Nursing Care of Children Final ATI

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An important intervention for infants with developmental disabilities is to:

  • A. Help parents realize their child will not develop further
  • B. Stress the importance of early infant stimulation and intervention programs
  • C. Have them institutionalized as soon as possible
  • D. Have children reevaluated at 2 years of age to confirm the diagnosis
Correct Answer: B

Rationale: The correct answer is B: Stress the importance of early infant stimulation and intervention programs. Early intervention programs are essential for infants with developmental disabilities as they can significantly impact the child's development and future outcomes. These programs provide necessary support and therapies to enhance the child's skills and abilities. Choice A is incorrect because it is crucial to provide hope and support to parents, emphasizing the potential for development and progress. Choice C is inappropriate and unethical as the first line of intervention. Institutionalization should only be considered in extreme cases where other options have been exhausted. Choice D is not the most crucial intervention at this stage. While reevaluation may be necessary, early intervention and support should be prioritized to maximize the child's developmental potential.

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A 5-year-old is hospitalized with a fractured femur. Which pain assessment tool is appropriate for this child?

  • A. CRIES Scale
  • B. Faces Pain Rating Scale
  • C. SUN Scale
  • D. NIPS Scale
Correct Answer: B

Rationale: The Faces Pain Rating Scale is appropriate for assessing pain in children who can express their feelings visually. For a 5-year-old child who can communicate effectively, using a tool like the Faces Pain Rating Scale, which uses facial expressions to indicate pain levels, is more suitable than the CRIES Scale (used for neonates), the SUN Scale (used for infants), or the NIPS Scale (used for preterm and term newborns).

After the family, which has the greatest influence on providing continuity between generations?

  • A. Race
  • B. School
  • C. Social Class
  • D. Government
Correct Answer: B

Rationale: Schools play a significant role in providing continuity between generations by imparting cultural values, social norms, and knowledge to children.

The parent asks when the soft area in the infant's head will go away. What is the best response by the nurse?

  • A. The area is called the anterior fontanel (fontanelle) and typically closes anytime up to 18 months of age.
  • B. The area is called a fontanel (fontanelle). They remain open to allow for rapid brain growth in the first months of life.
  • C. The soft spots may stay open until your infant is 2 or 3 years old.
  • D. Soft spots on the infant's head should have closed by now.
Correct Answer: A

Rationale: The best response by the nurse is A, as the anterior fontanel typically closes between 12-18 months of age, allowing for brain growth during infancy. Choice B is incorrect because it does not provide a specific timeframe for the closure of the fontanel. Choice C is incorrect as it suggests a later closure timeframe than usual. Choice D is incorrect as it states that the soft spots should have closed already, which is inaccurate for a 6-month-old infant.

The nurse is planning care for a patient with a different ethnic background. Which should be an appropriate goal?

  • A. Adapt, as necessary, ethnic practices to health needs
  • B. Attempt, in a nonjudgmental way, to change ethnic beliefs
  • C. Encourage continuation of ethnic practices in the hospital setting
  • D. Strive to keep ethnic background from influencing health needs
Correct Answer: A

Rationale: Adapting ethnic practices to health needs respects the patient's cultural background while ensuring that care is effective and culturally sensitive.

The nurse is caring for an adolescent hospitalized for asthma. The adolescent belongs to a large family. The nurse recognizes that the adolescent is likely to relate to which group?

  • A. Peers
  • B. Parents
  • C. Siblings
  • D. Teachers
Correct Answer: A

Rationale: Adolescents typically identify and relate more closely to their peer group, especially during the teenage years when peer relationships become a central focus.

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