Secondary Logo

Journal Logo

Faith, Hope, and Spirituality

Supporting Parents When Their Child Has a Life-Limiting Illness

doi: 10.1097/CNJ.0000000000000253
CE Connection
Back to Top | Article Outline

Faith, Hope, & Spirituality: Supporting Parents When Their Child has a Life-Limiting Illness


  • Read the article. The test for this CE activity can be taken online at Find the test under the article title. Tests can no longer be mailed or faxed. You will need to create a username and password and login to your free personal CE Planner account before taking online tests. Your planner will keep track of all your Lippincott Williams & Wilkins online CE activities for you.
  • There is only one correct answer for each question. A passing score for this test is 13 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
  • This CE test also is available for viewing at in the table of contents for this issue under .
  • Visit for other CE activities and your personalized CE planner tool.
  • For questions contact Lippincott Williams & Wilkins: 1-800-787-8985.
Back to Top | Article Outline

Registration Deadline: March 31, 2018


The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

Back to Top | Article Outline


Lippincott Williams & Wilkins, publisher of Journal of Christian Nursing, will award 2.5 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

Back to Top | Article Outline


  • The registration fee for this test is $24.95 for nonmembers; $17.95 for NCF members.

For additional continuing education articles related to pediatric care, go to and search “pediatrics.”

JCN continuing education offers a distinct blend of clinical and professional content with an underlying spiritual emphasis.


Purpose of Activity

To provide best practice information to health professionals who care for parents of children with a life-limiting illness.

Learning Objectives:

After completing this continuing education activity, you will be able to:

  1. Recognize the most helpful ways to support the parents of a child with a life-limiting illness.
  2. Identify the role of faith, hope, and spirituality in the care of families of children with life-limiting illness.
  1. Murphy, & Kochankek (2013) reported what percentage of children aged 5 to 14 died in 2010?
    1. 12.9% per 100,00
    2. 12.9% per 150,00
    3. 11.3% per 100,00
  2. Regardless of culture and ethnicity, what is important to families whose child has a life-limiting illness?
    1. hope
    2. spirituality
    3. faith
  3. As a moral compass, faith assists in decision-making, and lessens feelings of which of the following?
    1. Anger, confusion, and loss of purpose
    2. Anger, frustration, and desperateness
    3. Anger, confusion, and hopelessness
  4. Hendricks-Ferguson (2007) found hope was a comforting and life-sustaining,
    1. faith-based belief that a positive future exists.
    2. evidenced-based belief that a positive future exists.
    3. reality-based belief that a positive future exists.
  5. Robinson et (2006) reported that parents of children at the end-of-life find which of the following as most helpful?
    1. Prayer, faith in God, spiritual support from nurses
    2. Prayer, faith in God, support from clergy
    3. Prayer, faith in God, support from family and friends
  6. McEvoy's B-E-L-I-E-F is mnemonic helps nurses discuss spiritual beliefs of the family as related to
    1. belief system, ethical choices, lifestyle, involvement in church, education, family.
    2. belief system, events, lifestyle, involvement in faith community, education, and future events.
    3. belief system, ethics/values, lifestyle, involvement in spiritual community, education, and future events.
  7. According to Rosenbaum et (2011), what percentages of pediatricians choose to discuss religion with children and families?
    1. 27%
    2. 50%
    3. 45%
  8. What factors make getting a detailed spiritual assessment crucial?
    1. spiritual needs, recognition of differences within and between similar religions/faith
    2. spiritual needs, difference/similarities between religions/faith, and type of care needed
    3. spiritual needs, differences between religions/faith, and type of support needed
  9. Which statement is true concerning misconceptions children and parents share regarding death?
    1. Children do not want parents to be Parents fear child will not talk about death.
    2. Children do not want parents to be Parents fear child will be sad.
    3. Children do not want parents to be Parents fear child will be frightened.
  10. According to Swedish researchers,
    1. the majority of parents regretted discussing death with their child.
    2. forty percent of parents had no regrets about discussing death with their child.
    3. the percentage of parents who did not discuss death with their child regretted that decision.
  11. Which of the following experiences did Crisp use to broach a discussion of dying?
    1. A death-related sensory experience (DRSE)
    2. A mother's intuition about death (MIAD)
    3. A near-death experience (NDE)
  12. Near-death experiences provide knowledge of all of the following except when a child
    1. is ready to face death.
    2. is comfortable dying.
    3. knows where he/she is going.
  13. Death-related sensory experiences (DRSEs) or deathbed visions, are experienced by children engaged in which process?
    1. grief process
    2. the letting go process
    3. dying process
  14. When caring for a family of a child with a life-limiting illness nurses need to recognize that families want
    1. to remain a part of the life of their child.
    2. their child to stop hurting.
    3. adequate support for their child.
  15. Which of the following is necessary for effective communication between the healthcare team and the family?
    1. Communicating in positive and helpful ways
    2. Communicating the truth in words parents understand
    3. Communicating about the palliative care plan
  16. Palliative care specifically offers assurance of
    1. needed care, pain management, spiritual support.
    2. pain management, healthcare oversight, family support.
    3. support, pain management, comfort, spiritual support.
  17. Which sensitive issues can nurses address?
    1. Developing a plan for what interventions to use
    2. Creating a Do Not Resuscitate order
    3. Discussing how the family is progressing
  18. When caring for children with life-limiting illness, nurses need to
    1. explore their past experiences and compare to present standards of care.
    2. explore their feelings and discuss and process their emotions.
    3. do a self-inventory about their thoughts and actions caring for children.
© 2016 by InterVarsity Christian Fellowship