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NSG-317 Module 2 Chronicity, Disability, End of Life, & Special Needs Adaptive Quiz
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NSG-317 Module 2 Chronicity, Disability, End of Life, & Special Needs Adaptive Quiz
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NSG-317 MODULE 2 CHRONICITY,DISABILITY, END OF LIFE, & SPECIAL
NEEDS ADAPTIVE QUIZ
gA child has been diagnosed with a chronic and debilitating illness with a poor prognosis. The child has
an older sibling who has begun acting out in school. In coordination with the parents, what can the nurse
do for the sibling? Select all that apply.
a. Legitimize reasonable anger.
b. Insist the child see a therapist.
c. Invite the child to offer solutions for problems.
d. Make sure the ill child's care takes precedence.
e. Let the child's teachers know about the situation. - a. Legitimize reasonable anger.
c. Invite the child to offer solutions for problems.
e. Let the child's teachers know about the situation.
Rationale
Siblings of chronically ill children have their own needs, which sometimes do not get met when care is
focused on the ill child. Anger should be recognized as legitimate. It is important that the child be able to
express negative emotions in coping with the new family dynamic. Teachers should be made aware of
the situation so that they can appropriately assist the child. Asking for the older child's help and opinions
can empower him or her and be therapeutic. While the ill child's needs may be more pressing, it is
important not to ignore the sibling. While the nurse may recommend a therapist, he or she should not
insist on one.
p.999
The nurse is caring for a child with Down syndrome. What therapeutic management steps should the
nurse institute for this child? Select all that apply.
a. Evaluate vision and hearing.
b. Perform evaluative echocardiography.
c.Perform periodic blood glucose testing.
, d. Obtain radiograph to assess sacral instability.
e. Discourage surgical correction of heart defects. - a. Evaluate vision and hearing.
b. Perform evaluative echocardiography.
Rationale
Children with Down syndrome may have visual defects and conductive hearing loss, so the nurse should
evaluate vision and hearing to detect the presence of these defects. Congenital heart malformations are
common in children with Down syndrome. Therefore, such children benefit from evaluative
echocardiography to detect the presence of septal defects. These children need periodic thyroid testing,
not blood glucose testing. These children should undergo radiographic tests to assess atlantoaxial
instability, not sacral instability. Children may need surgical correction if they have heart defects.
p.1029
Autism is a complex developmental disorder. Diagnostic criteria for autism include delayed or abnormal
functioning in which area(s) before 3 years of age? Select all that apply.
a. Parallel play
b. Social interaction
c. Gross motor development
d. Inability to maintain eye contact
e. Language as used in social communication - b. Social interaction
d. Inability to maintain eye contact
e. Language as used in social communication
Rationale
Children diagnosed with autism show delayed or abnormal functioning in social interactions. A hallmark
characteristic of autism is the child's inability to make and maintain eye contact. A characteristic of
autism is the child's delay of language at an early age or the sudden deterioration in extant expressive
speech. Parallel play is not an area in which autistic children may show delay. When interacting with
other children in other forms of play, they display functional limitations. Gross motor development is not
an area in which autistic children show delayed or abnormal functioning.
p.1041
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