Chapter 30: The Child with a Cognitive Deficit

Chapter 30: The Child with a Cognitive Deficit

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. A parent whose child has been diagnosed with a cognitive deficit should be counseled that mental retardation:

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 mental retardation.

 

 

ANS:   B

 

	Feedback
A	Only 5% of children with mental retardation are affected by a genetic defect.
B	There is a multitude of causes for mental retardation. In nearly half of the cases, a specific cause has not been identified.
C	One third of children with mental retardation are affected by first-trimester events.
D	Mental retardation can be transmitted to a child only if the parent has a genetic disorder.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 1002

OBJ:    Nursing Process Step: Planning

MSC:   NCLEX: Health Promotion and Maintenance

 

2. Routine developmental assessments during well-child visits are:

a.	not necessary unless the parents request them.
b.	the best method for early detection of cognitive disorders.
c.	frightening to parents and children and should be avoided.
d.	valuable in measuring intelligence in children.

 

 

ANS:   B

 

	Feedback
A	Developmental assessment is a component of all well-child examinations.
B	Early detection of cognitive disorders can be facilitated through assessment of development at each well-child examination.
C	Developmental assessments are not frightening when the parent and child are educated about the purpose of the assessment.
D	Developmental assessments are not intended to measure intelligence.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 1003

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

3. 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 in the anger stage of the grief process.

 

 

ANS:   D

 

	Feedback
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.
D	After a child is diagnosed with a developmental delay, the family may feel grief. The grief process begins with a stage of disbelief and denial and then progresses to anger.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 1007

OBJ:    Nursing Process Step: Evaluation      MSC:   NCLEX: Psychosocial Integrity

 

4. An appropriate nursing diagnosis for a child with a cognitive dysfunction who has a limited ability to anticipate danger is:

a.	impaired social interaction.
b.	deficient knowledge.
c.	risk for injury.
d.	ineffective coping.

 

 

ANS:   C

 

	Feedback
A	Impaired social interaction is indeed a concern for the child with a cognitive disorder but does not address the limited ability to anticipate danger.
B	Because of the child’s cognitive deficit, knowledge will not be retained and will not decrease the risk for injury.
C	The nurse needs to know that limited cognitive abilities to anticipate danger lead to risk for injury.
D	Ineffective individual coping does not address the limited ability to anticipate danger.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 1004

OBJ:    Nursing Process Step: Nursing Diagnosis

MSC:   NCLEX: Health Promotion and Maintenance