Chapter 34 Caring for the Special Needs Child

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 7-year-old with end-stage leukemia

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?

Serving small meals of things the child likes

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?

The nurse adjusting her office schedule to be available

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?

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

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?

Consultant

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?

Taking her on an adventure down the hall

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?

Teacher

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?

Teaching the child that death is not punishment

27. When describing organ donation to the family of a dying child, which of the following would the nurse include in the discussion?

Tell them that their cultural and religious beliefs will be considered

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?

Maternal abuse

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.

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. F) The goal is to maintain a natural environment, so most services occur in the home or day care center.

19. 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

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?

17 years old

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, D) An infant born to an impoverished mother, E) An infant with bronchopulmonary dysplasia

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?

Assessing his parents' coping abilities

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?

Assure the child that he did nothing wrong.

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?

Being patient with parental indecision

26. Which of the following would the nurse include in the plan of care for a dying child with pain?

Changing the child's position frequently but gently

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?

Developing language and motor skills

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?

Directing her parents to an early intervention program

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

Discussing how her care will change as she grows

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

Encouraging passive care giving

20. When providing care to a dying child and his family, which of the following would be most important?

Focusing on the family as the unit of care

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?

Having an infant who is reluctant to feed properly

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?

Creating schedules for therapies and interventions

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?

Peptic ulcer

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?

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