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
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 2 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 3 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.
Question 4 of 5
The potential effects of chronic illness or disability on a childs development vary at different ages. What developmental alteration is a threat to a toddlers normal development?
Correct Answer: A
Rationale:
Toddlers develop autonomy and self-control through mobility, which allows them to explore and assert independence. Hindered mobility due to chronic illness can lead to feelings of helplessness, disrupting this developmental stage. Socialization is less critical for toddlers, guilt is more common in preschoolers, and toilet training is typically mastered later in toddlerhood.
Question 5 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.