. The times when the child is alert should be devoted to family contacts.