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    Health And Wellness (Paediatrics 2) mcp Proctored Exam
    Select All That Apply

    An adolescent child is dying in the pediatric intensive care unit and the parents are having a difficult time handling the client's pending death. The nurse walks into the room and finds one parent lying in bed hugging the client closely. What actions by the nurse are appropriate? Select all that apply?

    Explanation & Rationale

    A. Inform the parent that it is against the facility's policy to allow anyone in the bed with clients is incorrect. While hospital policies exist, compassionate end-of-life care prioritizes the emotional and psychological needs of both the patient and family, and strict enforcement of bed rules in this context can be insensitive and inappropriate. B. Ask the parents not to have younger siblings visit, as it can be distressing is correct. Younger siblings may not have the emotional maturity to process a dying sibling and could be traumatized. The nurse should protect siblings from unnecessary distress while supporting family presence. C. Express understanding to the parent of the need to feel close to the client at this time is correct. The nurse should acknowledge and validate the parent’s emotions, offering emotional support and allowing them to express grief and love for the child. D. Offer the parents the opportunity to talk with a social worker is correct. Social workers provide emotional support, guidance for end-of-life decisions, and help with coping strategies for the family during this difficult time. E. Ensure the client is safe and allow the parent to remain in the bed with the client is correct. Providing physical safety while allowing comfort measures and closeness is consistent with patient- and family-centered end-of-life care. F. Remove the parents from the room to talk about funeral services is incorrect. Removing parents during the child’s final moments is insensitive and inappropriate; discussions about post-death planning should occur after the patient’s passing, not during end-of-life moments.

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