ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 17 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
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 4 of 5
What intervention is most appropriate for fostering the development of a school-age child with disabilities associated with cerebral palsy?
Correct Answer: C
Rationale: Encouraging socialization with peers supports cognitive, social, and emotional development in school-age children with cerebral palsy, fostering independence and identity. Sensory experiences are more critical for younger children, abstract thinking develops later, and while choices promote control, peer interaction is more impactful for this age group.
Question 5 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.