Deck 9: Families Living With Chronic Illness

Question 1

While providing care for a family, the nurse reviews the common reactions of siblings to a diabetes diagnosis. Which statement is true regarding siblings of individuals with diabetes? Select all that apply.

A) Some siblings of children with a chronic illness feel pressure to be the good child.
B) Most siblings of children with a chronic illness develop behavior problems.
C) Most siblings of children with a chronic illness feel shame-related embarrassment about their sibling.
D) Some siblings of children with a chronic illness experience an increased level of compassion.
E) Some siblings resent their sibling with a chronic illness because of increased responsibilities and less attention from parents.

Answer 1

Some siblings of children with a chronic illness feel pressure to be the good child.
Most siblings of children with a chronic illness feel shame-related embarrassment about their sibling.
Some siblings of children with a chronic illness experience an increased level of compassion.
Some siblings resent their sibling with a chronic illness because of increased responsibilities and less attention from parents.

Question 2

The parents of a child with muscular dystrophy have a negative view of the child's future and feel hopeless about future care needs. Which view of the child is the family demonstrating?

A) Thriving
B) Enduring
C) Floundering
D) Accommodating

Answer 2

Floundering

Question 3

The mother of a child with a chronic illness is exhausted and does not feel supported by other family members when providing the child with care. Which instrumental support should the nurse recommend for thismother and family? Select all that apply.

A) Suggest attending a support group
B) Create a schedule for meal preparation
C) Assign chores for laundry and groceries
D) Listen to the mother talk about the care needs
E) Take turns providing the child with physical care

Answer 3

Create a schedule for meal preparation
Assign chores for laundry and groceries
Take turns providing the child with physical care

Question 4

The nurse notes that a family with a child newly diagnosed with a chronic illness has no experience with the disease. Therefore, required routines and family life are disorganized. Which need is this family experiencing?

A) Reeducation
B) Redefinition
C) Remediation
D) Realignment

Question 5

The nurse notes that a family including a member with end-stage renal disease is feeling emotionally drained. On what should the nurse focus when assessing this core process? Select all that apply.

A) Culture
B) Control
C) Language
D) Attachment
E) Commitment

Question 6

During a family conference, the nurse practitioner is leading a discussion with a family, which includes a 15-year-old adolescent who often "forgets" to check his morning blood glucose levels. Which questions would be the most appropriate for the nurse to ask?

A) Why would a person neglect his body?
B) Can I tell you about the dangers of high blood glucose levels?
C) Do you think forgetting to check the blood glucose is a way of acting out?
D) I understand that you are all concerned with checking blood sugars. Is that right?

Question 7

According to Knafl and colleagues' theory of normalization, families including a child with a chronic illness must perform which action to adopt a "normalcy lens"?

A) Actively deny aspects of the illness that are unpleasant or burdensome
B) Focus attention equally on "normal" siblings and the child with the chronic illness
C) Recognize the ongoing processes of actively adapting to the child's evolving physical, emotional, and social needs and establishing new family routines
D) Advocate for the child to ensure that he or she is mainstreamed because it provides the best hope for the child's development

Question 8

The nurse plans to assess routines that the family performs together. Which information should the nurse collect from the family during this assessment? Select all that apply.

A) Vacations
B) Traditions
C) Celebrations
D) Work and play
E) Disease prevention

Question 9

When planning interventions for a family with rheumatoid arthritis, it is essential that the nurse include which family member in the discussions regarding treatment options?

A) The child with the illness
B) The father as the breadwinner
C) The mother as the primary caregiver
D) All family members who are available

Question 10

The nurse plans to use an empowerment model to plan care for a family who has a member with a chronic illness. Which type of care will the nurse use to support this family? Select all that apply.

A) Problem-based
B) Strength-based
C) Evidence-based
D) Patient-centered
E) Spiritually relevant

Question 11

The nurse prepares to assess a family with a member who has a chronic illness. On what should the nurse focus during this assessment? Select all that apply.

A) Sibling needs
B) Core processes
C) Nutritional needs
D) Economic restraints
E) Developmental milestones

Question 12

The nurse is preparing a presentation about the needs of family caregivers for a senate hearing on caring for people with chronic health problems. What should the nurse suggest as positive actions to improve the economic status of these caregivers? Select all that apply.

A) Implement flextime
B) Provide a tax credit for caregiving
C) Expand funding for the National Family Caregiver Program
D) Reduce the fees for placing chronically ill family members into skilled facilities
E) Include the care of extended family members through the Family and Medical Leave Act