Exam 18: Quality of Life for Children Living with Chronic or Complex Diseases

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The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?

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Most parents of children with special needs tend to experience chronic sorrow.This is characterized by:

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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 explain that:

(Multiple Choice)
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The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities.The nurse notices that the parents keep asking the same questions.What is the nurse's best intervention?

(Multiple Choice)
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The nurse observes that a seriously ill child passively accepts all painful procedures.The nurse should recognize that this is most likely an indication that the child is experiencing a:

(Multiple Choice)
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Which describes avoidance behaviors parents may exhibit when learning that their child has a chronic condition? (Select all that apply.)

(Multiple Choice)
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The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home.Who should the nurse invite to the conference?

(Multiple Choice)
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A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication.The nurse should explain to his parents that:

(Multiple Choice)
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Which best describes how preschoolers react to the death of a loved one?

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The nurse comes into the room of a child who was just diagnosed with a chronic disability.The child's parents begin to yell at the nurse about a variety of concerns.Which is the nurse's best response?

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Which are adaptive coping patterns used by children with special needs? (Select all that apply.)

(Multiple Choice)
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Lindsey,age 5 years,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.The best interpretation of this situation is that:

(Multiple Choice)
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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 which of the following responses?

(Multiple Choice)
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Kelly,an 8-year-old girl,will soon be able to return to school after an injury that resulted in several severe,chronic disabilities.Which is the most appropriate action by the school nurse?

(Multiple Choice)
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The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death.Which of the following is an appropriate nursing intervention?

(Multiple Choice)
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The parents of a child born with disabilities ask the nurse for advice about discipline.The nurse's response should be based on knowledge that discipline is:

(Multiple Choice)
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A nurse is planning palliative care for a child with severe pain.Which should the nurse expect to be prescribed for pain relief?

(Multiple Choice)
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A cure is no longer possible for a young child with cancer.The nursing staff recognizes that the goal of treatment must shift from cure to palliation.Which is an important consideration at this time?

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At what age do most children have an adult concept of death as being inevitable,universal,and irreversible?

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Which are appropriate statements the nurse should make to parents after the death of their child? (Select all that apply.)

(Multiple Choice)
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