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 manifestation observed by the nurse is suggestive of parental overprotection?
Correct Answer: A
Rationale: Inconsistent discipline, where parents avoid setting boundaries or cater to every desire, suggests overprotection, preventing the child from developing independence. Facilitating self-care or encouraging activities, even if challenging, promotes growth, while inappropriate activities reflect unrealistic expectations, not overprotection.
Question 2 of 5
What finding by the nurse is most characteristic of chronic sorrow?
Correct Answer: D
Rationale: Chronic sorrow is characterized by recurring waves of sorrow and loss, particularly intensified at developmental milestones when the child?s limitations become more evident. Lack of acceptance or support relates to adjustment issues, and anger and guilt are more typical of the adjustment phase, not chronic sorrow.
Question 3 of 5
A 5-year-old child will be starting kindergarten next month. She has cerebral palsy, and it has been determined that she needs to be in a special education classroom. Her parents are tearful when telling the nurse about this and state that they did not realize her disability was so severe. What is the best interpretation of this situation?
Correct Answer: B
Rationale: Parental stress often peaks at anticipated milestones like starting school, especially for a child with a disability like cerebral palsy, as it highlights the severity of limitations. This is a normal response, not denial, a knowledge deficit, or overly high expectations.
Question 4 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 5 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.