Exam (elaborations)
Chapter 32. Children and Adolescents
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 32. Children and Adolescents
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Chapter 32. Children and AdolescentsMULTIPLE CHOICE
1. Which developmental characteristic should the nurse identify as
typical of a client diagnosed with severe intellectual disability
(ID)?
1. The client can perform some self-care activities independently.
2. The client has advanced speech development.
3. Other than possible coordination problems, the client’s
psychomotor skills are not affected.
4. The client communicates wants and needs by “acting out”
behaviors.
ANS: 4
Chapter: Chapter 32, Children and Adolescents
Objective: Identify symptomatology and use the information in the
assessment of clients with the aforementioned disorders.
Page: 690
Heading: Table 32–1 Developmental Characteristics of Intellectual
Developmental
Disorder by Degree of Severity Integrated Processes: Nursing
Process Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying] Concept: Growth and
Development Difficulty: Moderate
Feedback
1. This is incorrect. A client diagnosed with a moderate disability (intelligence quotient
[IQ] of 35–49) can perform some self-care activities independently. ab
2. This is incorrect. The client does not have advanced speech development.
3. This
CON: is incorrect.
Growth and Psychomotor skills are also affected.
4. This is correct. A client diagnosed with severe ID may communicate wants and
Development
needs by “acting out” behaviors. Severe ID indicates an IQ between 20 and 34.
Individuals diagnosed with severe ID require complete supervision and have ab
minimal verbal skills and poor psychomotor development.
,Townsend PMHN, 10e Chapter 32 - ETB
2. Which nursing intervention related to self-care is most
appropriate for a teenager diagnosed with moderate ID?
1. Meet all of the client’s self-care needs to avoid injury.
2. Provide simple directions and praise client’s independent self-
care efforts.
3. Avoid interference with the client’s self-care efforts to promote
autonomy.
4. Encourage family to meet the client’s self-care needs to promote
bonding.
ANS: 2
Chapter: Chapter 32, Children and Adolescents
Objective: Identify symptomatology and use the information in the
assessment of clients with the aforementioned disorders.
Page: 691
Heading: Table 32–2 Care Plan for the Child with Intellectual
Disability
Integrated Processes: Nursing Process
Nursing Process: Implementation
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying] Concept: Growth and
Development Difficulty: Moderate
Feedback
1.This is incorrect. This is appropriate for individuals diagnosed with profound ID.
2.This is correct. Individuals with moderate ID can perform some activities
independently and may be capable of academic skill to a second-grade level.
ab
3. This is incorrect. Although the teenager may perform some skills independently,
they may need supervision or some assistance.
4. This is incorrect. The nurse should encourage the teenager to perform as much self- ANS: 2
CON:care
Growth and Development
as possible.
3. A child has been diagnosed with autism spectrum disorder
(ASD). The distraught mother cries out, “I’m such a terrible
mother. What did I do to cause this?” Which nursing reply is most
appropriate?
1. “Researchers really don’t know what causes autistic disorder, but
the relationship between autistic disorder and fetal alcohol
syndrome is being explored.”
2. “Poor parenting doesn’t cause autism. Research has shown that
abnormalities in brain structure and/or function are to blame. This
is beyond your control.”
3. “Research has shown that the mother appears to play a greater
role in the development of this disorder than does the father.”
4. “Lack of early infant bonding with the mother has shown to be a
cause of autistic disorder. Did you breastfeed or bottle feed?”
,
, Townsend PMHN, 10e Chapter 32 - ETB
Chapter: Chapter 32, Children and Adolescents
Objective: Discuss predisposing factors implicated in the
etiology of intellectual disability, autism spectrum disorder,
attention deficit-hyperactivity disorder, conduct disorder,
oppositional defiant disorder, Tourette’s disorder, and
separation anxiety disorder.
Page: 693
Heading: Autism Spectrum Disorder > Predisposing Factors >
Genetics
Integrated Processes: Teaching and Learning
Nursing Process: Assessment
Client Need: Psychosocial Integrity Cognitive Level:
Application [Applying] Concept: Growth and Development
Difficulty: Moderate
Feedback
ab
1. This is incorrect. There is not a relationship between ASD and fetal alcohol
syndrome.
CON: Growth
2. This andASD
is correct. Development
is believed to be caused by abnormalities in brain structure
and/or function, not poor parenting. ASD occurs in approximately 6 per 1000
children and is about four times more likely to occur in boys. ab
3. This is incorrect. Although maternal infection can play a role in ASD, there is no
evidence that
4. In planning the mother
care for a causes
child ASD and not the
diagnosed father.
with ASD, which is a
4. This is incorrect. There is no correlation between bottle-feeding or breastfeeding
realistic client
leading outcome?
to ASD.
ab
1. The client will communicate all needs verbally by discharge.
2. The client will participate with peers in a team sport by day 4.
3. The client will establish trust with at least one caregiver by day
5.
4. The client will perform most self-care tasks independently.
ANS: 3
Chapter: Chapter 32, Children and Adolescents
Objective: Identify nursing diagnoses common to clients with
these disorders and select appropriate nursing interventions for
each.
Page: 694
Heading: Application of the Nursing Process to Autism Spectrum
Disorder > Outcome
Identification
Integrated Processes: Nursing Process
Nursing Process: Planning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
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