Question 1

The nurse is planning care for the family of a child with a chronic illness.Which activities should the nurse recommend to decrease the risk for compassion fatigue? (Select all that apply.)&#10;A) Exercising&#10;B) Moving away&#10;C) Developing a hobby&#10;D) Fostering social relationships&#10;E) Sleeping more than 10 hours per 24-hour period&#10;

Accepted Answer

Exercising, developing a hobby, and fostering social relationships can help reduce compassion fatigue in the family of a child with chronic illness. These activities promote self-care, relaxation, and stress reduction, which can help prevent burnout and emotional exhaustion. Moving away or sleeping excessively may not be feasible or effective solutions to combat compassion fatigue.

Question 2

Which nursing action is appropriate when preparing the family of a school-aged child with a chronic illness for the provision of care in the home setting?&#10;A) Preparing the family for the transition of care into adulthood&#10;B) Teaching the family about appropriate sensory stimuli,such as a mobile&#10;C) Encouraging interaction between the child and others with the same diagnosis&#10;D) Educating the family to give the child choices,such as which food to eat first&#10;

Accepted Answer

Encouraging interaction between the child and others with the same diagnosis can provide emotional support and a sense of community for the child and family. It can also help the family learn from others who have gone through similar experiences and gain coping strategies. Preparing the family for the transition of care into adulthood is important, but may not be relevant at the current time. Teaching about appropriate sensory stimuli and giving the child choices are also important, but may not be the priority when preparing the family for care in the home setting.

Question 3

Which human symptoms associated with the diagnosis of a chronic disease during childhood should the nurse assess for when providing care? (Select all that apply.)&#10;A) Pain&#10;B) Fatigue&#10;C) Dyspnea&#10;D) Clotting disorders&#10;E) Vomiting and nausea&#10;

Accepted Answer

Pain, fatigue, dyspnea, and vomiting/nausea are common symptoms associated with chronic diseases in childhood. Clotting disorders, while a chronic condition, may not present with symptoms that are typically associated with chronic diseases.

Question 4

The nurse is conducting an educational program for parents of children with chronic conditions.Which parental statement indicates the need for further instruction?&#10;A) &#34;I know my child may need specialized education.&#34;&#10;B) &#34;I know my child will have to stay on a special diet.&#34;&#10;C) &#34;I know my child will need assistance with activities of daily living.&#34;&#10;D) &#34;I know my child will get better and not have to take any more medication.&#34;&#10;

Accepted Answer

This statement indicates a misunderstanding of the chronic nature of their child's condition and the need for ongoing medication management. Further instruction on the nature of chronic conditions and the importance of medication adherence is necessary.

Question 5

The nurse is providing care to a toddler newly diagnosed with a chronic condition.Which nursing action will prepare the family for providing care to the toddler once he or she is discharged from the hospital setting?

A) Providing a routine for medication administration
B) Suggesting that the parents use a mobile to provide sensory stimulation
C) Allowing the child to choose the color of the gown during hospitalization
D) Suggesting the child be enrolled in a special camp to learn about the diagnosis

Accepted Answer

Providing a routine for medication administration will help the family prepare for providing care to the toddler once they are discharged from the hospital setting. This will ensure that the toddler's medication is given on time and in the correct dose to manage the chronic condition. Suggesting the parents use a mobile for sensory stimulation or allowing the child to choose the color of the gown during hospitalization, while helpful, are not as essential as establishing a medication administration routine. Enrolling the child in a special camp to learn about the diagnosis is also not the best choice, as the child may be too young to understand the condition and the camp may not be age-appropriate.

Question 6

Which nursing action is appropriate for the child who is experiencing anxiety related to numerous hospitalizations required for the management of a chronic disease process?&#10;A) Collaborating with a child life specialist&#10;B) Spacing out procedures to allow rest in between&#10;C) Administering antinausea medication around the clock&#10;D) Using the Wong-Baker FACES scale for assessment purposes&#10;

Accepted Answer

Collaborating with a child life specialist can help provide the child with age-appropriate coping strategies and interventions to reduce anxiety related to hospitalizations. Spacing out procedures and administering antinausea medication may be helpful, but they do not directly address the child's anxiety. Using the Wong-Baker FACES scale may be useful for pain assessment but is not directly related to anxiety management.

Question 7

An adolescent diagnosed with type 1 diabetes mellitus (DM)is prescribed dietary restrictions and daily insulin injections.Which behavior does the nurse anticipate from the adolescent upon return to school?

A) Teaching peers about the diagnosis
B) Administering medication in front of peers
C) Acknowledging the condition to classmates
D) Exhibiting poor adherence to the prescribed treatment plan

Accepted Answer

Adolescents may struggle with adherence to treatment plans due to a desire for normalcy, peer influence, and the challenge of managing a chronic condition like type 1 diabetes mellitus while trying to fit in with their peers. This can lead to poor adherence to dietary restrictions and insulin therapy.

Question 8

Which nursing action is appropriate for the child who is experiencing discomfort as a result of an exacerbation of a chronic disease process?&#10;A) Collaborating with a child life specialist&#10;B) Spacing out procedures to allow rest in between&#10;C) Administering antinausea medication around the clock&#10;D) Using the Wong-Baker FACES scale for assessment purposes&#10;

Accepted Answer

The answer of Which nursing action is appropriate for the...

Question 9

Which nursing intervention is most appropriate when providing care to a child who has been diagnosed with a chronic respiratory disease and is experiencing dyspnea?&#10;A) Administering prescribed diphenhydramine&#10;B) Decreasing the flow of prescribed oxygen&#10;C) Implementing guided imagery with the child&#10;D) Repositioning the child to a low-Fowler position&#10;

Accepted Answer

Implementing guided imagery can help a child with chronic respiratory disease manage dyspnea by promoting relaxation and distraction, which can improve breathing comfort and reduce the perception of breathlessness.

Question 10

The nurse is conducting an assessment of a parent and child with severe cerebral palsy (CP)during a routine clinic visit.Which nursing action is appropriate on the basis of the current data?&#10;A) Measuring the urine output&#10;B) Observing the parent-child relationship&#10;C) Measuring the child's head circumference&#10;D) Observing how the child interacts during play&#10;

Accepted Answer

Observing the parent-child relationship is crucial in assessing the support system and dynamics around a child with severe cerebral palsy (CP). This can provide insights into the child's emotional and social well-being, which is an essential part of holistic care.

Question 11

Which nursing action is appropriate for the child who is experiencing fatigue as a result of an exacerbation of a chronic disease process?&#10;A) Collaborating with a child life specialist&#10;B) Spacing out procedures to allow rest in between&#10;C) Administering antinausea medication around the clock&#10;D) Using the Wong-Baker FACES scale for assessment purposes&#10;

Accepted Answer

The answer of Which nursing action is appropriate for the...

Question 12

The nurse is working with the parents of a child with a chronic condition.Which statement made by the child's parents indicates the need for intervention related to an overwhelming caregiver burden?&#10;A) &#34;My mother moved in and helps us with the care of our family.&#34;&#10;B) &#34;I have to care for my child day and night,which leaves little time for me.&#34;&#10;C) &#34;I chose to quit my job to be home with my child,and my husband helps in the evening when he can.&#34;&#10;D) &#34;Our health insurer sent us a rejection letter for my child's brand-name medication,and we must fill out forms to get the generic.&#34;&#10;

Accepted Answer

The answer of The nurse is working with the parents...

Question 13

The nurse is planning care for a school-aged child who requires oxygen,enteral tube feedings,and IV medications during the school day.In which category does this child's chronic illness belong?&#10;A) Handicap&#10;B) Normalization&#10;C) Chronic sorrow&#10;D) Technology dependent&#10;

Accepted Answer

The answer of The nurse is planning care for a...

Question 14

Which pediatric diagnoses require the nurse to provide education related to the cardiovascular system? (Select all that apply.)&#10;A) Head trauma&#10;B) CP&#10;C) Seizure disorder&#10;D) Congestive heart failure&#10;E) Pulmonary hypertension&#10;

Accepted Answer

The answer of Which pediatric diagnoses require the nurse to...

Question 15

Which term should the nurse use when talking with other members of the health-care team about a child who has a small head?&#10;A) Acephalic&#10;B) Procephalic&#10;C) Hypercephalic&#10;D) Brachycephalic&#10;

Accepted Answer

The answer of Which term should the nurse use when...

Question 16

The nurse works in a clinic for medically fragile children who require home care.The nurse has noticed that there is a high percentage of divorce among these families.In an attempt to reduce the divorce rate among the parents,the nurse creates an educational session for parents of medically fragile children.Which should be the focus of this session?

A) Communication
B) Financial stability
C) Ways to meet the child's physical needs
D) State laws that have relevance to the medically fragile child

Accepted Answer

The answer of The nurse works in a clinic for...

Question 17

Which teaching points should the nurse include when educating a family about the benefits of membership in the Nemours Foundation? (Select all that apply.)&#10;A) It provides a fact sheet on asthma and children.&#10;B) It provides information on the care of seriously ill children.&#10;C) It provides information and ideas on balancing academics and serious illness.&#10;D) It provides information on dealing with health conditions during adolescence.&#10;E) It provides information on supporting siblings of children with chronic illnesses.&#10;

Accepted Answer

The answer of Which teaching points should the nurse include...

Question 18

For which should the nurse monitor in an adolescent patient after the death of a close family member?&#10;A) Delinquency&#10;B) Spiritual distress&#10;C) Increase in nightmares&#10;D) Psychosomatic complaints&#10;

Accepted Answer

The answer of For which should the nurse monitor in...

Question 19

The nurse is providing care to several pediatric clients in the hospital setting.Which diagnosis is capable of producing chronic limitations for the child?&#10;A) Congenital heart defect&#10;B) Respiratory syncytial virus&#10;C) Pneumonia from the bacillus Haemophilus influenzae&#10;D) Streptococcus pneumoniae,a gram-positive diplococcus&#10;

Accepted Answer

The answer of The nurse is providing care to several...

Question 20

The nurse learns that a newborn has been diagnosed with phenylketonuria (PKU).Which is the most appropriate way to inform the newborn's parents about this diagnosis?&#10;A) Calling the parents to provide the diagnosis over the phone&#10;B) Planning a group meeting for all parents whose children have received the diagnosis in the last 2 months&#10;C) Scheduling an appointment for the parents to see the health-care provider in person to discuss the diagnosis&#10;D) Mailing a certified letter explaining the diagnosis and requesting the parents make a pediatric office appointment&#10;

Accepted Answer

The answer of The nurse learns that a newborn has...

Deck 44: Adapting to Chronic Illness and Supporting the Family Unit