Practice Quiz

CCRN Critical Care Nursing

Category - Pediatrics

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After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about death and dying, which of the following would indicate that the parents have age-appropriate expectations about their child’s reaction to his impending death:
  1. “He is too young to understand what is happening to him.”
  2. “He might think he can cause his death because he has misbehaved.”
  3. “He will accept his death as caused by his disease.”
  4. “He will understand how much his siblings will miss him.”
Explanation
Answer: B - A 5-year-old child is in the preoperational stage of cognitive development and thinks of death as temporary. Also, for a child this age, thinking about behavior often is believed to be magical; thus, the child may think that his behavior can cause death. Generally, children under 3 years of age are unable to differentiate death from temporary separation and are unable to understand what is happening.
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