Chapter 34 Caring for the Child With a Chronic Condition or the Dying Child

Chapter 34  Caring for the Child With a Chronic Condition or the Dying Child

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A pediatric nurse advocates for the children’s oncology clinic by initiating a fundraising project that will help pay for expansion of the bathrooms to accommodate wheelchairs. The nurse’s motivation is in response to an awareness of which of concept?
A.
Chronic illnesses of the patients
B.
Disabilities of the patient population
C.
Handicaps of the patient population
D.
Work of the clinic nurse and other staff

ANS: C
This fundraiser is designed to alleviate difficulties due to handicaps, which are limitations that prevent or interfere with a person’s ability to carry out tasks or access certain aspects of the environment. A chronic illness is one that persists over time and may or may not lead to activity limitations. Disabilities refer to the limitations that prevent or interfere with a child’s ability to perform daily activities. Although the work of the clinic staff may be made easier with the addition of wheelchair-accessible bathrooms, the focus is on the children who are patients there.

Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Caring
Difficulty: Moderate

PTS: 1

2. As part of therapeutic play for the patients, the pediatric nurse reads a book about children receiving injections. For which age group is this nursing intervention most appropriate?
A.
Adolescents
B.
Preschoolers
C.
School-aged children
D.
Toddlers

ANS: B
Priority nursing interventions for the preschooler include providing the child with the opportunity to express fears and frustrations. At this age, the use of storytelling and books about the illness may be helpful in providing a nonthreatening approach to the topic. Additionally, the preschooler can express concerns through dramatic play. The nurse can ask the child-life specialist for assistance with methods of expression.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Nursing Process: Implementation
Difficulty: Moderate

PTS: 1

3. During a pediatric nursing orientation session to a new unit, the child-life specialist is introduced as an important member of the heath-care team. What is an important role of the child-life specialist?
A.
Accompany children on their way to procedures
B.
Assist with family counseling regarding hospitalization
C.
Describe normal growth and development to families
D.
Provide opportunities for therapeutic play

ANS: D
Whenever a child has a chronic condition, it is important to involve the child-life specialist. Because the child with a chronic condition often spends significant amounts of time in the hospital, the days can be long and boring. The child-life specialist is an expert in child development and therapeutic play and can assist in diversion activities during procedures, arrange for therapeutic play, or simply let the child take time to play.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Teaching/Learning
Difficulty: Moderate

PTS: 1

4. The pediatric nurse is familiar with Kübler-Ross’s stages of grief. Parents who are feeling guilty and try to find any cause for their child’s illness or blame others for the illness are in which stage of grief?
A.
Acceptance
B.
Bargaining
C.
Denial
D.
Grief

ANS: C
In the bargaining stage, it is common for the family members to ask, “What did I do to make this happen?” It is normal for the family members to bargain with either themselves or with God in hopes that the child’s life will be spared. In the denial stage, the parents have feelings of numbness, disbelief, and shock. Acceptance of the child’s illness and possible death means that the family or child has made an emotional adjustment to the illness.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Caring
Difficulty: Moderate

PTS: 1

5. The pediatric nurse understands that with a sudden catastrophic loss, family members can experience physical symptoms such as rapid respirations, agitation, nausea, and diarrhea. According to Epperson, which stage of grief are these individuals experiencing?
A.
Anger
B.
Denial
C.
High anxiety
D.
Remorse

ANS: C
High anxiety is described by Epperson as a time of great stress, with many physical manifestations of emotional upheaval. A nursing assessment of the family member finds agitation, rapid respirations and increased heart rate, irritability, muscular tension, and fainting, along with digestive or bowel changes that may result in nausea and diarrhea.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Psychosocial Integrity
Integrated Process: Caring
Difficulty: Easy

PTS: 1