Answer to Question 1
B
Feedback:
Many families prefer that a child die at home, surrounded by family and familiar possessions, rather than in a hospital. For many children, hospice care is furnished as part of home care, so that they are not separated from their families. This would be the best suggestion for the nurse to make to the parents of the dying child. A long-term care facility is similar to a hospital and would not meet the family's needs. Discharging the child to home prior to death will not meet the needs of the family. Having the family stay with the child around-the-clock in the hospital definitely will not meet the family's needs.
Answer to Question 2
D
Feedback:
Most parents of a chronically ill child adhere well to instructions and keep health care appointments consistently. Sometimes, however, parents do not follow this pattern. This inability to adhere usually is related to their stage of adjustment to the illness. As long as denial, anger, bargaining, or depression is functioning, coming in for health care or evaluation is viewed as a major demand. Each visit is more of a reminder of the child's illness than a time of reassuring health assessment. This behavior does not indicate that the parents are too busy. There is no enough information to determine if the visits are cost prohibitive for the family. There is no enough information to determine if the child is afraid of having blood tests performed.
The couple discusses grief over the loss of a child.
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Measuring the Chest Circumference of a Child
A child with Down syndrome.