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
The nurse notes that the parents of a critically ill child spend a large amount of time talking with the parents of another child who is also seriously ill. They talk with these parents more than with the nurses. How should the nurse interpret this situation?
Correct Answer: A
Rationale: Parent-to-parent support is valuable, as parents who share similar experiences can offer unique emotional and practical support that nurses cannot provide. This is not unhealthy dependence, a sign of unresponsive nurses, or likely to cause friction, but rather a beneficial coping mechanism.
Question 2 of 5
The nurse is talking to the parent of a child with special needs. The parent has expressed worry about how to support the siblings at home. What suggestion is appropriate for the nurse to give to the parent?
Correct Answer: A
Rationale: Helping siblings recognize similarities and differences with their special needs sibling fosters understanding and empathy, supporting family dynamics. Forcing inclusion in all activities, assigning excessive caregiving, or intervening in sibling differences can create resentment or hinder independence.
Question 3 of 5
What is the major health concern of children in the United States?
Correct Answer: B
Rationale: An estimated 18% of children in the United States have a chronic illness or disability requiring health care services beyond typical needs. Chronic illness has surpassed acute illness as the primary health concern for children. Congenital disabilities contribute to chronic illnesses but are not the main concern, and nervous system disorders account for about 17% of chronic illnesses, a subset of the broader issue.
Question 4 of 5
What is a major premise of family-centered care?
Correct Answer: C
Rationale: Family-centered care recognizes parents as experts in their child's care, emphasizing their role in decision-making and care provision. It considers the impact of the child's illness on all family members, not just the child. Nurses act as collaborators, not authorities, and decisions are made with the family, not for them, to promote empowerment and reduce stress.
Question 5 of 5
What should the nurse determine to be the priority intervention for a family with an infant who has a disability?
Correct Answer: D
Rationale: Helping parents learn the special care needs of their infant fosters feelings of competency, enabling them to care confidently. This includes teaching techniques like special holding or breastfeeding support. Focusing solely on disabilities overlooks strengths, discipline is not a priority for infants, and rigid visiting hours may hinder family bonding.