The nurse is caring for a child with an intellectual disability due to Down's Syndrome. The nurse understands that it is important to provide developmentally appropriate care. Which of the following will help to meet this need?

Doing everything for the child to decrease the distress of admission

Assessing the child's level of mental maturity, self-help abilities, and habits

Using the child's chronological age as a guide for communication

Speaking only to the mother when explaining all the procedures

Answer and Explanation

The Correct Answer is B

A. Doing everything for the child may increase dependency and does not promote the child's development.
B. Assessing the child's level of mental maturity, self-help abilities, and habits helps the nurse to provide care that is appropriate to the child's developmental level and promotes independence.
C. Using chronological age alone does not consider the child's actual developmental abilities.
D. Speaking only to the mother ignores the child's ability to understand and participate in their own care, regardless of their level of disability.

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Correct Answer is B

Explanation

A. This entry only provides vital signs and lacks context regarding the patient's activities or symptoms.
B. This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.
C. This entry describes the electrode placement but does not provide any information on activities or symptoms.
D. This entry details the patient's meals but does not include any information on activities or symptoms related to the Holter monitoring.

A. Showing the child pictures of the heart and the surgical repair B. Allowing the child to view a cartoon video of the procedure C. Using a doll with a sternal incision and dressing to explain post-surgical care D. Avoiding the mention of post-operative discomfort and interventions

Correct Answer is C

Explanation

A. Showing pictures may not be as effective for a 4-year-old to understand the procedure and what to expect.
B. A cartoon video may not accurately depict the procedure and could create unrealistic expectations.
C. Using a doll with a sternal incision and dressing helps the child visualize and understand what will happen, making the experience less frightening.
D. Avoiding the mention of post-operative discomfort and interventions can lead to mistrust and anxiety; it's important to provide age-appropriate explanations.

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The nurse is caring for a child with an intellectual disability due to Down's Syndrome. The nurse understands that it is important to provide developmentally appropriate care. Which of the following will help to meet this need?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?

Correct Answer is B

Explanation

The nurse is caring for a 4-year-old female child who is scheduled for the repair of a Ventricular Septal Defect (VSD). Which of the following nursing interventions is MOST appropriate when preparing this child for surgery?

Correct Answer is C

Explanation

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