ATI PN Nursing Care of Children with NGN 2020
ATI PN Nursing Care of Children with NGN 2020 ( 66 Questions)
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
rationale:
In the context of terminal illness and considering the developmental stage of a preschooler (3 to 6 years old), the understanding that death is permanent is a typical reaction. At this age, children begin to comprehend the finality of death, although they might not fully grasp the nuances of its irreversibility. They might use concrete terms to describe death and might associate it with sleep or as something that can be reversed. However, the understanding that death is not a temporary state but rather a permanent cessation of life emerges during this period.
rationale:
Perceiving death as a punishment is not a common developmental reaction for a preschooler. Such perception is more aligned with the magical thinking characteristic of younger children (around 2 to 4 years old). Preschoolers typically have a growing awareness of death's permanence and might feel sadness or confusion about it, rather than interpreting it as a form of punishment.
rationale:
Worries about physical body changes are more likely to be relevant to adolescents who are undergoing puberty and experiencing significant physical changes. Preschoolers might not be as concerned about these changes in the context of terminal illness.
rationale:
Feelings of isolation can occur in response to terminal illness, but this emotional reaction is not specific to the preschool developmental stage. Isolation might be experienced by individuals of various ages in response to the awareness of their impending mortality. However, preschoolers might not express this feeling in the same way as older children or adults.
Choice A rationale:
In the context of terminal illness and considering the developmental stage of a preschooler (3 to 6 years old), the understanding that death is permanent is a typical reaction. At this age, children begin to comprehend the finality of death, although they might not fully grasp the nuances of its irreversibility. They might use concrete terms to describe death and might associate it with sleep or as something that can be reversed. However, the understanding that death is not a temporary state but rather a permanent cessation of life emerges during this period.
Choice B rationale:
Perceiving death as a punishment is not a common developmental reaction for a preschooler. Such perception is more aligned with the magical thinking characteristic of younger children (around 2 to 4 years old). Preschoolers typically have a growing awareness of death's permanence and might feel sadness or confusion about it, rather than interpreting it as a form of punishment.
Choice C rationale:
Worries about physical body changes are more likely to be relevant to adolescents who are undergoing puberty and experiencing significant physical changes. Preschoolers might not be as concerned about these changes in the context of terminal illness.
Choice D rationale:
Feelings of isolation can occur in response to terminal illness, but this emotional reaction is not specific to the preschool developmental stage. Isolation might be experienced by individuals of various ages in response to the awareness of their impending mortality. However, preschoolers might not express this feeling in the same way as older children or adults.