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 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 2 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.
Question 3 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 4 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 5 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.