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Exam 38: Nursing Considerations for the Child and Family With a Chronic Condition

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Question 1

Multiple Choice

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The nurse learns that a newborn is diagnosed with phenylketonuria (PKU) . Which is the most appropriate way to inform the newborn's parents about this diagnosis?

A) Calling the parents to provide the diagnosis over the phone
B) Mailing a certified letter explaining the diagnosis and requesting the parents make a pediatric office appointment
C) Planning a group meeting for all parents whose children received the diagnosis in the last two months
D) Scheduling an appointment for the parents to see the healthcare provider in person to discuss the diagnosis

E) None of the above
F) C) and D)

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Question 2

Multiple Choice

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The nurse is providing care to a pediatric client who is newly diagnosed with a chronic condition. The parents ask, "When will our child be able to assume more responsibility for managing the disease?" Which age group will the nurse include in the response to the parents?

A) Preschooler
B) School-age
C) Adolescent
D) Toddler

E) A) and D)
F) A) and B)

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Question 3

Multiple Choice

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The nurse is assigned as the care coordinator for a child with special healthcare needs. Which actions by the nurse enhance the family's ability to participate in their child's care coordination? Select all that apply.

The parents of a 4-month-old child learn that there will be long-term consequences due to the head injury sustained in a motor vehicle accident, including intellectual disability and cerebral palsy. The parents express anger at the diagnosis and project that anger on the nursing staff. Which responses by the nursing staff are appropriate? Select all that apply.

The nurse care coordinator is supporting a family who wishes to become their child's care coordinator. Which statements will the nurse include in the teaching session to prepare the family for this task? Select all that apply.

An adolescent diagnosed with type 1 diabetes mellitus (DM) is prescribed dietary restrictions and daily insulin injections. Which behavior does the nurse anticipate from the adolescent upon return to school?

Which nursing action is appropriate when preparing the family of a school-age child with a chronic illness to provide care in the home setting?

After the infant is diagnosed with a chronic health condition, the family is assigned a nurse case manager. Which will the nurse include in the explanation to the infant's parents regarding this role?

The nurse provides care to pediatric clients with chronic disease process. Which diagnoses does the nurse categorize as dependent on medications or special diets? Select all that apply.

The nurse is working with the parents of a child with a chronic condition. Which statement made by the child's parents indicates the need for intervention related to overwhelming caregiver burden?

The nurse is conducting a nursing assessment of the parent and child with severe cerebral palsy during a routine clinic visit. Which nursing action is appropriate based on the current data?

The nurse is planning care for the family of a child with a chronic illness. Which activities will the nurse recommend to decrease the risk for compassion fatigue? Select all that apply.

The nurse of the family who is assuming the role of care coordinator is providing education regarding the use of a healthcare log. Which will the nurse encourage the family to include on this log? Select all that apply.

The nurse is planning care for a school-age child who requires oxygen, enteral tube feedings, and IV medications during the school day. To which category of chronic illness does this child belong?

Which does the nurse include in the plan of care for an adolescent with a chronic condition?

The nurse is caring for a 17-year-old client with a chronic condition who will be transitioning into adulthood. When planning care for this client, which should the nurse consider? Select all that apply.

The nurse is providing care to several hospitalized pediatric clients. Which child has the greatest risk for a developmental disability?

The nurse is conducting an educational program for parents of children with chronic conditions. Which parental statement indicates the need for further instruction?

The mother of an adolescent with multiple medical and developmental issues says to the nurse: "There are times that I think about just walking out of the house and not coming back." Which would be an appropriate nursing diagnosis for this mother?

The nurse is providing care to several pediatric clients in the hospital setting. Which client diagnosis is capable of producing chronic limitations for the child?