MATERNAL CHILD EXAM 2 2025 WITH
CORRECT ANSWERS
The nurse case manager is planning a care conference about a young child who has complex
v v v v v v v v v v v v v v v v
health care v
needs and will soon be discharged home. Whom should the nurse invite to the conference?
v v v v v v v v v v v v v v
a. Family and nursing staff
v v v v
b. Social worker, nursing staff, and primary care physician
v v v v v v v v
c. Family and key health professionals involved in childs care
v v v v v v v v v
d. Primary care physician and key health professionals involved in childs care - correct
v v v v v v v v v v v v v v
answer ANS: C v v
A multidisciplinary conference is necessary for coordination of care for children with complex
v v v v v v v v v v v v v
health needs. v
The family and key health professionals who are involved in the childs care are included. The
v v v v v v v v v v v v v v v v
nursing staff can v v
address the nursing care needs of the child with the family, but other involved disciplines must
v v v v v v v v v v v v v v v v
be included. v
The family must be included in the discharge conferences, which allow them to determine
v v v v v v v v v v v v v v
what education they v v
will require and the resources needed at home. A member of the nursing staff must be
v v v v v v v v v v v v v v v v
included to review the v v v
nursing needs of the child. v v v v
Lindsey, age 5 years, will be starting kindergarten next month. She has cerebral palsy, and it
v v v v v v v v v v v v v v v v
has been v
,determined that she needs to be in a special education classroom. Her parents are tearful v v v v v v v v v v v v v v v
when telling the nurse v v v
about this and state that they did not realize that her disability was so severe. The best
v v v v v v v v v v v v v v v v v
interpretation of this v v
situation is that: v v
a. This is a sign that parents are in denial.
v v v v v v v v v
b. This is a normal anticipated time of parental stress.
v v v v v v v v v
c. The parents need to learn more about cerebral palsy.
v v v v v v v v v
d. The parents are used to having expectations that are too high. - correct answer ANS: B
v v v v v v v v v v v v v v v v
Parenting a child with a chronic illness can be very stressful for parents. There are anticipated
v v v v v v v v v v v v v v v v
times that v
parental stress increases. One of these identified times is when the child begins school.
v v v v v v v v v v v v v v
Nurses can help parents v v v
recognize and plan interventions to work through these stressful periods. The parents are not
v v v v v v v v v v v v v v
in denial; they are
v v v
responding to the childs placement in school. The parents are not exhibiting signs of a v v v v v v v v v v v v v v v
knowledge deficit or v v
expectations that are too high; this is their first interaction with the school system with this v v v v v v v v v v v v v v v v
child.
Approach behaviors are coping mechanisms that result in a familys movement toward v v v v v v v v v v v v
adjustment and v
resolution of the crisis of having a child with a chronic illness or disability. What is considered
v v v v v v v v v v v v v v v v v
an approach v
behavior in parents? v v
a. Are unable to adjust to a progression of the disease or condition
v v v v v v v v v v v v
b. Anticipate future problems and seek guidance and answers
v v v v v v v v
c. Look for new cures without a perspective toward possible benefit
v v v v v v v v v v
d. Fail to recognize seriousness of childs condition despite physical evidence - correct answer
v v v v v v v v v v v v v
ANS: B
v v
The parents who anticipate future problems and seek guidance and answers are
v v v v v v v v v v v v
demonstrating approach v
behaviors. They are demonstrating positive actions in caring for their child. Avoidance v v v v v v v v v v v v
behaviors include being v v
unable to adjust to a progression of the disease or condition, looking for new cures without a
v v v v v v v v v v v v v v v v v
perspective
toward possible benefit, and failing to recognize the seriousness of the childs condition
v v v v v v v v v v v v v
despite physical v
evidence. These behaviors would suggest that the parents are moving away from adjustmentv v v v v v v v v v v v v
or adaptation in
v v
the crisis of a child with chronic illness or disability.
v v v v v v v v v
Families progress through various stages of reactions when a child is diagnosed with a
v v v v v v v v v v v v v v
chronic illness or v v
disability. After the shock phase, a period of adjustment usually follows. This is often
v v v v v v v v v v v v v v
characterized by: v
,a. Denial. c. Social reintegration.
v v v v
b. Guilt and anger. d. Acceptance of childs limitations. - correct answer ANS: B
v v v v v v v v v v v v v
For most families, the adjustment phase is accompanied by several responses that are
v v v v v v v v v v v v v
normally part of the v v v
adjustment process. Guilt, self-accusation, bitterness, and anger are common reactions. v v v v v v v v v v
The initial diagnosis of v v v
a chronic illness or disability often is often met with intense emotion and characterized by
v v v v v v v v v v v v v v v
shock and denial. v v
Social reintegration and acceptance of the childs limitations is the culmination of the
v v v v v v v v v v v v v
adjustment process. v
The nurse comes into the room of a child who was just diagnosed with a chronic disability. The
v v v v v v v v v v v v v v v v v v
childs
parents begin to yell at the nurse about a variety of concerns. The nurses best response is:
v v v v v v v v v v v v v v v v
a. What is really wrong?
v v v v
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 579
v v v v v v v v v v v v
b. Being angry is only natural.
v v v v v
c. Yelling at me will not change things.
v v v v v v v
d. I will come back when you settle down. - correct answer ANS: B
v v v v v v v v v v v v v
Parental anger after the diagnosis of a child with a chronic disability is a common response.
v v v v v v v v v v v v v v v v
One of the most v v v
common targets for parental anger is members of the staff. The nurse should recognize the v v v v v v v v v v v v v v v
common response v
of anger to the diagnosis and allow the family to ventilate. What is really wrong? Yelling at me
v v v v v v v v v v v v v v v v v v
will not change v v
things, and I will come back when you settle down are all possible responses, but they are not
v v v v v v v v v v v v v v v v v v
the likely v
reasons for this anger. v v v
A common parental reaction to a child with special needs is parental overprotection. Parental
v v v v v v v v v v v v v v
behavior
suggestive of this includes: v v v
a. Giving inconsistent discipline.
v v v
b. Providing consistent, strict discipline.
v v v v
c. Forcing child to help self, even when not capable.
v v v v v v v v v
d. Encouraging social and educational activities not appropriate to childs level of capability. -
v v v v v v v v v v v v v v
correct answer ANS: A v v v
Parental overprotection is manifested by the parents fear of letting the child achieve any new
v v v v v v v v v v v v v v v
skill, avoiding all v v
discipline, and catering to the childs every desire to prevent frustration. The overprotective v v v v v v v v v v v v v
parents usually do v v
not set limits and or institute discipline, and they usually prefer to remain in the role of total
v v v v v v v v v v v v v v v v v v
caregiver. They do v v
not allow the child to perform self-care or encourage the child to try new activities.
v v v v v v v v v v v v v v
, Most parents of children with special needs tend to experience chronic sorrow. This is
v v v v v v v v v v v v v v
characterized by: v
a. Lack of acceptance of the childs limitation.
v v v v v v v
b. Lack of available support to prevent sorrow.
v v v v v v v
c. Periods of intensified sorrow when experiencing anger and guilt.
v v v v v v v v v
d. Periods of intensified sorrow and loss that occur in waves over time. - correct answer ANS:
v v v v v v v v v v v v v v v v v
D
Chronic sorrow is manifested by feelings of sorrow and loss that recur in waves over time. The
v v v v v v v v v v v v v v v v v
sorrow is in v v
response to the recognition of the childs limitations. The family should be assessed in an
v v v v v v v v v v v v v v v
ongoing manner to v v
provide appropriate support as the needs of the family change. The sorrow is not preventable.
v v v v v v v v v v v v v v v
The chronic v
sorrow occurs during the reintegration and acknowledgment stage.
v v v v v v v
Which intervention will encourage a sense of autonomy in a toddler with disabilities?
v v v v v v v v v v v v
a. Avoiding separation from family during hospitalizations
v v v v v v
b. Encouraging independence in as many areas as possible
v v v v v v v v
c. Exposing child to pleasurable experiences as much as possible
v v v v v v v v v
d. Helping parents learn special care needs of their child - correct answer ANS: B
v v v v v v v v v v v v v v
Encouraging the toddler to be independent encourages a sense of autonomy. The child can v v v v v v v v v v v v v v
be given choices
v v
about feeding, dressing, and diversional activities, which will provide a sense of control.
v v v v v v v v v v v v v
Avoiding separation v
from family during hospitalizations and helping parents learn special care needs of their child
v v v v v v v v v v v v v v
should be v
practiced as part of family-centered care. They do not particularly foster autonomy. Exposing
v v v v v v v v v v v v v
the child to v v
pleasurable experiences, especially sensory ones, is a supportive intervention. It does not v v v v v v v v v v v v
particularly support v
autonomy.
The feeling of guilt that the child caused the disability or illness is especially critical in which
v v v v v v v v v v v v v v v v v
child?
a. Toddler c. School-age child
v v v v
b. Preschooler d. Adolescent - correct answer ANS: B
v v v v v v v v
Preschoolers are most likely to be affected by feelings of guilt that they caused the v v v v v v v v v v v v v v v
illness/disability or are v v
being punished for wrongdoings. Toddlers are focused on establishing their autonomy. The
v v v v v v v v v v v v
illness will foster v v
dependency. The school-age child will have limited opportunities for achievement and may v v v v v v v v v v v v
not be able tov v v
understand limitations. Adolescents are faced with the task of incorporating their disabilities v v v v v v v v v v v v
into their v
changing self-concept. v
CORRECT ANSWERS
The nurse case manager is planning a care conference about a young child who has complex
v v v v v v v v v v v v v v v v
health care v
needs and will soon be discharged home. Whom should the nurse invite to the conference?
v v v v v v v v v v v v v v
a. Family and nursing staff
v v v v
b. Social worker, nursing staff, and primary care physician
v v v v v v v v
c. Family and key health professionals involved in childs care
v v v v v v v v v
d. Primary care physician and key health professionals involved in childs care - correct
v v v v v v v v v v v v v v
answer ANS: C v v
A multidisciplinary conference is necessary for coordination of care for children with complex
v v v v v v v v v v v v v
health needs. v
The family and key health professionals who are involved in the childs care are included. The
v v v v v v v v v v v v v v v v
nursing staff can v v
address the nursing care needs of the child with the family, but other involved disciplines must
v v v v v v v v v v v v v v v v
be included. v
The family must be included in the discharge conferences, which allow them to determine
v v v v v v v v v v v v v v
what education they v v
will require and the resources needed at home. A member of the nursing staff must be
v v v v v v v v v v v v v v v v
included to review the v v v
nursing needs of the child. v v v v
Lindsey, age 5 years, will be starting kindergarten next month. She has cerebral palsy, and it
v v v v v v v v v v v v v v v v
has been v
,determined that she needs to be in a special education classroom. Her parents are tearful v v v v v v v v v v v v v v v
when telling the nurse v v v
about this and state that they did not realize that her disability was so severe. The best
v v v v v v v v v v v v v v v v v
interpretation of this v v
situation is that: v v
a. This is a sign that parents are in denial.
v v v v v v v v v
b. This is a normal anticipated time of parental stress.
v v v v v v v v v
c. The parents need to learn more about cerebral palsy.
v v v v v v v v v
d. The parents are used to having expectations that are too high. - correct answer ANS: B
v v v v v v v v v v v v v v v v
Parenting a child with a chronic illness can be very stressful for parents. There are anticipated
v v v v v v v v v v v v v v v v
times that v
parental stress increases. One of these identified times is when the child begins school.
v v v v v v v v v v v v v v
Nurses can help parents v v v
recognize and plan interventions to work through these stressful periods. The parents are not
v v v v v v v v v v v v v v
in denial; they are
v v v
responding to the childs placement in school. The parents are not exhibiting signs of a v v v v v v v v v v v v v v v
knowledge deficit or v v
expectations that are too high; this is their first interaction with the school system with this v v v v v v v v v v v v v v v v
child.
Approach behaviors are coping mechanisms that result in a familys movement toward v v v v v v v v v v v v
adjustment and v
resolution of the crisis of having a child with a chronic illness or disability. What is considered
v v v v v v v v v v v v v v v v v
an approach v
behavior in parents? v v
a. Are unable to adjust to a progression of the disease or condition
v v v v v v v v v v v v
b. Anticipate future problems and seek guidance and answers
v v v v v v v v
c. Look for new cures without a perspective toward possible benefit
v v v v v v v v v v
d. Fail to recognize seriousness of childs condition despite physical evidence - correct answer
v v v v v v v v v v v v v
ANS: B
v v
The parents who anticipate future problems and seek guidance and answers are
v v v v v v v v v v v v
demonstrating approach v
behaviors. They are demonstrating positive actions in caring for their child. Avoidance v v v v v v v v v v v v
behaviors include being v v
unable to adjust to a progression of the disease or condition, looking for new cures without a
v v v v v v v v v v v v v v v v v
perspective
toward possible benefit, and failing to recognize the seriousness of the childs condition
v v v v v v v v v v v v v
despite physical v
evidence. These behaviors would suggest that the parents are moving away from adjustmentv v v v v v v v v v v v v
or adaptation in
v v
the crisis of a child with chronic illness or disability.
v v v v v v v v v
Families progress through various stages of reactions when a child is diagnosed with a
v v v v v v v v v v v v v v
chronic illness or v v
disability. After the shock phase, a period of adjustment usually follows. This is often
v v v v v v v v v v v v v v
characterized by: v
,a. Denial. c. Social reintegration.
v v v v
b. Guilt and anger. d. Acceptance of childs limitations. - correct answer ANS: B
v v v v v v v v v v v v v
For most families, the adjustment phase is accompanied by several responses that are
v v v v v v v v v v v v v
normally part of the v v v
adjustment process. Guilt, self-accusation, bitterness, and anger are common reactions. v v v v v v v v v v
The initial diagnosis of v v v
a chronic illness or disability often is often met with intense emotion and characterized by
v v v v v v v v v v v v v v v
shock and denial. v v
Social reintegration and acceptance of the childs limitations is the culmination of the
v v v v v v v v v v v v v
adjustment process. v
The nurse comes into the room of a child who was just diagnosed with a chronic disability. The
v v v v v v v v v v v v v v v v v v
childs
parents begin to yell at the nurse about a variety of concerns. The nurses best response is:
v v v v v v v v v v v v v v v v
a. What is really wrong?
v v v v
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 579
v v v v v v v v v v v v
b. Being angry is only natural.
v v v v v
c. Yelling at me will not change things.
v v v v v v v
d. I will come back when you settle down. - correct answer ANS: B
v v v v v v v v v v v v v
Parental anger after the diagnosis of a child with a chronic disability is a common response.
v v v v v v v v v v v v v v v v
One of the most v v v
common targets for parental anger is members of the staff. The nurse should recognize the v v v v v v v v v v v v v v v
common response v
of anger to the diagnosis and allow the family to ventilate. What is really wrong? Yelling at me
v v v v v v v v v v v v v v v v v v
will not change v v
things, and I will come back when you settle down are all possible responses, but they are not
v v v v v v v v v v v v v v v v v v
the likely v
reasons for this anger. v v v
A common parental reaction to a child with special needs is parental overprotection. Parental
v v v v v v v v v v v v v v
behavior
suggestive of this includes: v v v
a. Giving inconsistent discipline.
v v v
b. Providing consistent, strict discipline.
v v v v
c. Forcing child to help self, even when not capable.
v v v v v v v v v
d. Encouraging social and educational activities not appropriate to childs level of capability. -
v v v v v v v v v v v v v v
correct answer ANS: A v v v
Parental overprotection is manifested by the parents fear of letting the child achieve any new
v v v v v v v v v v v v v v v
skill, avoiding all v v
discipline, and catering to the childs every desire to prevent frustration. The overprotective v v v v v v v v v v v v v
parents usually do v v
not set limits and or institute discipline, and they usually prefer to remain in the role of total
v v v v v v v v v v v v v v v v v v
caregiver. They do v v
not allow the child to perform self-care or encourage the child to try new activities.
v v v v v v v v v v v v v v
, Most parents of children with special needs tend to experience chronic sorrow. This is
v v v v v v v v v v v v v v
characterized by: v
a. Lack of acceptance of the childs limitation.
v v v v v v v
b. Lack of available support to prevent sorrow.
v v v v v v v
c. Periods of intensified sorrow when experiencing anger and guilt.
v v v v v v v v v
d. Periods of intensified sorrow and loss that occur in waves over time. - correct answer ANS:
v v v v v v v v v v v v v v v v v
D
Chronic sorrow is manifested by feelings of sorrow and loss that recur in waves over time. The
v v v v v v v v v v v v v v v v v
sorrow is in v v
response to the recognition of the childs limitations. The family should be assessed in an
v v v v v v v v v v v v v v v
ongoing manner to v v
provide appropriate support as the needs of the family change. The sorrow is not preventable.
v v v v v v v v v v v v v v v
The chronic v
sorrow occurs during the reintegration and acknowledgment stage.
v v v v v v v
Which intervention will encourage a sense of autonomy in a toddler with disabilities?
v v v v v v v v v v v v
a. Avoiding separation from family during hospitalizations
v v v v v v
b. Encouraging independence in as many areas as possible
v v v v v v v v
c. Exposing child to pleasurable experiences as much as possible
v v v v v v v v v
d. Helping parents learn special care needs of their child - correct answer ANS: B
v v v v v v v v v v v v v v
Encouraging the toddler to be independent encourages a sense of autonomy. The child can v v v v v v v v v v v v v v
be given choices
v v
about feeding, dressing, and diversional activities, which will provide a sense of control.
v v v v v v v v v v v v v
Avoiding separation v
from family during hospitalizations and helping parents learn special care needs of their child
v v v v v v v v v v v v v v
should be v
practiced as part of family-centered care. They do not particularly foster autonomy. Exposing
v v v v v v v v v v v v v
the child to v v
pleasurable experiences, especially sensory ones, is a supportive intervention. It does not v v v v v v v v v v v v
particularly support v
autonomy.
The feeling of guilt that the child caused the disability or illness is especially critical in which
v v v v v v v v v v v v v v v v v
child?
a. Toddler c. School-age child
v v v v
b. Preschooler d. Adolescent - correct answer ANS: B
v v v v v v v v
Preschoolers are most likely to be affected by feelings of guilt that they caused the v v v v v v v v v v v v v v v
illness/disability or are v v
being punished for wrongdoings. Toddlers are focused on establishing their autonomy. The
v v v v v v v v v v v v
illness will foster v v
dependency. The school-age child will have limited opportunities for achievement and may v v v v v v v v v v v v
not be able tov v v
understand limitations. Adolescents are faced with the task of incorporating their disabilities v v v v v v v v v v v v
into their v
changing self-concept. v
