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Assessment 3 N450- Intellectual disabilities (2)
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Assessment 3 N450- Intellectual disabilities (2)
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Assessment 3 N450- Intellectual disabilitiesSevere/Profound general learning disability IQ - ANS-Below 35
Aggressive when facing the inability to complete simple tasks.
Nursing diagnosis: Ineffective coping r/t inability to deal with frustration
Moderate general learning disability IQ - ANS-35-49
Milf general learning disability IQ - ANS-50-68
Child is capable of developing social & communication skills
Borderline general learning disability IQ - ANS-70-79
Average intelligence IQ - ANS-90-110
Exceptionally able/gifted IQ - ANS-130 +
A parent whose child has been diagnosed with a cognitive deficit should be counseled that
intellectual impairment
a. Is usually due to a genetic defect
b. May be caused by a variety of factors
c. Is rarely due to first trimester events
d. Is usually caused by parental intellectual impairment - ANS-ANS: B There are a multitude of
causes for intellectual impairment. In most cases, a
specific cause has not been identified.
A Only a small percentage of children with intellectual impairment are affected by
a genetic defect.
C One third of children with intellectual impairment are affected by first trimester
events.
D Intellectual impairment can be transmitted to a child only if the parent has a
genetic disorder.
Martin Sanchez is a 9-year-old child admitted to a psychiatric treatment unit accompanied by Mr.
and Mrs. Sanchez. To establish trust and position of neutrality, which action would the nurse
take?
A
,Encourage Mr. and Mrs. Sanchez to leave while Martin is being interviewed.
B
Interview Martin with his parents together, observing their interaction.
C
Provide diversion for Martin, and interview Mr. and Mrs. Sanchez alone.
D
Review the clinical record prior to interviewing Mr. and Mrs. Sanchez. - ANS-B
Interview Martin with his parents together, observing their interaction.
It is important for the nurse to be seen as a neutral person who is interested in the family as an
adaptive functioning unit. By conducting the admission interview with the parents and child
together, the nurse establishes this neutral role from the beginning. The responses on options A
and C separate the parents and the child, and thus the nurse does not have an opportunity to
establish a position of neutrality. Although the nurse would review the clinical record, this does
not demonstrate to the family that she is an advocate for both parents and the child.
Nurse Bennet is a community nurse practicing primary prevention for psychiatric disorders in
children. On which of the following risk factors would he focus?
A
Being raised in a single-parent home
B
Family history of mental illness
C
Lack of peer friendship
D
Family culture - ANS-B
Family history of mental illness
Abnormal genes and family history of mental illness have been implicated in many psychiatric
disorders occurring in children and adolescents. There is no evidence that being raised in a
single-parent home will increase a child's risk of developing a psychiatric disorder. Children who
have problems with peers and withdraw from social interaction may have a psychiatric disorder;
however, the nurse noting this problem would be practicing secondary, not primary, prevention.
Family culture is not a risk factor unless parental behavior is dramatically atypical from
surrounding culture.
The father of a child recently diagnosed with developmental delay is very rude and hostile
toward the nurses. This father was cooperative during the child's evaluation a month ago.
What is the best explanation for this change in parental behavior?
a. The father is exhibiting symptoms of a psychiatric illness.
b. The father may be abusing the child.
c. The father is resentful of the time he is missing from work for this appointment.
, d. The father is experiencing a symptom of grief. - ANS-ANS: D After a child is diagnosed with a
developmental delay, families typically
experience a cycle of grieving that is repeated when developmental milestones
are not met.
A One cannot determine that a parent is exhibiting symptoms of a psychiatric
illness on the basis of a single situation.
B The scenario does not give any information to suggest child abuse.
C Although the father may have difficulty balancing his work schedule with
medical appointments for his child, a more likely explanation for his behavior
change is that he is grieving the loss of a normal child.
What should be the major consideration when selecting toys for a child with an intellectual
or developmental disability?
a. Safety
b. Age appropriateness
c. Ability to provide exercise
d. Ability to teach useful skills - ANS-ANS: A
A Safety is the primary concern in selecting recreational and exercise activities for
all children. This is especially true for children who are intellectually disabled.
B Age appropriateness should be considered in the selection of toys, but safety is of
paramount importance.
C Ability to provide exercise should be considered in the selection of toys, but
safety is of paramount importance.
D Ability to teach useful skills should be considered in the selection of toys, but
safety is of paramount importance.
Appropriate interventions to facilitate socialization of the cognitively impaired child
include
a. Providing age-appropriate toys and play activities
b. Providing peer experiences, such as scouting, when older
c. Avoiding exposure to strangers who may not understand cognitive development
d. Emphasizing mastery of physical skills because they are delayed more often than
verbal skills - ANS-ANS: B
The acquisition of social skills is a complex task. Children of all ages need peer
relationships. Parents should enroll the child in preschool. When older, they
should have peer experiences similar to other children such as group outings,
Boy and Girl Scouts, and Special Olympics.
A Providing age-appropriate toys and play activities is important. However, peer
interactions will better facilitate social development.
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