Chapter 34- Caring for the Special Needs Child
27.When describing organ donation to the family of a dying child, which of the following would the nurse include in the discussion? A) Telling them that further harm may occur to the child through the process B) Tell them that their cultural and religious beliefs will be considered C)Including this topic in the discussion of impending death D)Informing the family that organ donation will delay the funeral
B
22.The nurse is caring for terminally ill children in a hospital setting. With which of the following children would the nurse consult regarding the continuation or withdrawal of treatment? A)A 4-year-old with an inoperable brain tumor B)A 5-year-old with kidney failure C)A 6-year-old with life-threatening injuries D)A 7-year-old with end-stage leukemia
D
26.Which of the following would the nurse include in the plan of care for a dying child with pain? A) Administering analgesics as needed B) Using measures the nurse finds comforting C)Playing the television or radio so the child can hear it D)Changing the child's position frequently but gently
D
8.The nurse is caring for a 4-year-old girl with special care needs in the hospital. Which intervention would have the most positive effect on this child? A) Taking her on an adventure down the hall B) Helping her do a simple craft project C)Introducing her to children in the playroom D) Limiting the staff providing care for her
A
3.The nurse is caring for a toddler with special needs. Which of the following developmental tasks related to toddlerhood might be delayed in the child with special needs? A) Developing body image B) Developing peer relationships C)Developing language and motor skills D)Learning through sensorimotor exploration
C
11.Which of the following would be least appropriate to include in the discharge plan for a medically fragile child? A) Assisting with referrals for financial support 0 B) Arranging for necessary care equipment and supplies C)Assessing the family's home environment D) Encouraging passive caregiving
D
7.The nurse is caring for a special needs infant. Which intervention will be most important in helping the child reach her maximum developmental potential? A) Directing her parents to an early intervention program B) Monitoring her progress in elementary school C)Serving on an individualized education program committee D)Preparing a plan for her to transition to college
A
The parents of the child with a developmental disability ask the nurse for advice about disciplining their child. What is the best response by the nurse? A)"Yu should choose methods that are most congruent with your values about discipline." B)"Children like this really can't follow directions, so they may be very hard to discipline." C)"Punish your child only for socially unacceptable of offending behaviors." D)"Spanking works well for this type of child, as they really don't like pain"
A
10.The nurse is weighing an underweight infant diagnosed with failure to thrive (FTT) and notes that the baby does not make eye contact and is less active than the other infants. What would be a probable cause for the FTT related to the infant's body language? A) Congenital heart defect B) Cleft palate C)Gastroesophageal reflux disease D)Maternal abuse
D
17.The nurse caring for young children in a hospice setting is aware of the following statistics related to the occurrence of death in children. Which one of the following statements accurately reflects one of these statistics? A) Each year, about 50,000 children die in the United States; of those, about 15,000 are infants. B) It is unusual for a child's chronic illness to progress to the point of becoming a terminal illness. C) Despite strides made, diabetes remains the leading cause of death from disease in all children older than the age of 1 year. D) Congenital defects and traumatic injuries are the most common causes of diseases leading to death.
D
4.The nurse is providing home care for a 1-year-old girl who is technologically dependent. Which intervention will best support the family process? A) Finding an integrated health program for the family B) Teaching modifications of the medical regimen for vacation C)Assessing family expectations for the special needs child D) Creating schedules for therapies and interventions
D
20.When providing care to a dying child and his family, which of the following would be most important? A) Focusing on the family as the unit of care B) Teaching the family appropriate care measures C)Offering the child support and encouragement D)Assisting the parents in decision making
A
13.The nurse is reviewing the Adolescent Health Transition Project (AHTP)-recommended schedule for transition planning. According to the schedule, at what age should the nurse explore health care financing for young adults? A)12 years old B)14 years old C)17 years old D)19 years old
C
6.A 7-year-old boy has reentered the hospital for the second time in a month. Which intervention is particularly important at this time? A) Assessing his parents' coping abilities B) Seeking his parents' input about their child's needs C)Educating his family about the procedure D)Notifying the care team about his hospitalization
A
18.The nurse is providing home care for the family of an 8-year-old boy who is dying of leukemia. Which action will be most supportive to the parents of the child? A) Encouraging organ and tissue donation B) Being patient with parental indecision C)Getting prior authorization for treatments D)Explaining how anorexia is a natural process
B
1.The nurse is caring for medically fragile children in a hospital setting. What nursing role has the greatest impact on the child and family when caring for this population? A) Teacher B) Advocate C)Coordinator D)Caregiver
A
9.The nurse is caring for infants having the condition failure to thrive (FTT). Which of the following infants would be at high risk for this condition? Select all answers that apply. A) A newborn baby with tetralogy of Fallot B) An infant with a cleft palate C)An infant born to a diabetic mother D)An infant born to an impoverished mother E) An infant with bronchopulmonary dysplasia F) An infant born to a teenage mother
A,B,D,E
15.The nurse is helping a 20-year-old woman transition to adult care. Which of the following would be the most important role of the nurse following a successful transition? A) Teacher B) Consultant C)Care provider D)Advocate
B
14.The nurse is caring for a 14-year-old girl with special health needs. What is the priority intervention for this child? A) Encouraging the parents to promote the child's self-care B) Assessing the child for signs of depression C)Discussing how her care will change as she grows D)Monitoring for compliance with treatment
C
12.The nurse is looking into the Individuals with Disabilities Education Improvement Act (IDEA) of 2004 to help provide resources for a client with multiple chronic diseases. Which of the following are mandates of this legislation? Select all answers that apply. A) The law mandates government-funded care coordination and special education for children up to 8 years of age. B) This early intervention program is a state-funded program run at the federal level. C) This federal law allows each state to define "developmental disability" differently. D) An evaluation of the child's physical, language, emotional, and social capabilities is performed to determine eligibility. E) The primary care nurse manages the developmental services and special education that the child requires. F) The goal is to maintain a natural environment, so most services occur in the home or day care center.
C,D,F
16.The nurse is coordinating home care for a 3-year-old girl with special care needs. Which approach provides the greatest benefit to the family of this child? A) Asking the father for his observations on his daughter's progress B) The nurse adjusting her office schedule to be available C)Urging parents to arrange respite care whenever possible D)Monitoring the mother for depression
B
21.The parents of an 11-year-old boy who is dying from cancer are concerned that he is not eating. Which intervention would serve both the parents' and child's needs? A) Urging the child to eat one good meal per day B) Serving small meals of things the child likes C)Straightening up around the child before meals D)Administering antiemetics as ordered for nausea
B
23.The nurse is caring for a child involved in an automobile accident whose family has been informed that the child is brain dead. Which of the following teachings might the nurse provide the family regarding organ donation? A)The nurse should ask about organ donation when the family is informed of their child's condition. B)The nurse should explain that written consent is necessary for the organ donation. C)The nurse should make sure the parents know that procurement of organs may mar their child's appearance. D)The nurse should make sure the parents know that they will be responsible for expenses related to organ procurement.
B
5.The nurse is caring for families with vulnerable child syndrome. Which of the following situations would be most likely to predispose the family to this condition? A) Having a post term infant B) Having an infant who is reluctant to feed properly C)Having a child diagnosed with leukemia at age 10 D)Having a child with juvenile diabetes
B
The nurse is caring for a 3 year old with a gastrostomy tube and tracheostomy tube and tracheostomy who is on supplemental oxygen and multiple medications. The mother is rooming in during this hospitalization. What is the priority nursing action? A) Incorporate the mothers assistance in care when convenient B) Recognize the mother as the expert on her child's needs and care C) Recommend that the mother go home to get some rest D)Provide family centered care since the mother is there
B
19.The nurse is providing palliative care for a 9-year-old boy in hospice. Which is unique to hospice care for children? A) Encouraging visits from friends and family B) Educating parents about terminal dehydration C)Prolonging treatment that might possibly help D) Treating constipation to relieve abdominal pain
C
2.The nurse is teaching a group of parents with premature infants about the various medical and developmental problems that may occur. The nurse determines that additional teaching is needed when the group identifies which of the following as a problem? A) Sudden infant death syndrome B) Hydrocephalus C)Peptic ulcer D)Bronchopulmonary dysplasia
C
24.The nurse is caring for a preschool child who is receiving palliative care for end-stage cancer. Which of the following would be the focus of age-appropriate interventions for this child? A) Providing unconditional love and trust B) Providing a familiar and consistent routine C)Teaching the child that death is not punishment D)Providing specific, honest details of death
C
25.The nurse is caring for a 5-year-old boy who is terminally ill. Which intervention would best meet the needs of this dying child? A) Offer the child decision-making opportunities. B) Provide the child with specific details. C)Assure the child that he did nothing wrong. D)Act as a confidant for the child's concerns.
C
The nurse is caring for a child who has received all possible medical care for cancer yet continues to experience relapse and metastasis. It is time to make the transition from curative care attempts to make the transition from curative care attempts to palliative care. What is the most important nursing consideration at this time? A)The healthcare professionals should make the decision about the child's care B)The family may lose a sense of hope, so cancer treatments should continue C)Involve the family in the decision-making process about the shift to palliative care D)Palliative care can take place only at home, so the child should be discharged
C
The parents of a 5 year old with special health care needs talk to the parents of a 10 year old with a similar condition for quite a while each day. What is the nurse's interpretation of this behavior? A) The nurse has not provided enough emotional support for the parents B) This relationship between the children's parents is potentially unhealthy C) Support between parents of special children is extremely valuable D) Confidentiality is a pressing issue in this particular situation
C
The nurse is caring for a child with a developmental disability who is starting kindergarten this year. The mother is tearful and doesn't want the child to go to school. What is the best response by the nurse? A)"Do yo need some time alone to collect yourself?" B)"You've known for a while this time would come." C)"Can I call your husband or a friend for you?" D)"It is normal to feel stressed or sad at this time."
D
