Test Bank for Maternal Child Nursing Care 3rd
CANADIAN Edition Keenan Lindsay Chapter 1 – 55
VERIFIED QUESTIONS AND ANSWERS
The feeling of guilt that the child "caused" the disability or illness is especially critical in
which child?
a.
Toddler
c.
School-age child
b.
Preschooler
d.
Adolescent - ANS: B
Preschoolers are most likely to be affected by feelings of guilt that they caused the
illness/disability or are being punished for wrongdoings. Toddlers are focused on
establishing their autonomy. The illness will foster dependency. The school-age child
will have limited opportunities for achievement and may not be able to understand
limitations. Adolescents are faced with the task of incorporating their disabilities into
their changing self-concept.
Chris, age 9 years, has several physical disabilities. His father explains to the nurse that
his son concentrates on what he can rather than cannot do and is as independent as
possible. The nurse's best interpretation of this is:
,a.
The father is experiencing denial.
b.
The father is expressing his own views.
c.
Chris is using an adaptive coping style.
d.
Chris is using a maladaptive coping style. - ANS: C
The father is describing a well-adapted child who has learned to accept physical
limitations. These children function well at home, at school, and with peers. They have
an understanding of their disorder that allows them to accept their limitations, assume
responsibility for care, and assist in treatment and rehabilitation. The father is not
denying the child's limitations or expressing his own views. This is descriptive of an
adaptive coping style.
The nurse is talking with the parent of a child newly diagnosed with a chronic illness.
The parent is upset and tearful. The nurse asks, "With whom do you talk when
something is worrying you?" This should be interpreted as:
a.
Inappropriate, because parent is so upset.
b.
A diversion of the present crisis to similar situations with which parent has dealt.
c.
An intervention to find someone to help parent.
, d.
Part of assessing parent's available support system. - ANS: D
This question will provide information about the marital relationship (does the parent
speak to the spouse?), alternate support systems, and ability to communicate. These
are very important data for the nurse to obtain and an appropriate part of an accurate
assessment. By assessing these areas, the nurse can facilitate the identification and
use of community resources as needed. The nurse is obtaining information to help
support the parent through the diagnosis. The parent is not in need of additional
parenting help at this time.
The nurse is providing support to parents at the time their child is diagnosed with
chronic disabilities. The nurse notices that the parents keep asking the same questions.
The nurse should:
a.
Patiently continue to answer questions.
b.
Kindly refer them to someone else to answer their questions.
c.
Recognize that some parents cannot understand explanations.
d.
Suggest that they ask their questions when they are not upset. - ANS: A
Diagnosis is one of the anticipated stress points for parents. The parents may not hear
or remember all that is said to them. The nurse should continue to provide the kind of
information that they desire. This is a particularly stressful time for the parents; the
nurse can play a key role in providing necessary information. Parents should be
provided with oral and written information. The nurse needs to work with the family to
ensure understanding of the information. The parents require information at the time of
diagnosis. Other questions will arise as they adjust to the information.
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