Nokea
The potential effects of chronic illness or disability on a childs development vary at different ages. What developmental alteration is a threat to a toddlers normal development?
- A. Hindered mobility
- B. Limited opportunities for socialization
- C. Childs sense of guilt that he or she caused the illness or disability
- D. Limited opportunities for success in mastering toilet training
Correct Answer: A
Rationale: Toddlers develop autonomy and self-control through mobility, which allows them to explore and assert independence. Hindered mobility due to chronic illness can lead to feelings of helplessness, disrupting this developmental stage. Socialization is less critical for toddlers, guilt is more common in preschoolers, and toilet training is typically mastered later in toddlerhood.
You may also like to solve these questions
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.
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.
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.
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.
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 what emotional response?
- A. Hopefulness
- B. Chronic sorrow
- C. Belief that procedures are a deserved punishment
- D. Understanding that procedures indicate impending death
Correct Answer: C
Rationale: Passive acceptance of painful procedures in a seriously ill child often indicates a belief that they are deserved punishment, reflecting feelings of unworthiness. Hopefulness leads to active participation, chronic sorrow is more typical in parents, and understanding procedures as linked to death is less common in children.