Psychosocial Support and Family-Centered Care Flashcards
5 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 5 Psychosocial Support and Family-Centered Care flashcards as text
Which developmental consideration is most important when explaining a bone marrow aspiration procedure to a 4-year-old?
Answer: Use concrete, sensory-based language and a doll or medical play kit to prepare the child moments before, not days ahead
Preschoolers (3–5 years) are concrete thinkers with limited sense of time. Procedural preparation should use sensory-based language ('you will feel pressure'), medical play with actual equipment, and should occur just before the procedure, not days in advance.
A 16-year-old oncology patient tells the nurse she no longer wants chemotherapy because of severe side effects and feels that no one respects her opinion. Which nursing action best demonstrates adolescent-centered family care?
Answer: Take her concerns seriously, facilitate a private conversation between the patient and the care team, and advocate for including her voice in care decisions
Adolescents have increasing capacity for autonomous decision-making and a recognized right to be heard in their own medical care. The nurse should advocate for inclusion of the adolescent's voice in care decisions while facilitating structured family and team discussion.
A nurse learns that the family of a newly diagnosed toddler has extremely limited English proficiency. Which action is the highest priority to ensure effective communication?
Answer: Arrange for a qualified medical interpreter (in-person or video) before any clinical discussion or consent process
Qualified medical interpreters (not family members or untrained staff) are required by law and ethical standards for all medical discussions involving patients/families with limited English proficiency, especially for consent processes.
A father of a child with ALL appears withdrawn, has not eaten, and tells the nurse: 'I should be the one who is sick, not my child.' The nurse identifies this as:
Answer: Parental grief and survivor guilt requiring therapeutic support, normalization, and social work referral
Parents frequently experience grief, survivor guilt, helplessness, and depression when their child is diagnosed with cancer. The nurse should acknowledge the father's distress, normalize these feelings, and connect him with psychosocial support.
When a pediatric oncology patient is being discharged to home on oral chemotherapy, family education should include all of the following EXCEPT:
Answer: Teaching family members to crush and dissolve oral chemotherapy tablets in food to ensure the child swallows the full dose
Oral chemotherapy should NEVER be crushed, split, or dissolved unless specifically directed by the pharmacy/prescriber, as this destroys enteric coating, alters absorption, and creates hazardous aerosol exposure for caregivers.