The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

Severe motor dysfunction determines the extent of successful habilitation.

Continued development of the brain lesion determines the child's outcome.

Brain damage with CP is not progressive but does have a variable course.

CP is one of the most common permanent physical disabilities in children.

Answer and Explanation

The Correct Answer is C

Choice A reason: Severe motor dysfunction does influence the extent of successful habilitation, but it does not fully answer the mother’s concern regarding the progression of CP. The focus should be on reassuring the mother about the non-progressive nature of CP.

Choice B reason: The development of the brain lesion is already established in CP and does not continue to develop; thus, it does not determine the child's future outcome. The brain lesion's presence from birth does not change over time.

Choice C reason: Brain damage associated with CP is non-progressive, meaning it does not worsen over time. However, the symptoms and functional impairments can vary and fluctuate, which might make it seem as though the condition is changing.

Choice D reason: While it’s true that CP is one of the most common permanent physical disabilities in children, it doesn’t provide specific information about the progression of the disease. The mother needs to understand that the brain damage itself is not progressive.

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Correct Answer is D

Explanation

Choice A reason: The neurology unit supervisor oversees the neurology unit but does not typically coordinate individual patient care progression.

Choice B reason: The risk management nurse focuses on identifying and mitigating risks within the healthcare setting but does not coordinate patient care.

Choice C reason: An adult nurse practitioner may provide direct care but does not typically coordinate the overall progression of care.

Choice D reason: The nurse case manager is responsible for coordinating the patient's care plan, ensuring continuity of care, and managing transitions between different levels of care.

A. Have the adolescent list the procedural steps for safe insulin administration. B. Review his glycosylated hemoglobin level 3 months after the teaching session. C. Observe him as he demonstrates the self-injection technique to another diabetic adolescent. D. Ask the adolescent to describe his level of comfort with injecting himself with insulin.

Correct Answer is C

Explanation

Choice A reason: Listing the procedural steps is helpful but does not demonstrate practical competence.

Choice B reason: Reviewing glycosylated hemoglobin levels provides information about long-term glucose control but does not directly assess the technique.

Choice C reason: Observing the adolescent as he demonstrates the self-injection technique ensures that he has understood and can correctly perform the procedure, providing the best evaluation of teaching effectiveness.

Choice D reason: Describing the level of comfort provides insight into his confidence but not necessarily his technical competence.

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The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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The nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?

Correct Answer is C

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