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

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.)

A) Exercising
B) Moving away
C) Developing a hobby
D) Fostering social relationships
E) Sleeping more than 10 hours per 24-hour period

Answer 1

Exercising
Developing a hobby
Fostering social relationships

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?

A) Preparing the family for the transition of care into adulthood
B) Teaching the family about appropriate sensory stimuli,such as a mobile
C) Encouraging interaction between the child and others with the same diagnosis
D) Educating the family to give the child choices,such as which food to eat first

Answer 2

Encouraging interaction between the child and others with the same diagnosis

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.)

A) Pain
B) Fatigue
C) Dyspnea
D) Clotting disorders
E) Vomiting and nausea

Answer 3

Pain
Fatigue
Dyspnea
Vomiting and nausea

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?

A) "I know my child may need specialized education."
B) "I know my child will have to stay on a special diet."
C) "I know my child will need assistance with activities of daily living."
D) "I know my child will get better and not have to take any more medication."

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

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?

A) Collaborating with a child life specialist
B) Spacing out procedures to allow rest in between
C) Administering antinausea medication around the clock
D) Using the Wong-Baker FACES scale for assessment purposes

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

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?

A) Collaborating with a child life specialist
B) Spacing out procedures to allow rest in between
C) Administering antinausea medication around the clock
D) Using the Wong-Baker FACES scale for assessment purposes

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?

A) Administering prescribed diphenhydramine
B) Decreasing the flow of prescribed oxygen
C) Implementing guided imagery with the child
D) Repositioning the child to a low-Fowler position

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?

A) Measuring the urine output
B) Observing the parent-child relationship
C) Measuring the child's head circumference
D) Observing how the child interacts during play

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?

A) Collaborating with a child life specialist
B) Spacing out procedures to allow rest in between
C) Administering antinausea medication around the clock
D) Using the Wong-Baker FACES scale for assessment purposes

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?

A) "My mother moved in and helps us with the care of our family."
B) "I have to care for my child day and night,which leaves little time for me."
C) "I chose to quit my job to be home with my child,and my husband helps in the evening when he can."
D) "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."

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?

A) Handicap
B) Normalization
C) Chronic sorrow
D) Technology dependent

Question 14

Which pediatric diagnoses require the nurse to provide education related to the cardiovascular system? (Select all that apply.)

A) Head trauma
B) CP
C) Seizure disorder
D) Congestive heart failure
E) Pulmonary hypertension

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?

A) Acephalic
B) Procephalic
C) Hypercephalic
D) Brachycephalic

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

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.)

A) It provides a fact sheet on asthma and children.
B) It provides information on the care of seriously ill children.
C) It provides information and ideas on balancing academics and serious illness.
D) It provides information on dealing with health conditions during adolescence.
E) It provides information on supporting siblings of children with chronic illnesses.

Question 18

For which should the nurse monitor in an adolescent patient after the death of a close family member?

A) Delinquency
B) Spiritual distress
C) Increase in nightmares
D) Psychosomatic complaints

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?

A) Congenital heart defect
B) Respiratory syncytial virus
C) Pneumonia from the bacillus Haemophilus influenzae
D) Streptococcus pneumoniae,a gram-positive diplococcus

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?

A) Calling the parents to provide the diagnosis over the phone
B) Planning a group meeting for all parents whose children have received the diagnosis in the last 2 months
C) Scheduling an appointment for the parents to see the health-care provider in person to discuss the diagnosis
D) Mailing a certified letter explaining the diagnosis and requesting the parents make a pediatric office appointment