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peds-chapter 17
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Questions in this quiz (43)
1The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home. Who should the nurse invite to the conference?
- AFamily and nursing staff
- BSocial worker, nursing staff, and primary care physician
- CFamily and key health professionals involved in the child’s care
2Which represents a common best practice in the provision of services to children with special needs?
- ACare is now being focused on the child’s chronologic age.
- BChildren with special needs are being integrated into regular classrooms.
- CChildren with special needs no longer have to be cared for by their families.
3Lindsey, age 5 years, will be starting kindergarten next month. She has cerebral palsy, and it has been determined that she needs to be in a special education classroom. Her parents are tearful when telling the nurse about this and state that they did not realize her disability was so severe. What is the best interpretation of this situation?
- AThis is a sign parents are in denial
- BThis is a normal anticipated time of parental stress
- CThe parents need to learn more about cerebral palsy
4Approach behaviors are those coping mechanisms that result in a family’s movement toward adjustment and resolution of the crisis of having a child with a chronic illness or disability. Which is considered an approach behavior?
- AIs unable to adjust to a progression of the disease or condition
- BAnticipates future problems and seeks guidance and answers
- CLooks for new cures without a perspective toward possible benefit
5Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability. After the shock phase, a period of adjustment usually follows. This is often characterized by which of the following responses?
- ADenial
- BGuilt and anger
- CSocial reintegration
6Which nursing intervention is especially helpful in assessing parental guilt when a disability or chronic illness is diagnosed?
- AAsk the parents if they feel guilty.
- BDiscuss guilt only after the parents mention it.
- CDiscuss the meaning of the parents’ religious and cultural background.
7The nurse observes that a seriously ill child passively accepts all painful procedures. What should the nurse recognize this child is most likely experiencing?
- AA sense of hopefulness
- BA sense of chronic sorrow
- CA belief that procedures are a deserved punishment
8The nurse comes into the room of a child who was just diagnosed with a chronic disability. The child’s parents begin to yell at the nurse about a variety of concerns. Which is the nurse’s best response?
- A“What is really wrong?”
- B“Being angry is only natural.”
- C“Yelling at me will not change things.”
- D“I will come back when you settle down.”
9A common parental reaction to a child with special needs is parental overprotection. What parental behavior is suggestive of this behavior?
- AGiving inconsistent discipline
- BProviding consistent, strict discipline
- CForcing child to help self, even when not capable
10Most parents of children with special needs tend to experience chronic sorrow. What characterizes chronic sorrow?
- ALack of available support to prevent sorrow
- BPeriods of intensified sorrow when experiencing anger and guilt
- CPeriods of intensified sorrow and loss that occur in waves over time
11 Which intervention will encourage a sense of autonomy in a toddler with disabilities?
- AAvoid separation from family during hospitalizations.
- BEncourage independence in as many areas as possible.
- CExpose child to pleasurable experiences as much as possible.
12The feeling of guilt that the child “caused” the disability or illness is especially critical in which child?
- AToddler
- BPreschooler
- CSchool-age child
- DAdolescent
13A 9-year-old boy has several physical disabilities. His father explains to the nurse that his son concentrates on what he can, rather than cannot, do and is as independent as possible. What is the nurse’s best interpretation of this statement?
- AThe father is experiencing denial
- BThe child is using an adaptive coping style
- CThe child is using a maladaptive coping style
14The nurse is talking with the parent of a child newly diagnosed with a chronic illness. The parent is upset and tearful. The nurse asks, “Whom do you talk to when something is worrying you?” How should the nurse’s statement be interpreted?
- AInappropriate, because the parent is so upset
- BAn intervention to find someone to help the parent
- CPart of assessing the parent’s available support system
15 The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities. The nurse notices that the parents keep asking the same questions. What is the nurse’s best intervention?
- APatiently continue to answer questions.
- BKindly refer them to someone else for answering their questions.
- CRecognize that some parents cannot understand explanations.
16Which is the most appropriate nursing intervention to promote normalization in a school-age child with a chronic illness?
- AGive the child as much control as possible.
- BAsk the child’s peer to make the child feel normal.
- CExplain to parents that family rules for the child do not need to be the same as for healthy siblings.
17Which nursing intervention should the nurse include to help the siblings of a child with special needs cope?
- ASuggest to the parents ways of showing gratitude to the siblings who help care for the child with special needs
- BProvide information to the siblings about the child’s condition only as they request it
- CEncourage the parents not to expect siblings to help them care for the child with special needs
18The parents of a child born with disabilities ask the nurse for advice about discipline. What information about disciple should the nurse’s response include?
- AIt is essential for the child.
- BIt is too difficult to implement with a special-needs child.
- CIt is not needed unless the child becomes problematic.
19Kelly, an 8-year-old girl, will soon be able to return to school after an injury that resulted in several severe, chronic disabilities. Which is the most appropriate action by the school nurse?
- ARecommend that the child’s parents attend school at first to prevent teasing.
- BPrepare the child’s classmates and teachers for changes they can expect.
- CRefer the child to a school where the children have chronic disabilities similar to hers.
20A 16-year-old with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. What is the best explanation for this behavior?
- ANeeds more discipline
- BThis is part of normal adolescence
- CThis is how he is asking for more parental control
21Which term best describes a multidisciplinary approach to the management of a terminal illness that focuses on symptom control and support?
- ADying care
- BCurative care
- CPalliative care
22Which best describes how preschoolers react to the death of a loved one?
- AA preschooler is too young to have a concept of death.
- BA preschooler may feel guilty and responsible for the death.
- CGrief is usually expressed in the same way in which the adults in the preschooler’s life are expressing grief.
23A preschooler is found digging up a pet bird that was recently buried after it died. What is the best explanation for this behavior?
- AReassurance is needed that the pet has not gone somewhere else
- BThe loss is not yet resolved, and professional counseling is needed
- CIs looking to see whether a ghost took it away
24At what age do most children have an adult concept of death as being inevitable, universal, and irreversible?
- A6 to 8 years
- B9 to 11 years
- C12 to 16 years
25Which is most descriptive of a school-age child’s reaction to death?
- AIs very interested in funerals and burials
- BHas little understanding of words such as forever
- CImagines the deceased person to be still alive
26At what developmental period do children have the most difficulty coping with death, particularly if it is their own?
- Atoddler
- Bpreschool
- Cadolescence
27A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. What should the nurse tell the parents?
- ATerminally ill children know when they are seriously ill.
- BThis attitude is helpful to give parents time to cope.
- CTerminally ill children usually choose not to discuss the seriousness of their illness
28A cure is no longer possible for a young child with cancer. The nursing staff recognizes that the goal of treatment must shift from cure to palliation. Which is an important consideration at this time?
- AThe family is included in the decision to shift the goals of treatment.
- BThe decision must be made by the health professionals involved in the child’s care.
- CThe decision should not be communicated to the family because it will encourage a sense of hopelessness.
29The nurse is caring for a child who has just died. The parents ask to be left alone so that they can rock their child one more time. What is the nurse’s most appropriate response?
- AGrant their request
- BAssess why they feel this is necessary
- CKindly explain that they need to say good-bye to their child now and leave
30 The nurse is talking with the parents of a child who died 6 months ago. They sometimes still “hear” the child’s voice and have trouble sleeping. They describe feeling “empty” and depressed. How should the nurse interpret these feelings?
- AThese are normal grief responses
- BThe pain of the loss is usually less by this time
- CThese grief responses are more typical of the early stages of grief
31At the time of a child’s death, the nurse tells his mother, “We will miss him so much.” What is the best interpretation of this statement?
- AExpressing personal feelings of loss
- BPretending to be experiencing grief
- CTalking when listening would be better
32Which is an appropriate nursing intervention when providing comfort and support for a child when death is imminent?
- ALimit care to essentials
- BAvoid playing music near the child.
- CExplain to the child the need for constant measurement of vital signs.
33The nurse is providing support to a family who is experiencing anticipatory grief related to their child’s imminent death. Which of the following is an appropriate nursing intervention?
- ABe available to the family.
- BAttempt to “lighten the mood.”
- CSuggest activities to cheer up the family.
34A new nurse is caring for a child who will require palliative care. Which statement made by the new nurse would indicate a correct understanding of palliative care?
- APalliative care serves to hasten death and make the process easier for the family.”
- B“Palliative care provides pain and symptom management for the child.”
- C“The goal of palliative care is to place the child in a hospice setting at the end of life.
35Parents are asking about an early intervention program for their child who has special needs. The nurse relates that this program is for which age of child?
- ABirth to 3 years of age
- BAges 1 to 4
- CBirth to 1 year of age
36A nurse is planning palliative care for a child with severe pain. Which should the nurse expect to be prescribed for pain relief?
- AOpioids as needed
- BOpioids on a regular schedule
- CDistraction and relaxation techniques
37The home health nurse is caring for a child who requires complex care. The family expresses frustration related to obtaining accurate information about their child’s illness and its management. Which is the best action for the nurse?
- ADetermine why the family is easily frustrated.
- BClarify the family’s request, and provide the information they want.
- CAnswer only questions that the family needs to know about.
38A mother of a 5-year-old child, with complex health care needs and cared for at home, expresses anxiety about attending a kindergarten graduation exercise of a neighbor’s child. The mother says, “I wish it could be my child graduating from kindergarten.” What should the nurse recognize the mother is experiencing?
- AAbnormal anxiety
- BIneffective coping
- CChronic sorrow
39Which describes avoidance behaviors parents may exhibit when learning that their child has a chronic condition? (Select all that apply.)
- ARefuses to agree to treatment
- BShares burden of disorder with others
- CVerbalizes possible loss of child
- DWithdraws from outside world
- EPunishes self because of guilt and shame
40Which are appropriate statements the nurse should make to parents after the death of their child? (Select all that apply.)
- A“We feel so sorry that we couldn’t save your child.”
- B“Your child isn’t suffering anymore.”
- C“I know how you feel.”
- D“You’re feeling all the pain of losing a child.”
- E“You are still young enough to have another baby.”
41Which are adaptive coping patterns used by children with special needs? (Select all that apply.)
- AFeels different and withdraws
- BIs irritable, moody, and acts out
- CSeeks support
- DDevelops optimism
42A child dependent on medical technology is preparing to be discharged from the hospital to home. Which predischarge assessments should the nurse ensure? (Select all that apply.)
- AEmergency care and transport plan
- BReliance on private duty nurses to teach the family infection control practices
- CFinancial arrangements
- DIndividualized home plan to be completed within the first month of the child’s discharge
43A nurse is caring for a child who is near death. Which physical signs indicate the child is approaching death? (Select all that apply.)
- ABody feels warm
- BTactile sensation decreasing
- CSpeech becomes rapid
- DChange in respiratory pattern
- EDifficulty swallowing
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- peds chapter 17 Quiz on peds-chapter 17, created by Megan Pattenaude on 20/01/2019.
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- Megan Pattenaude
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