Psychosocial Support and Family-Centered Care Flashcards
6 cards from real CPHON practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Psychosocial Support and Family-Centered Care flashcards as text
A nurse overhears two staff members discussing a patient's diagnosis in the hospital elevator using the child's full name. The nurse's most appropriate action is:
Answer: Privately speak with the staff members about HIPAA and patient confidentiality requirements in public spaces
Discussing patient information in public areas violates HIPAA and patient confidentiality. The immediate, appropriate nursing action is to address this privately with the staff members to educate them and stop the breach.
Which intervention is most appropriate for a 6-year-old who is showing signs of anticipatory nausea before scheduled chemotherapy infusions?
Answer: Pre-procedural preparation with guided imagery, distraction, and anti-emetic pre-medication before each session
Anticipatory nausea is a classically conditioned response to cues associated with previous chemotherapy-induced nausea. Behavioral interventions (distraction, guided imagery) combined with optimized anti-emetic pre-medication are the most effective management.
A 9-year-old with osteosarcoma asks the nurse: 'Am I going to die?' The most therapeutically appropriate response is:
Answer: Acknowledge the question with honesty and gentleness, explore what prompted it, and involve the appropriate team member for the discussion
Children with cancer have a right to honest, age-appropriate information. Dismissing or avoiding the question destroys trust. Exploring the question ('What made you think of that?'), acknowledging the reality of the illness, and involving the appropriate team (social work, child psychiatry) is the therapeutic approach.
Which sibling support intervention is most important during a child's cancer treatment?
Answer: Providing age-appropriate information about the illness, maintaining school routines, and ensuring the sibling has someone to talk to about their feelings
Siblings of children with cancer experience significant psychological distress including anxiety, depression, fear, jealousy, and social difficulties. Age-appropriate information, maintaining normal routines, and emotional support are the most protective interventions.
The family of a child with newly diagnosed cancer refuses a blood transfusion based on religious beliefs. The nurse's most appropriate initial response is:
Answer: Respectfully acknowledge their beliefs, notify the provider and ethics team, and explore all medical alternatives while ensuring the team understands the family's values
The nurse must respect the family's religious autonomy while ensuring the provider and ethics team are involved to explore alternatives and assess the balance between parental authority and the child's best interest, consistent with legal and ethical frameworks.
What is the primary nursing role during a child's end-of-life care transition from curative to palliative focus?
Answer: Provide expert symptom management, emotional support for family, facilitate communication, and advocate for the child's comfort and dignity
When transitioning to palliative care, the CPHON nurse remains central to the care team, providing expert symptom control, emotional and spiritual support, family education, communication facilitation, and advocacy for the child's dignity and comfort.