Chapter 12: The Child with a Chronic Condition or Terminal Illness

Chapter 12: The Child with a Chronic Condition or Terminal Illness

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. What are common first responses of parents to the diagnosis of chronic illness in their child?

a.	Anger and resentment
b.	Sorrow and depression
c.	Shock and disbelief
d.	Acceptance and adjustment

 

 

ANS:   C

 

	Feedback
A	Feelings of anger and resentment are part of the grieving process, although not usually the initial response.
B	Feelings of sadness and depression are part of the grieving process, although not usually the initial response.
C	According to Kübler-Ross, denial is the initial stage of the grieving process when an individual reacts with shock and disbelief to the diagnosis of chronic illness.
D	Acceptance is the final stage of the grieving process, not the first response.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 308

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Psychosocial Integrity

 

2. What is the primary concern for the parents of a dying child?

a.	Pain
b.	Safety
c.	Food intake
d.	Fluid intake

 

 

ANS:   A

 

	Feedback
A	The primary concern of all parents of dying children is the possibility of their child feeling pain.
B	Although safety is a concern of all parents, it is not the priority concern.
C	Although eating is important, it is not the priority concern.
D	Although hydration is a concern, it is not the priority concern.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 325

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

 

3. Which of the following represents the major fears of infants during illness and hospitalization?

a.	Bodily injury and pain
b.	Separation from caregivers and fear of strangers
c.	Loss of control and altered body image
d.	The unknown and being left alone

 

 

ANS:   B

 

	Feedback
A	Bodily injury and pain are fears of preschool and school-age children.
B	The major fear of infants during illness and hospitalization are separation from caregivers and fear of strangers.
C	Loss of control is a fear of children from the preschool period through adolescence. Altered body image applies to adolescents.
D	Fear of the unknown and being left alone are applicable to preschoolers.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 310

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Psychosocial Integrity

 

4. Which of the following corresponds to a 5-year-old child’s understanding of death?

a.	Loss of a caretaker
b.	Reversible and temporary
c.	Permanent
d.	Inevitable

 

 

ANS:   B

 

	Feedback
A	This is the infant/toddler understanding of death.
B	Children in early childhood (2-7 years old) view death as reversible and temporary.
C	The school-age child and adolescent understand death is permanent.
D	The adolescent understands death not only as permanent, but also inevitable.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 320

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Psychosocial Integrity