What information should a nurse plan to give the parents of a child newly diagnosed with cognitive impairment (mental retardation)?

Avoid setting limits or establishing disciplinary guidelines.

Encourage the child to socialize with same-aged children.

Avoid discussing sexuality until the child is an adult.

Encourage delaying the child's entry into educational programs.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Avoid setting limits or establishing disciplinary guidelines is not appropriate. Children with cognitive impairment require structure and consistent boundaries to ensure their safety and development.

Choice B rationale:

Encouraging the child to socialize with same-aged children is important for their social and emotional development. Interaction with peers fosters communication skills and helps them integrate into society.

Choice C rationale:

Avoid discussing sexuality until the child is an adult may lead to misinformation and confusion. Addressing sexuality in an age-appropriate manner is vital to help the child develop a healthy understanding of their body and relationships.

Choice D rationale:

Encouraging delaying the child's entry into educational programs hinders their cognitive and intellectual growth. Early intervention and tailored educational programs are crucial for children with cognitive impairment to reach their full potential.

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Correct Answer is ["A","B"]

Explanation

Choice A:
Hypoplastic left heart syndrome - Decreased pulmonary blood flow.
Choice B:
Tetralogy of Fallot - Obstruction to blood flow.
Choice C rationale:
Atrial Septal Defect is incorrectly matched with its hemodynamic classification. ASD results in increased pulmonary blood flow due to the shunting of oxygenated blood from the left atrium to the right atrium.
Choice D rationale:
Aortic Stenosis is again not accurately matched. Aortic stenosis causes obstruction to blood flow from the left ventricle to the aorta, impacting systemic circulation.

A. Have the child choose a place in his room for the dog where he can see it but it is beyond his reach. B. Tell the mother that it is all right to keep the dog with him. C. Suggest to the mother that she tell the child that she will bring the dog back after taking it home to wash it. D. Suggest to the mother that she choose a replacement from the stuffed animals in the playroom.

Correct Answer is A

Explanation

Choice A rationale:

Allowing the child to have the soiled stuffed dog within sight but out of reach respects his attachment to the comfort object while maintaining hygiene standards of the hospital environment. The child's emotional well-being is crucial, and separation from a beloved item during a hospital stay can be distressing. Placing the dog in view but inaccessible helps strike a balance between comfort and infection control.

Choice B rationale:

While the mother's desire to keep the dog with the child is understandable, infection control is a concern in a hospital setting. Allowing the soiled object to remain in close proximity could compromise the child's health.

Choice C rationale:

Suggesting that the mother take the dog home to wash it and bring it back later might cause unnecessary distress for the child, who may worry about being separated from the comfort object for an extended period.

Choice D rationale:

Choosing a replacement from the playroom's stuffed animals could be unsettling for the child, as his attachment is to his specific dog. The familiarity of his own toy is likely to provide more comfort during the hospitalization. .

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What information should a nurse plan to give the parents of a child newly diagnosed with cognitive impairment (mental retardation)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working on a pediatric cardiology unit and has four patients, each with a different congenital heart defect. Match the congenital heart defect with the correct hemodynamic classification.

Correct Answer is ["A","B"]

Explanation

A 4-year-old patient with cystic fibrosis is hospitalized with an acute pulmonary exacerbation. When the patient is admitted, he is clutching a soiled, tattered, stuffed dog. His mother says, "He insisted on bringing the dog with him. It really is filthy.". Which nursing action is most appropriate?

Correct Answer is A

Explanation

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The nurse is providing discharge instructions to the parent of a patient who had a tonsillectomy/adenoidectomy. Which statement would indicate that the parent needs further teaching?

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