PEDS END OF LIFE QUIZ AND
ANSWERS.
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 child's care
d. Primary care physician and key health professionals involved in child's care -
Answers-c. Family and key health professionals involved in child's care
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 child's
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
nursing needs of the child.
2. Lindsey, age 5 years with a diagnosis of cerebral palsy, will be starting kindergarten
next
month and will be placed in a special education classroom. The parents are tearful
when
telling the nurse about this and state that they did not realize that their child's disability
was so
severe. How should the nurse interpret this parental response?
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. - Answers-b. This is a
normal anticipated time of parental stress.
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 child's
placement in
school. The parents are not exhibiting signs of a knowledge deficit or expectations that
are too
high; this is their first interaction with the school system with this child.
3. Which behavior is considered an approach behavior in parents of chronically ill
children?
a. Inability to adjust to a progression of the disease or condition.
b. Anticipation of future problems and seeking guidance and answers.
c. Looking for new cures without a perspective toward possible benefit.
d. Failing to recognize seriousness of child's condition despite physical evidence. -
Answers-b. Anticipation of future problems and seeking guidance and answers.
Approach behaviors are coping mechanisms that result in a family's movement toward
adjustment and resolution of the crisis of having a child with a chronic illness or
disability.
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.
Avoidance 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 child's 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 that
may be
characterized by what reaction?
a. Anger
b. Overprotectiveness
c. Social reintegration
d. Guilt - Answers-b. Overprotectiveness
For most families, the adjustment phase is accompanied by several responses that are
normally part of the adjustment process. Overprotectiveness, rejection, denial, or
gradual
acceptance are common reactions. The initial diagnosis of a chronic illness or disability
often
is often met with intense emotion and characterized by guilt and anger. Social
reintegration is
the culmination of the adjustment process.
ANSWERS.
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 child's care
d. Primary care physician and key health professionals involved in child's care -
Answers-c. Family and key health professionals involved in child's care
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 child's
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
nursing needs of the child.
2. Lindsey, age 5 years with a diagnosis of cerebral palsy, will be starting kindergarten
next
month and will be placed in a special education classroom. The parents are tearful
when
telling the nurse about this and state that they did not realize that their child's disability
was so
severe. How should the nurse interpret this parental response?
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. - Answers-b. This is a
normal anticipated time of parental stress.
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 child's
placement in
school. The parents are not exhibiting signs of a knowledge deficit or expectations that
are too
high; this is their first interaction with the school system with this child.
3. Which behavior is considered an approach behavior in parents of chronically ill
children?
a. Inability to adjust to a progression of the disease or condition.
b. Anticipation of future problems and seeking guidance and answers.
c. Looking for new cures without a perspective toward possible benefit.
d. Failing to recognize seriousness of child's condition despite physical evidence. -
Answers-b. Anticipation of future problems and seeking guidance and answers.
Approach behaviors are coping mechanisms that result in a family's movement toward
adjustment and resolution of the crisis of having a child with a chronic illness or
disability.
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.
Avoidance 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 child's 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 that
may be
characterized by what reaction?
a. Anger
b. Overprotectiveness
c. Social reintegration
d. Guilt - Answers-b. Overprotectiveness
For most families, the adjustment phase is accompanied by several responses that are
normally part of the adjustment process. Overprotectiveness, rejection, denial, or
gradual
acceptance are common reactions. The initial diagnosis of a chronic illness or disability
often
is often met with intense emotion and characterized by guilt and anger. Social
reintegration is
the culmination of the adjustment process.
