Nokea
A feeling of guilt that the child caused the disability or illness is especially common in which age group?
- A. Toddler
- B. Preschooler
- C. School-age child
- D. Adolescent
Correct Answer: B
Rationale: Preschoolers often experience guilt, believing they caused their illness or disability or that it is a punishment for misbehavior due to their egocentric thinking. Toddlers focus on autonomy, school-age children face achievement issues, and adolescents work on integrating disabilities into their self-concept, making guilt less prominent.
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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?
- A. Explain to the siblings that embarrassment is unhealthy.
- B. Encourage the parents not to expect siblings to help them care for the child with special needs.
- C. Provide information to the siblings about the childs condition only as requested.
- D. Invite the siblings to attend meetings to develop plans for the child with special needs.
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.
The nurse is assessing the coping behaviors of the parents of a child recently diagnosed with a chronic illness. What behavior should the nurse consider an approach behavior that results in movement toward adjustment?
- A. Being unable to adjust to a progression of the disease or condition
- B. Anticipating future problems and seeking guidance and answers
- C. Looking for new cures without a perspective toward possible benefit
- D. Failing to recognize the seriousness of the childs condition despite physical evidence
Correct Answer: B
Rationale: Anticipating future problems and seeking guidance are approach behaviors that promote adjustment by proactively addressing the child?s needs. Inability to adjust, seeking cures unrealistically, or denying severity are avoidance behaviors that hinder coping and adaptation.
What nursing intervention is most appropriate in promoting normalization in a school-age child with a chronic illness?
- A. Give the child as much control as possible.
- B. Ask the childs peer to make the child feel normal.
- C. Convince the child that nothing is wrong with him or her.
- D. Explain to parents that family rules for the child do not need to be the same as for healthy siblings.
Correct Answer: A
Rationale: Giving the child as much control as possible fosters normalization by countering dependency caused by chronic illness, promoting independence. Peers cannot be tasked with making the child feel normal, denying the illness is unhelpful, and different family rules may cause resentment among siblings.
What should the nurse determine to be the priority intervention for a family with an infant who has a disability?
- A. Focus on the childs disabilities to understand care needs.
- B. Institute age-appropriate discipline and limit setting.
- C. Enforce visiting hours to allow parents to have respite care.
- D. Foster feelings of competency by helping parents learn the special care needs of the infant.
Correct Answer: D
Rationale: Helping parents learn the special care needs of their infant fosters feelings of competency, enabling them to care confidently. This includes teaching techniques like special holding or breastfeeding support. Focusing solely on disabilities overlooks strengths, discipline is not a priority for infants, and rigid visiting hours may hinder family bonding.
What nursing intervention is especially helpful in assessing feelings of parental guilt when a disability or chronic illness is diagnosed?
- A. Ask the parents if they feel guilty.
- B. Observe for signs of overprotectiveness.
- C. Talk about guilt only after the parents mention it.
- D. Discuss the meaning of the parents religious and cultural background.
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.