PEDS Chapter 12 Special Needs

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?

Serving small meals of things the child likes

The nurse is helping a 20-year-old woman transition to adult care. Which would be the most important role of the nurse following a successful transition?

Consultant

The parents of a child with physical and developmental special needs state, "We wish our child could get some kind of educational experience." How should the nurse respond?

"This must be difficult for you. Let's talk with the social worker to see what programs are available for your child."

The mother of a 7-year-old boy with autism tearfully reports feeling as if she is not qualified to care for her child. Which initial action by the nurse is most appropriate?

Recognize the mother's positive accomplishments in caring for her child.

When describing organ donation to the family of a dying child, what would the nurse include in the discussion?

Tell them that their cultural and religious beliefs will be considered

The nurse is providing home care for a 1-year-old girl who is technologically dependent. Which intervention will best support the family process?

Creating schedules for therapies and interventions

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?

Maternal abuse

Which would be least appropriate to include in the discharge plan for a medically fragile child?

Encouraging passive caregiving

A 7-year-old boy has reentered the hospital for the second time in a month. Which intervention is particularly important at this time?

Assessing his parents' coping abilities

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?

Being patient with parental indecision

What would the nurse include in the plan of care for a dying child with pain?

Changing the child's position frequently but gently

The nurse is caring for a toddler with special needs. Which developmental tasks related to toddlerhood might be delayed in the child with special needs?

Developing language and motor skills

The nurse is caring for a special needs infant. Which intervention will be most important in helping the child reach her maximum developmental potential?

Directing her parents to an early intervention program

When providing care to a dying child and his family, which would be most important?

Focusing on the family as the unit of care

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 statement accurately reflects one of these statistics?

Congenital defects and traumatic injuries are the more common causes of diseases leading to death.

The parents of a child with a developmental disability tell the nurse that they feel guilty because they sometimes find themselves feeling sad and wondering how their child would be without the disability. Which response by the nurse best shows empathy and encourages the parents to vent their feelings?

"I can only imagine how hard it is for you. You should know that it is common for parents to have these feelings when having a child with special needs."

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?

Assure the child that he did nothing wrong

The nurse is reviewing the Adolescent Health Transition Project's recommended schedule for transition planning. According to the schedule, at what age should the nurse explore health care financing for young adults?

17 years old

The nurse is caring for infants having the condition failure to thrive (FTT). Which infants would be at risk for this condition? Select all that apply.

A newborn baby with tetralogy of Fallot An infant with a cleft palate An infant born to an impoverished mother An infant with bronchopulmonary dysplasia

The nurse is meeting with the parents of a 7-year-old boy with Down syndrome. The child's mother reports an interest in hippotherapy. The child's father reports that this seems to be a waste of money. The parents then ask the nurse for additional information. What information may be included in the nurse's response? Select all answers that apply.

A variety of conditions including Down syndrome have used hippotherapy with success. Self-esteem may be improved with hippotherapy. The benefits of hippotherapy are both physical and psychological.

A child is admitted to the hospital with a spinal cord injury resulting in paralysis below the level of the waist. When should the nurse begin planning with the parents for rehabilitation placement for this child after acute hospitalization?

As soon after the patient is admitted as possible

The nurse is caring for a 14-year-old girl with special health needs. What is the priority intervention for this child?

Monitoring for compliance with treatment

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 what as a problem?

Peptic ulcer

The nurse is providing palliative care for a 9-year-old boy in hospice. Which is unique to hospice care for children?

Prolonging treatment that might possibly help

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?

Taking her on an adventure down the hall

The nurse is caring for a preschool child who is receiving palliative care for end-stage cancer. What would be the focus of age-appropriate interventions for this child?

Teaching the child that death is not a punishment

The nurse is caring for a child involved in an automobile accident whose family has been informed that the child is brain dead. What teaching might the nurse provide the family regarding organ donation?

The nurse should explain that written consent is necessary for the organ donation

The nurse is reviewing the therapist's documentation in the medical record of an assigned client who has cerebral palsy. The therapist has noted the parents may be experiencing vulnerable child syndrome. Which observation of the family unit best supports this potential diagnosis?

The parents report they feel their child requires more therapy than the care team has indicated will be needed.

The nurse is looking into the Individuals with Disabilities Education Improvement Act of 2004 to help provide resources for a client with multiple chronic diseases. What are mandates of this legislation? Select all that apply.

This federal law allows each state to define "developmental disability" differently. An evaluation of the child's physical, language, emotional, and social capabilities is performed to determine eligibility. The goal is to maintain a natural environment, so most services occur in the home or day care center.