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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.
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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 intervention is most appropriate for fostering the development of a school-age child with disabilities associated with cerebral palsy?
- A. Provide sensory experiences.
- B. Help develop abstract thinking.
- C. Encourage socialization with peers.
- D. Give choices to allow for feeling of control.
Correct Answer: C
Rationale: Encouraging socialization with peers supports cognitive, social, and emotional development in school-age children with cerebral palsy, fostering independence and identity. Sensory experiences are more critical for younger children, abstract thinking develops later, and while choices promote control, peer interaction is more impactful for this age group.
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.
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.
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.