Nokea
The nurse is talking to the parent of a child with special needs. The parent has expressed worry about how to support the siblings at home. What suggestion is appropriate for the nurse to give to the parent?
- A. You should help the siblings see the similarities and differences between themselves and your child with special needs.
- B. You should explain that your child with special needs should be included in all activities that the siblings participate in even if they are reluctant.
- C. You should give the siblings many caregiving tasks for your child with special needs so the siblings feel involved.
- D. You should intervene when there are differences between your child with special needs and the siblings.
Correct Answer: A
Rationale: Helping siblings recognize similarities and differences with their special needs sibling fosters understanding and empathy, supporting family dynamics. Forcing inclusion in all activities, assigning excessive caregiving, or intervening in sibling differences can create resentment or hinder independence.
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The parents of a child born with disabilities ask the nurse for advice about discipline. The nurses response should be based on remembering that discipline is which?
- A. Essential for the child
- B. Not needed unless the childs behavior becomes problematic
- C. Best achieved with punishment for misbehavior
- D. Too difficult to implement with a special needs child
Correct Answer: A
Rationale: Discipline is essential for children with disabilities to establish boundaries and teach socially acceptable behaviors, supporting their development. Waiting for problematic behavior delays guidance, punishment is less effective than positive discipline, and discipline is feasible with tailored approaches for special needs.
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 to his parents?
- A. That he needs more discipline
- B. That this is a normal part of adolescence
- C. That he needs more socialization with peers
- D. That this is how he is asking for more parental control
Correct Answer: B
Rationale: Rebelliousness and risk-taking, such as skipping medication, are normal adolescent behaviors as they seek independence. Increased discipline may escalate rebellion, socialization doesn?t directly address the behavior, and it?s not a request for more control but rather a push for autonomy.
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.
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.
A 5-year-old child 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 interpretation of this situation?
- A. This is a sign the 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 expectations are too high.
Correct Answer: B
Rationale: Parental stress often peaks at anticipated milestones like starting school, especially for a child with a disability like cerebral palsy, as it highlights the severity of limitations. This is a normal response, not denial, a knowledge deficit, or overly high expectations.