Maternal child exam 2
1. The nurse case manager is planning a care conference about a young child
who has complex health care
needs and will soon be discharged home. Whom should the nurse invite to the
conference?
a. Family and nursing staff
b. Social worker, nursing staff, and primary care physician
c. Family and key health professionals involved in childs care
d. Primary care physician and key health professionals involved in childs
care: ANS: C
A multidisciplinary conference is necessary for coordination of care for children with
complex health needs.
The family and key health professionals who are involved in the childs care are
included. The nursing staff can
address the nursing care needs of the child with the family, but other involved
disciplines must be included.
The family must be included in the discharge conferences, which allow them to
determine what education they
will require and the resources needed at home. A member of the nursing staff
must be included to review the
, Maternal child exam 2
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nursing needs of the child.
2. Lindsey, age 5 years, will be starting kindergarten next month. She has
cerebral palsy, and it has been
determined that she needs to be in a special education classroom. Her parents
are tearful when telling the nurse
about this and state that they did not realize that her disability was so severe.
The best interpretation of this
situation is that:
a. This is a sign that parents are in denial.
b. This is a normal anticipated time of parental stress.
c. The parents need to learn more about cerebral palsy.
d. The parents are used to having expectations that are too high.: ANS: B
Parenting a child with a chronic illness can be very stressful for parents. There are
anticipated times that
parental stress increases. One of these identified times is when the child begins
school. Nurses can help parents
recognize and plan interventions to work through these stressful periods. The
parents are not in denial; they are
responding to the childs placement in school. The parents are not exhibiting
signs of a knowledge deficit or
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, Maternal child exam 2
expectations that are too high; this is their first interaction with the school system
with this child.
3. Approach behaviors are coping mechanisms that result in a familys move
ment toward adjustment and
resolution of the crisis of having a child with a chronic illness or disability.
What is considered an approach
behavior in parents?
a. Are unable to adjust to a progression of the disease or condition
b. Anticipate future problems and seek guidance and answers
c. Look for new cures without a perspective toward possible benefit
d. Fail to recognize seriousness of childs condition despite physical evidence
: ANS: B
The parents who anticipate future problems and seek guidance and answers are
demonstrating approach
behaviors. They are demonstrating positive actions in caring for their child. Avoid
ance behaviors include being
unable to adjust to a progression of the disease or condition, looking for new cures
without a perspective
toward possible benefit, and failing to recognize the seriousness of the childs
, Maternal child exam 2
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condition despite physical
evidence. These behaviors would suggest that the parents are moving away from
adjustment or adaptation in
the crisis of a child with chronic illness or disability.
4. Families progress through various stages of reactions when a child is
diagnosed with a chronic illness or
disability. After the shock phase, a period of adjustment usually follows. This
is often characterized by:
a. Denial. c. Social reintegration.
b. Guilt and anger. d. Acceptance of childs limitations.: ANS: B
For most families, the adjustment phase is accompanied by several responses that
are normally part of the
adjustment process. Guilt, self-accusation, bitterness, and anger are common reac
tions. The initial diagnosis of
a chronic illness or disability often is often met with intense emotion and character
ized by shock and denial.
Social reintegration and acceptance of the childs limitations is the culmination of the
adjustment process.
5. The nurse comes into the room of a child who was just diagnosed with a
chronic disability. The childs
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1. The nurse case manager is planning a care conference about a young child
who has complex health care
needs and will soon be discharged home. Whom should the nurse invite to the
conference?
a. Family and nursing staff
b. Social worker, nursing staff, and primary care physician
c. Family and key health professionals involved in childs care
d. Primary care physician and key health professionals involved in childs
care: ANS: C
A multidisciplinary conference is necessary for coordination of care for children with
complex health needs.
The family and key health professionals who are involved in the childs care are
included. The nursing staff can
address the nursing care needs of the child with the family, but other involved
disciplines must be included.
The family must be included in the discharge conferences, which allow them to
determine what education they
will require and the resources needed at home. A member of the nursing staff
must be included to review the
, Maternal child exam 2
Study online at https://quizlet.com/_ew?zop
nursing needs of the child.
2. Lindsey, age 5 years, will be starting kindergarten next month. She has
cerebral palsy, and it has been
determined that she needs to be in a special education classroom. Her parents
are tearful when telling the nurse
about this and state that they did not realize that her disability was so severe.
The best interpretation of this
situation is that:
a. This is a sign that parents are in denial.
b. This is a normal anticipated time of parental stress.
c. The parents need to learn more about cerebral palsy.
d. The parents are used to having expectations that are too high.: ANS: B
Parenting a child with a chronic illness can be very stressful for parents. There are
anticipated times that
parental stress increases. One of these identified times is when the child begins
school. Nurses can help parents
recognize and plan interventions to work through these stressful periods. The
parents are not in denial; they are
responding to the childs placement in school. The parents are not exhibiting
signs of a knowledge deficit or
2 I 89
, Maternal child exam 2
expectations that are too high; this is their first interaction with the school system
with this child.
3. Approach behaviors are coping mechanisms that result in a familys move
ment toward adjustment and
resolution of the crisis of having a child with a chronic illness or disability.
What is considered an approach
behavior in parents?
a. Are unable to adjust to a progression of the disease or condition
b. Anticipate future problems and seek guidance and answers
c. Look for new cures without a perspective toward possible benefit
d. Fail to recognize seriousness of childs condition despite physical evidence
: ANS: B
The parents who anticipate future problems and seek guidance and answers are
demonstrating approach
behaviors. They are demonstrating positive actions in caring for their child. Avoid
ance behaviors include being
unable to adjust to a progression of the disease or condition, looking for new cures
without a perspective
toward possible benefit, and failing to recognize the seriousness of the childs
, Maternal child exam 2
Study online at https://quizlet.com/_ew?zop
condition despite physical
evidence. These behaviors would suggest that the parents are moving away from
adjustment or adaptation in
the crisis of a child with chronic illness or disability.
4. Families progress through various stages of reactions when a child is
diagnosed with a chronic illness or
disability. After the shock phase, a period of adjustment usually follows. This
is often characterized by:
a. Denial. c. Social reintegration.
b. Guilt and anger. d. Acceptance of childs limitations.: ANS: B
For most families, the adjustment phase is accompanied by several responses that
are normally part of the
adjustment process. Guilt, self-accusation, bitterness, and anger are common reac
tions. The initial diagnosis of
a chronic illness or disability often is often met with intense emotion and character
ized by shock and denial.
Social reintegration and acceptance of the childs limitations is the culmination of the
adjustment process.
5. The nurse comes into the room of a child who was just diagnosed with a
chronic disability. The childs
2 I 89
