ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 17 : Quality of Life for Children Living with Chronic or Complex Diseases Questions
Question 1 of 5
A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. What should the nurse explain to his parents?
Correct Answer: B
Rationale: Rebelliousness and risk-taking, such as skipping medication, are normal adolescent behaviors as they seek independence. Increased discipline may escalate rebellion, socialization doesn?t directly address the behavior, and it?s not a request for more control but rather a push for autonomy.
Question 2 of 5
What nursing intervention is most appropriate in promoting normalization in a school-age child with a chronic illness?
Correct Answer: A
Rationale: Giving the child as much control as possible fosters normalization by countering dependency caused by chronic illness, promoting independence. Peers cannot be tasked with making the child feel normal, denying the illness is unhelpful, and different family rules may cause resentment among siblings.
Question 3 of 5
The nurse observes that a seriously ill child passively accepts all painful procedures. The nurse should recognize that this is most likely an indication that the child is experiencing what emotional response?
Correct Answer: C
Rationale: Passive acceptance of painful procedures in a seriously ill child often indicates a belief that they are deserved punishment, reflecting feelings of unworthiness. Hopefulness leads to active participation, chronic sorrow is more typical in parents, and understanding procedures as linked to death is less common in children.
Question 4 of 5
The parents of a child born with disabilities ask the nurse for advice about discipline. The nurses response should be based on remembering that discipline is which?
Correct Answer: A
Rationale: Discipline is essential for children with disabilities to establish boundaries and teach socially acceptable behaviors, supporting their development. Waiting for problematic behavior delays guidance, punishment is less effective than positive discipline, and discipline is feasible with tailored approaches for special needs.
Question 5 of 5
Parents ask for help for their other children to cope with the changes in the family resulting from the special needs of their sibling. What strategy does the nurse recommend?
Correct Answer: D
Rationale: Inviting siblings to attend meetings, such as those for individualized education plans, involves them in the care process, fostering understanding and inclusion. Discouraging embarrassment ignores natural feelings, expecting no help may exclude siblings, and providing information only on request risks misinformation.