A nurse is caring for a 10-year old child with Intellectual Developmental Disorder who has an IQ of 45. Which child capability would the nurse expect to observe? The child:

cannot answer the nurse when spoken to.

may need complete supervision when performing hand hygiene.

is allowed to use safety scissors with adult guidance.

follows directions independently when given an assignment.

Answer and Explanation

The Correct Answer is B

B. Children with IDD often require additional support and supervision in performing daily tasks, including personal hygiene routines like handwashing. Depending on the specific needs and abilities of the child, they may require varying levels of assistance and supervision.
A. Communication abilities can vary widely among children with IDD, and many may be able to understand and respond to simple questions or instructions, albeit with some difficulty.
C. Safety scissors are specifically designed for children to use safely, with features such as blunt tips and plastic blades to minimize the risk of injury. Allowing a child with IDD to use safety scissors with adult guidance can promote independence while ensuring safety.
D. Children with IDD often face challenges in following directions and completing tasks independently, particularly those with lower IQ scores.

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Correct Answer is B

Explanation

B. The honeymoon phase occurs after the acute battering incident and is characterized by the abuser showing remorse, apologizing, and trying to reconcile with the victim. During this phase, the abuser may express love, affection, and promises to change.
A. This phase is not typically recognized as a distinct phase in the cycle of abuse.
C. The acute battering incident is the phase characterized by the actual physical or emotional abuse. It is the culmination of tension that has been building in the relationship, leading to an explosive and violent incident.
D. The tension-building phase is the initial phase in the cycle of abuse, characterized by increasing tension and conflict between the partners. During this phase, the victim may try to placate the abuser, avoid conflict, or walk on eggshells to prevent escalation.

A. Initiate droplet precautions B. Initiate airborne precautions C. Place the client in a positive pressure room D. Initiate neutropenic precautions

Correct Answer is B

Explanation

B. Airborne precautions are used for diseases that can be transmitted through tiny respiratory droplets that remain in the air for extended periods. Examples include tuberculosis and measles. Given the symptom of coughing up blood and the possibility of an infectious respiratory disease, initiating airborne precautions could be warranted.
A. Droplet precautions are typically implemented for diseases that spread through respiratory droplets, such as influenza or pertussis. However, coughing up blood suggests a more serious condition that may not be adequately addressed by droplet precautions alone.
C. Positive pressure rooms are typically used in healthcare settings to prevent outside air from entering the room, thus reducing the risk of airborne contaminants. While this measure can be beneficial for certain conditions, such as those requiring airborne precautions, it may not be the priority intervention.
D. Neutropenic precautions are implemented for patients with compromised immune systems, particularly those with low white blood cell counts (neutropenia). While this precaution is important for protecting immunocompromised patients from infections, it may not be the priority intervention.

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A nurse is caring for a 10-year old child with Intellectual Developmental Disorder who has an IQ of 45. Which child capability would the nurse expect to observe? The child:

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Correct Answer is B

Explanation

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