Nokea
The nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ). How is a child with an IQ of 45 classified?
- A. Within the normal low range
- B. Educable
- C. Trainable
- D. Severe
Correct Answer: C
Rationale: The category of trainable is identified on the basis of an IQ of 35 to 55.
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When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:
- A. encouraging the parents to have another baby.
- B. encouraging the parents to remain stoic.
- C. allaying feelings of guilt and blame.
- D. learning how the event could have been prevented.
Correct Answer: C
Rationale: As parents try to cope, they have feelings of guilt and blame.
The parents of a child suffering from depression ask the nurse what causes depression in children. Which answer is an appropriate response by the nurse?
- A. The causes of major depression are unknown.
- B. Major affective disorders in parents increase depression in children.
- C. Boys are more likely than girls to be depressed.
- D. The prevalence rate is higher in prepubescent children.
Correct Answer: A
Rationale: The causes of depression have not been established. However, many studies have shown that children have a three times greater rate of suffering from depression if their parents have a major affective disorder.
The nurse explains that which diagnostic studies are needed for the diagnosis of cognitive impairment?
- A. Denver Developmental Screening Test
- B. Stanford-Binet Intelligence Scale
- C. Wechsler Intelligence Scale
- D. Miller's Analogies
- E. Strong Personality Assessment
Correct Answer: A,B,C
Rationale: The Denver, Stanford-Binet, and Wechsler are standard intelligence tests that aid in the diagnosis of a cognitively impaired child.
The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining remission of the disease. What would be the most effective therapy?
- A. Surgery to remove enlarged lymph nodes
- B. Long-term chemotherapy
- C. Nutritional supplements to enhance blood cell production
- D. Blood transfusions to replace ineffective red cells
Correct Answer: B
Rationale: The treatment of choice is methotrexate, a chemotherapeutic agent, to produce remission.
The parents of a child recently diagnosed with sickle cell anemia ask what can be done to avoid a sickle cell crisis. What should be included in the medical management of sickle cell crisis?
- A. Information for the parents including home care
- B. Provisions for adequate hydration and pain management
- C. Pain management and administration of iron supplements
- D. Adequate oxygenation and factor VIII
Correct Answer: B
Rationale: Medical management of sickle cell crisis includes palliative analgesics, hydration, and oxygen.