A 4-year-old girl diagnosed with leukemia will begin palliative care. The 6-year-old brother does not visit often. The parents worry their son will remember his sister as a "sad, thin, child in the hospital" rather than as his playful sister
Which response by the nurse is the most appropriate?
A.
"Your son can handle a visit to see his sister with your help because children are emotionally strong."
B.
"Your son needs to say good-bye to his sister prior to her death; you should bring him to visit immediately."
C.
"Your son will have these sad memories for the rest of his life; therefore, keeping him away is a good idea."
D.
"Your son needs preparation about the change in his sister's appearance, but for his own grieving process, he needs to visit her before her death."
ANS: D
Parents often try to protect the dying child by limiting visitation. It is important for the nurse to communicate to the parents that visits from the sibling are important. Kübler-Ross (1983) stated that the child who has been included in the death and mourning process with the family is able to let go in a healthy way. The sibling may be able to write letters or draw pictures for the child as a way of saying good-bye. It is important that the sibling be included in the grieving process and has the opportunity to say good-bye.
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