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 feeling of guilt that the child caused the disability or illness is especially common in which age group?
Correct Answer: B
Rationale: Preschoolers often experience guilt, believing they caused their illness or disability or that it is a punishment for misbehavior due to their egocentric thinking.
Toddlers focus on autonomy, school-age children face achievement issues, and adolescents work on integrating disabilities into their self-concept, making guilt less prominent.
Question 2 of 5
What intervention is most appropriate for fostering the development of a school-age child with disabilities associated with cerebral palsy?
Correct Answer: C
Rationale: Encouraging socialization with peers supports cognitive, social, and emotional development in school-age children with cerebral palsy, fostering independence and identity. Sensory experiences are more critical for younger children, abstract thinking develops later, and while choices promote control, peer interaction is more impactful for this age group.
Question 3 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 4 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 5 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.