Pediatric ATI Practice Exam

What is the most important instruction to include when teaching the family of a child with juvenile idiopathic arthritis?

1. Limit the movement of the child's large joints

2. Encourage the child to perform independent self-care

3. Provide the child with a soft mattress for sleeping

4. Schedule a 2-hour daily nap for the child in the afternoon

The correct answer is: Encourage the child to perform independent self-care

Encouraging the child to perform independent self-care is crucial in the management of juvenile idiopathic arthritis (JIA). This condition can impact a child's physical abilities and independence due to joint pain and stiffness. By promoting self-care, the child is allowed to maintain control over their daily activities, which can enhance self-esteem and foster a sense of autonomy. Engaging in self-care tasks can also help with joint mobility and strength, as the child learns to adapt movement and incorporate exercises that can aid in managing their condition. While limiting movement of the child's large joints may seem beneficial in preventing pain, it can actually lead to decreased range of motion and muscle atrophy over time, which is counterproductive. Providing a soft mattress can improve comfort, but it does not teach the child the skills needed for self-management. Scheduling a long afternoon nap, while potentially offering some rest, does not address the importance of active participation in their care routine and may not align with promoting healthy sleep patterns if it interferes with nighttime sleep. Focusing on empowering the child through self-care practices aligns with holistic care approaches that aim to not only treat the physical manifestations of JIA but also support emotional and social development.