Chapter 17. Quality of Life for Children Living with Chronic or Complex Diseases
MULTIPLE CHOICE
1. What is the major health concern of children in the United States?
a. Acute illness
b. Chronic illness
c. Congenital disabilities
d. Nervous system disorders
ANS: B
,
, An estimated 18% of children in the United States have a chronic illness or disability that
warrants health care services beyond those usually required by children. Chronic illness has
surpassed acute illness as the major health concern for children. Congenital disabilities exist
from birth but may not be hereditary. These represent a portion of the number of children with
chronic illnesses. Mental and nervous system disorders account for approximately 17% of
chronic illnesses in children.
DIF: Cognitive Level: Understanding REF: dl. 761 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. What is a major premise of family-centered
care?
a. The child is the focus of all interventions.
b. Nurses are the authorities in the childs care.
c. Parents are the experts in caring for their child.
d. Decisions are made for the family to reduce
stress. ANS: C
As parents become increasingly responsible for their children, they are the experts. It is essential
that the health care team recognize the familys expertise. In family-centered care, consistent
attention is given to the effects of the childs chronic illness on all family members, not just the
child. Nurses are adjuncts in the childs care. The nurse builds alliances with parents. Family
members are involved in decision making about the childs physical care.
DIF: Cognitive Level: Analyzing REF: dl. 762
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. What should the nurse determine to be the priority intervention for a family with an infant who
has a disability?
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