Adapting To Chronic Illness And Supporting + Exam Prep Ch.25 - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 25: Adapting to Chronic Illness and Supporting the Family Unit
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is providing care to several pediatric clients in the hospital setting. Which diagnosis is capable of producing chronic limitations for the child?
1) | Cerebral palsy |
2) | Respiratory syncytial virus |
3) | Pneumonia from the bacillus Haemophilus influenzae |
4) | Streptococcus pneumoniae, a gram-positive diplococcus |
____ 2. The nurse is planning care for a school-aged child who requires oxygen, enteral tube feedings, and IV medications during the school day. In which category does this child’s chronic illness belong?
1) | Handicap |
2) | Normalization |
3) | Chronic sorrow |
4) | Technology dependent |
____ 3. Which nursing intervention is most appropriate when providing care to a child who has been diagnosed with a chronic respiratory disease and is experiencing dyspnea?
1) | Administering prescribed diphenhydramine |
2) | Decreasing the flow of prescribed oxygen |
3) | Implementing guided imagery with the child |
4) | Repositioning the child to a low-Fowler position |
____ 4. A preschool-aged child just lost an older sibling to a long battle with leukemia. For which should the nurse monitor in a preschool-aged patient after the death of a close family member?
1) | Delinquency |
2) | Spiritual distress |
3) | Increase in nightmares |
4) | Psychosomatic complaints |
____ 5. A toddler-aged client with leukemia comes to the clinic for a routine follow-up visit. Which statement made by the child’s parent indicates the need for intervention related to overwhelming caregiver burden?
1) | “We have a babysitter come over once a month so we can spend some time together.” |
2) | “Our church held a bake sale last month to help us raise money for our medical bills.” |
3) | “We joined a support group for children with leukemia and attend once in a while.” |
4) | “I barely sleep anymore. All I can think about is how we are going to cover these medical expenses.” |
____ 6. The nurse is speaking with the parents of a child who was recently diagnosed with lymphoma. Which of the following statements by the nurse is the most appropriate and recognizes the importance of establishing a therapeutic relationship with the family?
1) | “Would you like for me to talk to your child about the child’s illness or would you rather talk to your child yourself.” |
2) | “You should call everyone in your family immediately and explain to them what is happening.” |
3) | “I’m going to tell you everything you need to know about this illness.” |
4) | “What church do you belong to? You should let them know what is happening so they can provide you and your family support.” |
____ 7. The nurse is conducting an educational program for parents of children with chronic conditions. Which parental statement indicates the need for further instruction?
1) | “I know that my child may need specialized education.” |
2) | “I know that my child will have to stay on a special diet.” |
3) | “I know that my child will need assistance with activities of daily living.” |
4) | “I know that my child will get better and not have to take any more medication.” |
____ 8. An adolescent diagnosed with type 1 diabetes mellitus (DM) is prescribed dietary restrictions and daily insulin injections. Which behavior does the nurse anticipate from the adolescent upon return to school?
1) | Teaching peers about the diagnosis |
2) | Administering medication in front of peers |
3) | Acknowledging the condition to classmates |
4) | Exhibiting poor adherence to the prescribed treatment plan |
____ 9. The nurse is providing care to a toddler newly diagnosed with a chronic condition. Which nursing action will prepare the family for providing care to the toddler once he or she is discharged from the hospital setting?
1) | Providing a routine for medication administration |
2) | Suggesting that the parents use a mobile to provide sensory stimulation |
3) | Allowing the child to choose the color of the gown during hospitalization |
4) | Suggesting that the child be enrolled in a special camp to learn about the diagnosis |
____ 10. The nurse works in a clinic for medically fragile children who require home care. The nurse has noticed that there is a high percentage of divorce among these families. In an attempt to reduce the divorce rate among the parents, the nurse creates an educational session for parents of medically fragile children. Which should be the focus of this session?
1) | Communication |
2) | Financial stability |
3) | Ways to meet the child’s physical needs |
4) | State laws that have relevance to the medically fragile child |
____ 11. Which nursing action is appropriate when preparing the family of a school-aged child with a chronic illness for the provision of care in the home setting?
1) | Preparing the family for the transition of care into adulthood |
2) | Teaching the family about appropriate sensory stimuli, such as a mobile |
3) | Encouraging interaction between the child and others with the same diagnosis |
4) | Educating the family to give the child choices, such as which food to eat first |
____ 12. Which term should the nurse use when talking with other members of the health-care team about a child who has a small head?
1) | Acephalic |
2) | Procephalic |
3) | Hypercephalic |
4) | Brachycephalic |
____ 13. The nurse learns that a child has been diagnosed with a seizure disorder. Which is the most appropriate way to inform the child’s parents about this diagnosis?
1) | Calling the parents to provide the diagnosis over the phone |
2) | Planning a group meeting for all parents whose children have received the diagnosis in the last 2 months |
3) | Scheduling an appointment for the parents to see the health-care provider in person to discuss the diagnosis |
4) | Mailing a certified letter explaining the diagnosis and requesting the parents make a pediatric office appointment |
____ 14. Which nursing intervention is most appropriate when providing care to a child who is experiencing difficulty sleeping related to hospitalizations?
1) | Asking the physician to write an order for sleep medication |
2) | Using the CRIES, FLACC, and NIPS scales for assessment purposes |
3) | Clustering nursing tasks when possible to minimize interruptions |
4) | Using the Wong-Baker FACES scale for assessment purposes |
____ 15. The nurse is assessing a young child during a sickle cell crisis. Which nursing action is appropriate in assessing the child’s pain level?
1) | Administering antianxiety medication around the clock |
2) | Using the CRIES, FLACC, and NIPS scales for assessment purposes |
3) | Administering antinausea medication around the clock |
4) | Using the Wong-Baker FACES scale for assessment purposes |
____ 16. The nurse is assessing a child who is receiving chemotherapy treatments. Which nursing action is appropriate for the child who is experiencing nausea?
1) | Administering antianxiety medication around the clock |
2) | Using the CRIES, FLACC, and NIPS scales for assessment purposes |
3) | Administering antinausea medication around the clock |
4) | Using the Wong-Baker FACES scale for assessment purposes |
____ 17. The nurse is caring for a patient with a rare heart condition that has been present since birth. Which term accurately defines this child’s illness?
1) | Disability |
2) | Chronic illness |
3) | Handicap |
4) | Congenital disability |
____ 18. Which professional organization provides families with information on caring for a seriously ill child, ideas to balance academics and serious illness, and information on health conditions for teenagers?
1) | Teenshealth.org |
2) | Nemours Foundation |
3) | American Academy of Pediatrics |
4) | American Psychological Association |
____ 19. What late consequences should the nurse be monitoring for when caring for a child with a chronic illness?
1) | Depression and fatigue |
2) | Depression and nausea |
3) | Depression and social isolation |
4) | Depression and anxiety |
____ 20. The perception of death and dying differ throughout childhood. The nurse is caring for an adolescent patient that recently lost a close friend to a chronic illness. Which statement should the nurse be most concerned about?
1) | “I’m sad but I guess I knew it was coming.” |
2) | “My friends and I are going to get together and do a balloon release.” |
3) | “Some of my friends vape but I haven’t tried it.” |
4) | “I don’t want to be here anymore. I even took a handful of Benadryl last night but all it did was make me really sleepy.” |
____ 21. Which chronic illness has the highest rate of depression among children?
1) | Cancer |
2) | Cardiac disorders |
3) | Burns |
4) | Orthopedic disorders |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. The pediatric hospice care nurse is educating the family on some of the common signs of impending death. What are some of the physiological responses that they can expect to see? (Select all that apply.)
1) | Diarrhea |
2) | Myoclonus |
3) | Increasing airway secretions |
4) | Mottling of the skin |
5) | Decreasing terminal airway secretions |
____ 23. Secondary problems or complications can often occur when caring for a child with a chronic illness. What problems should the nurse assess for when providing care? (Select all that apply.)
1) | Muscle gain |
2) | Urinary tract infection |
3) | Contractures |
4) | Bedsores or ulcers |
5) | Muscle loss |
____ 24. The nurse is working with families on how to provide emotional support to a child who has been affected by a chronic illness. Which teaching points should the nurse include when educating a family about providing emotional support? (Select all that apply.)
1) | Providing a reward system |
2) | Providing routine |
3) | Acknowledging that emotional turmoil is unacceptable |
4) | Providing a system of punishment for when the child acts out |
5) | Showing an understanding of the child’s distress |
____ 25. Which pediatric diagnoses require the nurse to provide education related to the respiratory system? (Select all that apply.)
1) | Chronic inflammatory disease |
2) | Cerebral palsy |
3) | Asthma |
4) | Cystic fibrosis |
5) | Pulmonary hypertension |
Chapter 25: Adapting to Chronic Illness and Supporting the Family Unit
Document Information
Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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Chapter 25 Adapting To Chronic Illness And Supporting The Family Unit
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