Question 1

Most parents of children with special needs tend to experience chronic sorrow.What is one characteristic of chronic sorrow?

Accepted Answer

A)  Lack of acceptance of the child's limitation 
B)  Lack of available support to prevent sorrow 
C)  Periods of intensified sorrow while experiencing anger and guilt 
D)  Periods of intensified sorrow and loss that occur in waves over time 
A)  Lack of acceptance of the child's limitation 
B)  Lack of available support to prevent sorrow 
C)  Periods of intensified sorrow while experiencing anger and guilt 
D)  Periods of intensified sorrow and loss that occur in waves over time D

Question 2

Which intervention will encourage a sense of autonomy in a toddler with disabilities?

Accepted Answer

A)  Avoid separation from the family during hospitalizations. 
B)  Encourage independence in as many areas as possible. 
C)  Expose the child to pleasurable experiences as much as possible. 
D)  Help parents learn the special care needs of their child. 
A)  Avoid separation from the family during hospitalizations. 
B)  Encourage independence in as many areas as possible. 
C)  Expose the child to pleasurable experiences as much as possible. 
D)  Help parents learn the special care needs of their child. B

Question 3

An appropriate nursing intervention when providing comfort and support for a child when death is imminent is to do which of the following?

Accepted Answer

A)  Limit care to essentials. 
B)  Avoid playing music near the child. 
C)  Explain to the child the need for the constant measurement of vital signs. 
D)  Whisper to the child instead of using a normal voice. 
A)  Limit care to essentials. 
B)  Avoid playing music near the child. 
C)  Explain to the child the need for the constant measurement of vital signs. 
D)  Whisper to the child instead of using a normal voice. A

Question 4

Chris,age 9 years,has several physical disabilities.His father explains to the nurse that Chris concentrates on what he can do rather than what he cannot do,and is as independent as possible.What is the best way for the nurse to interpret of this information?

Accepted Answer

A)  The father is experiencing denial. 
B)  The father is expressing his own views. 
C)  The child is using an adaptive coping style. 
D)  The child is using a maladaptive coping style. 
A)  The father is experiencing denial. 
B)  The father is expressing his own views. 
C)  The child is using an adaptive coping style. 
D)  The child is using a maladaptive coping style.

Question 5

At which developmental period do children have the most difficulty coping with death,particularly if it is their own?

Accepted Answer

A)  Toddlerhood 
B)  Preschool 
C)  School-age 
D)  Adolescence 
A)  Toddlerhood 
B)  Preschool 
C)  School-age 
D)  Adolescence

Question 6

The nurse is providing support to parents when their child has just been diagnosed with chronic disabilities.What should the nurse do when the parents keep asking the same questions over and over?

Accepted Answer

A)  Patiently continue to answer their questions. 
B)  Kindly refer them to someone else to answer their questions. 
C)  Recognize that some parents cannot understand explanations. 
D)  Suggest that they ask their questions when they are not upset. 
A)  Patiently continue to answer their questions. 
B)  Kindly refer them to someone else to answer their questions. 
C)  Recognize that some parents cannot understand explanations. 
D)  Suggest that they ask their questions when they are not upset.

Question 7

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 that is characterized by which of the following?

Accepted Answer

A)  Denial 
B)  Guilt and anger 
C)  Social reintegration 
D)  Acceptance of child's limitations 
A)  Denial 
B)  Guilt and anger 
C)  Social reintegration 
D)  Acceptance of child's limitations

Question 8

The nurse is talking with the parent of a child newly diagnosed with a chronic illness.The parent is upset and tearful.The nurse asks,"Who do you talk to when something is worrying you?" What is the nurse's intention when asking this question?

Accepted Answer

A)  Inappropriate, because parent is so upset 
B)  A diversion from the present crisis to similar situations the parent has dealt with 
C)  An intervention to find someone to help the parent 
D)  Part of assessing parent's available support system 
A)  Inappropriate, because parent is so upset 
B)  A diversion from the present crisis to similar situations the parent has dealt with 
C)  An intervention to find someone to help the parent 
D)  Part of assessing parent's available support system

Question 9

The nurse is caring for a child who has just died.The parents ask to be left alone so that they can rock their child one more time.What should the nurse do?

Accepted Answer

A)  Grant their request. 
B)  Assess why they feel that this is necessary. 
C)  Discourage this because it will only prolong their grief. 
D)  Kindly explain that they need to say good-bye to their child now and leave. 
A)  Grant their request. 
B)  Assess why they feel that this is necessary. 
C)  Discourage this because it will only prolong their grief. 
D)  Kindly explain that they need to say good-bye to their child now and leave.

Question 10

The nurse is talking with the parents of a child who died 6 months ago.They sometimes still "hear" the child's voice and have trouble sleeping.They describe feeling "empty" and depressed.What should the nurse recognize about this situation?

Accepted Answer

A)  These are normal grief responses. 
B)  The pain of the loss is usually less by this time. 
C)  These grief responses are more typical of the early stages of grief. 
D)  This grieving is essential until the pain is gone and the child is gradually forgotten. 
A)  These are normal grief responses. 
B)  The pain of the loss is usually less by this time. 
C)  These grief responses are more typical of the early stages of grief. 
D)  This grieving is essential until the pain is gone and the child is gradually forgotten.

Question 11

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.What should the nurse explain to the parents?

Accepted Answer

A)  This denial will help the child cope effectively. 
B)  This attitude is helpful to give parents time to cope. 
C)  Terminally ill children know when they are seriously ill. 
D)  Terminally ill children usually choose not to discuss the seriousness of their illness. 
A)  This denial will help the child cope effectively. 
B)  This attitude is helpful to give parents time to cope. 
C)  Terminally ill children know when they are seriously ill. 
D)  Terminally ill children usually choose not to discuss the seriousness of their illness.

Question 12

The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death.Which is an appropriate nursing intervention?

Accepted Answer

A)  Be available to the family. 
B)  Attempt to "lighten the mood." 
C)  Suggest activities to cheer up the family. 
D)  Discourage crying until actual time of death. 
A)  Be available to the family. 
B)  Attempt to "lighten the mood." 
C)  Suggest activities to cheer up the family. 
D)  Discourage crying until actual time of death.

Question 13

A common parental reaction to a child with special needs is overprotection.Which one of the following is suggestive of this type of behaviour?

Accepted Answer

A)  Providing inconsistent discipline 
B)  Providing consistent, strict discipline 
C)  Forcing the child to help him- or herself, even when not capable 
D)  Encouraging social and educational activities not appropriate to child's level of capability 
A)  Providing inconsistent discipline 
B)  Providing consistent, strict discipline 
C)  Forcing the child to help him- or herself, even when not capable 
D)  Encouraging social and educational activities not appropriate to child's level of capability

Question 14

The parents of a child born with disabilities ask the nurse for advice about discipline.What information about discipline should the nurse's response be based upon?

Accepted Answer

A)  It is essential for the child. 
B)  It is too difficult to implement with a special needs child. 
C)  It is not needed unless child becomes problematic. 
D)  It is best achieved with punishment for misbehaviour. 
A)  It is essential for the child. 
B)  It is too difficult to implement with a special needs child. 
C)  It is not needed unless child becomes problematic. 
D)  It is best achieved with punishment for misbehaviour.

Question 15

A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks,such as missing doses of his medication.What should the nurse explain about this behaviour to his parents?

Accepted Answer

A)  He needs more discipline. 
B)  He needs more socialization with peers. 
C)  This is part of normal adolescence. 
D)  This is how he is asking for more parental control. 
A)  He needs more discipline. 
B)  He needs more socialization with peers. 
C)  This is part of normal adolescence. 
D)  This is how he is asking for more parental control.

Question 16

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

Accepted Answer

A)  Family and nursing staff 
B)  The social worker, nursing staff, and primary care physician 
C)  Family and key health professionals involved in the child's care 
D)  Primary care physician and key health professionals involved in the child's care 
A)  Family and nursing staff 
B)  The social worker, nursing staff, and primary care physician 
C)  Family and key health professionals involved in the child's care 
D)  Primary care physician and key health professionals involved in the child's care

Question 17

At the time of a child's death,the nurse tells his mother,"We will miss him so much." What is the best way to interpret this statement?

Accepted Answer

A)  The nurse is pretending to be experiencing grief. 
B)  The nurse is expressing personal feelings of loss. 
C)  The nurse is denying the mother's sense of loss. 
D)  The nurse is talking when listening would be better. 
A)  The nurse is pretending to be experiencing grief. 
B)  The nurse is expressing personal feelings of loss. 
C)  The nurse is denying the mother's sense of loss. 
D)  The nurse is talking when listening would be better.

Question 18

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.What is the best way for the nurse to interpret this situation?

Accepted Answer

A)  This is a sign that parents are in denial. 
B)  This is a normal, anticipated time of parental stress. 
C)  The parents need to learn more about cerebral palsy. 
D)  The parents are used to having expectations that are too high. 
A)  This is a sign that parents are in denial. 
B)  This is a normal, anticipated time of parental stress. 
C)  The parents need to learn more about cerebral palsy. 
D)  The parents are used to having expectations that are too high.

Question 19

A preschooler is found digging up a pet bird that was recently buried after it died.What is the best explanation for this behaviour?

Accepted Answer

A)  He has a morbid preoccupation with death. 
B)  He is looking to see if a ghost took it away. 
C)  The loss is not yet resolved, and professional counselling is needed. 
D)  Reassurance is needed that the pet has not gone somewhere else. 
A)  He has a morbid preoccupation with death. 
B)  He is looking to see if a ghost took it away. 
C)  The loss is not yet resolved, and professional counselling is needed. 
D)  Reassurance is needed that the pet has not gone somewhere else.

Question 20

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

Accepted Answer

A)  4 to 5 years of age 
B)  6 to 8 years of age 
C)  9 to 11 years of age 
D)  12 to 16 years of age 
A)  4 to 5 years of age 
B)  6 to 8 years of age 
C)  9 to 11 years of age 
D)  12 to 16 years of age

Exam 41: Chronic Illness, disability, and End-Of-Life Care

Most parents of children with special needs tend to experience chronic sorrow.What is one characteristic of chronic sorrow?

Which intervention will encourage a sense of autonomy in a toddler with disabilities?

An appropriate nursing intervention when providing comfort and support for a child when death is imminent is to do which of the following?

Chris,age 9 years,has several physical disabilities.His father explains to the nurse that Chris concentrates on what he can do rather than what he cannot do,and is as independent as possible.What is the best way for the nurse to interpret of this information?

At which developmental period do children have the most difficulty coping with death,particularly if it is their own?

The nurse is providing support to parents when their child has just been diagnosed with chronic disabilities.What should the nurse do when the parents keep asking the same questions over and over?

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 that is characterized by which of the following?

The nurse is talking with the parent of a child newly diagnosed with a chronic illness.The parent is upset and tearful.The nurse asks,"Who do you talk to when something is worrying you?" What is the nurse's intention when asking this question?

The nurse is caring for a child who has just died.The parents ask to be left alone so that they can rock their child one more time.What should the nurse do?

The nurse is talking with the parents of a child who died 6 months ago.They sometimes still "hear" the child's voice and have trouble sleeping.They describe feeling "empty" and depressed.What should the nurse recognize about this situation?

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.What should the nurse explain to the parents?

The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death.Which is an appropriate nursing intervention?

A common parental reaction to a child with special needs is overprotection.Which one of the following is suggestive of this type of behaviour?

The parents of a child born with disabilities ask the nurse for advice about discipline.What information about discipline should the nurse's response be based upon?

A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks,such as missing doses of his medication.What should the nurse explain about this behaviour to his parents?

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

At the time of a child's death,the nurse tells his mother,"We will miss him so much." What is the best way to interpret this statement?

A preschooler is found digging up a pet bird that was recently buried after it died.What is the best explanation for this behaviour?

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

Contemporary Perinatal Nursing in Canada

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