ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 19 : Family-Centered Care of the Child During Illness and Hospitalization Questions
Question 1 of 5
A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. The nurse should provide which explanation?
Correct Answer: C
Rationale: Children, even young ones, sense the seriousness of their illness due to increased medical attention, making honesty essential. Denial is an ineffective coping mechanism, protecting the child does not primarily serve parental coping, and children may want to discuss their condition if given the opportunity.
Question 2 of 5
A 12-year-old child has failed several courses of chemotherapy. An experimental drug is available that his parents want him to receive. He has told his parents and the oncologists that he is ready to die and does not want any more chemotherapy. The nurse recognizes what to be true?
Correct Answer: A
Rationale: Supporting both parents and child in resolving this conflict respects the child?s autonomy, especially given the poor prognosis. Twelve-year-olds can assent or refuse under certain conditions, oncologists guide but don?t decide, and parental authority may be limited if the child?s decision is informed and verified.
Question 3 of 5
What explanation best describes how preschoolers react to the death of a loved one?
Correct Answer: C
Rationale: Due to egocentric thinking, preschoolers may feel guilty, believing they caused the death. They have a limited concept of death as a temporary state, their grief may involve regression or joking, and their expressions differ from adults, reflecting their developmental stage.
Question 4 of 5
A preschooler is found digging up a pet bird that was recently buried after it died. What is the best explanation for this behavior?
Correct Answer: C
Rationale: Preschoolers struggle with the permanence of death and may dig up the pet to confirm its presence, a normal developmental response. This is not a morbid preoccupation, not about ghosts, and does not immediately indicate a need for counseling unless persistent.
Question 5 of 5
At which age do most children have an adult concept of death as being inevitable, universal, and irreversible?
Correct Answer: C
Rationale: By ages 9 to 11, children develop an adult-like understanding of death as inevitable, universal, and irreversible. Younger children have less mature concepts, and adolescents have a fully mature understanding.