Nokea
What intervention is most appropriate for fostering the development of a school-age child with disabilities associated with cerebral palsy?
- A. Provide sensory experiences.
- B. Help develop abstract thinking.
- C. Encourage socialization with peers.
- D. Give choices to allow for feeling of control.
Correct Answer: C
Rationale: Encouraging socialization with peers supports cognitive, social, and emotional development in school-age children with cerebral palsy, fostering independence and identity. Sensory experiences are more critical for younger children, abstract thinking develops later, and while choices promote control, peer interaction is more impactful for this age group.
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What should the nurse determine to be the priority intervention for a family with an infant who has a disability?
- A. Focus on the childs disabilities to understand care needs.
- B. Institute age-appropriate discipline and limit setting.
- C. Enforce visiting hours to allow parents to have respite care.
- D. Foster feelings of competency by helping parents learn the special care needs of the infant.
Correct Answer: D
Rationale: Helping parents learn the special care needs of their infant fosters feelings of competency, enabling them to care confidently. This includes teaching techniques like special holding or breastfeeding support. Focusing solely on disabilities overlooks strengths, discipline is not a priority for infants, and rigid visiting hours may hinder family bonding.
The parents of a child born with disabilities ask the nurse for advice about discipline. The nurses response should be based on remembering that discipline is which?
- A. Essential for the child
- B. Not needed unless the childs behavior becomes problematic
- C. Best achieved with punishment for misbehavior
- D. Too difficult to implement with a special needs child
Correct Answer: A
Rationale: Discipline is essential for children with disabilities to establish boundaries and teach socially acceptable behaviors, supporting their development. Waiting for problematic behavior delays guidance, punishment is less effective than positive discipline, and discipline is feasible with tailored approaches for special needs.
The nurse observes that a seriously ill child passively accepts all painful procedures. The nurse should recognize that this is most likely an indication that the child is experiencing what emotional response?
- A. Hopefulness
- B. Chronic sorrow
- C. Belief that procedures are a deserved punishment
- D. Understanding that procedures indicate impending death
Correct Answer: C
Rationale: Passive acceptance of painful procedures in a seriously ill child often indicates a belief that they are deserved punishment, reflecting feelings of unworthiness. Hopefulness leads to active participation, chronic sorrow is more typical in parents, and understanding procedures as linked to death is less common in children.
A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. What should the nurse explain to his parents?
- A. That he needs more discipline
- B. That this is a normal part of adolescence
- C. That he needs more socialization with peers
- D. That this is how he is asking for more parental control
Correct Answer: B
Rationale: Rebelliousness and risk-taking, such as skipping medication, are normal adolescent behaviors as they seek independence. Increased discipline may escalate rebellion, socialization doesn?t directly address the behavior, and it?s not a request for more control but rather a push for autonomy.
What is a major premise of family-centered care?
- A. The child is the focus of all interventions.
- B. Nurses are the authorities in the childs care.
- C. Parents are the experts in caring for their child.
- D. Decisions are made for the family to reduce stress.
Correct Answer: C
Rationale: Family-centered care recognizes parents as experts in their child's care, emphasizing their role in decision-making and care provision. It considers the impact of the child's illness on all family members, not just the child. Nurses act as collaborators, not authorities, and decisions are made with the family, not for them, to promote empowerment and reduce stress.