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 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 2 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.
Question 3 of 5
The nurse is assessing the coping behaviors of the parents of a child recently diagnosed with a chronic illness. What behavior should the nurse consider an approach behavior that results in movement toward adjustment?
Correct Answer: B
Rationale: Anticipating future problems and seeking guidance are approach behaviors that promote adjustment by proactively addressing the child?s needs. Inability to adjust, seeking cures unrealistically, or denying severity are avoidance behaviors that hinder coping and adaptation.
Question 4 of 5
What nursing intervention is especially helpful in assessing feelings of parental guilt when a disability or chronic illness is diagnosed?
Correct Answer: D
Rationale: Discussing the parents? religious and cultural background can reveal beliefs contributing to guilt, such as viewing the illness as punishment. Direct questioning may not elicit honest responses, overprotectiveness is a separate adjustment issue, and waiting for parents to mention guilt may miss underlying feelings.
Question 5 of 5
Families 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 what response?
Correct Answer: B
Rationale: The adjustment phase after a chronic illness diagnosis is often marked by guilt, self-accusation, bitterness, and anger as families grapple with the reality. Denial characterizes the initial shock phase, while social reintegration and acceptance occur later in the adjustment process.