A parent of a 9-year-old child newly diagnosed with diabetes mellitus is very concerned about the child participating in social events at school. The nurse creating a plant of care would formulate which goals to address these concerns? Select all that apply.
The child and family will integrate diabetes care into patterns of daily activity.
The child and family will discuss all aspects of the illness and its treatments.
The child will use effective coping mechanisms to manage anxiety.
The child and family will discuss their concerns with the child's teachers and the school nurse.
The child's normal growth and development will be maintained.
Correct Answer : A,B,C,D,E
A. The child and family will integrate diabetes care into patterns of daily activity:
Correct Answer: Correct.
Explanation: Integrating diabetes care into daily activities helps the child manage their condition more effectively. This goal encourages normalization of the routine, making it easier for the child to participate in social events.
B. The child and family will discuss all aspects of the illness and its treatments:
Correct Answer: Correct.
Explanation: Open communication about the illness and its treatments is crucial for understanding and managing diabetes. This goal promotes family education and support, which can help alleviate concerns.
C. The child will use effective coping mechanisms to manage anxiety:
Correct Answer: Correct.
Explanation: Managing anxiety is important for overall well-being. Teaching the child effective coping mechanisms helps them navigate the emotional aspects of living with diabetes and participating in social events.
D. The child and family will discuss their concerns with the child's teachers and the school nurse:
Correct Answer: Correct.
Explanation: Communication with school personnel is essential to ensure a supportive environment for the child. Discussing concerns with teachers and the school nurse promotes awareness and collaboration in managing the child's diabetes at school.
E. The child's normal growth and development will be maintained:
Correct Answer: Correct.
Explanation: Maintaining normal growth and development is a crucial goal. It ensures that the child can engage in age-appropriate activities and social events while managing their diabetes effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A highly pruritic profuse macule to papule rash on the trunk
Explanation: This description does not fit the typical characteristics of erythema infectiosum. Fifth disease is not typically associated with a highly pruritic rash.
B. A discrete pinkish red maculopapular rash that is spreading to the trunk
Explanation: While erythema infectiosum does involve a rash that can spread to the trunk, the distinctive "slapped face" appearance is a key characteristic that is not captured in this option.
C. An erythema on the face that has a "slapped face" appearance.
Explanation:
Erythema infectiosum, commonly known as fifth disease or slapped cheek syndrome, is characterized by a distinctive facial rash that gives the appearance of a "slapped face." The rash typically starts on the face and then spreads to the trunk and extremities. It often begins with erythema on the cheeks, giving the child a flushed or slapped appearance, followed by a discrete rose-pink maculopapular rash on the trunk.
D. A discrete rose-pink maculopapular rash on the trunk
Explanation: This description fits the typical characteristics of the rash seen in erythema infectiosum, but the key identifier is the "slapped face" appearance on the face.
Correct Answer is B
Explanation
A. Changes in the voice signal the beginning of puberty.
Explanation: Changes in the voice, specifically deepening, are associated with puberty, but they typically occur later in puberty. The voice change is related to the growth of the larynx (Adam's apple) and tends to happen after other physical changes.
B. Gynecomastia commonly occurs during late puberty.
Explanation:
Gynecomastia, the development of breast tissue in males, is a common occurrence during puberty. It is often temporary and tends to happen during late puberty. The enlargement of breast tissue can be a source of concern for adolescent boys, and providing information about the normalcy and temporary nature of gynecomastia can be reassuring for both parents and boys.
C. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years.
Explanation: The timing of pubertal changes can vary among individuals. While certain age ranges are provided as general guidelines, the absence of scrotal changes by a specific age does not necessarily indicate delayed puberty. Puberty is a gradual process with individual variations.
D. Growth spurts in height occur toward the end of midpuberty.
Explanation: Growth spurts in height, known as the adolescent growth spurt, typically occur during midpuberty. This phase is marked by rapid growth in height, changes in body composition, and the development of secondary sexual characteristics.
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