Chapter 32: Care of the Child with a Mental or Cognitive Disorder

Chapter 32: Care of the Child with a Mental or Cognitive Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Parents of a 5-year-old child diagnosed as cognitively impaired have come to the nurse to discuss different approaches to the ongoing care of their child. The nurse suggests focusing on skills relative to:

a.	acquiring job skills.
b.	making decisions.
c.	performing self-care activities.
d.	reading and doing simple math.

 

ANS:   C

The cognitively impaired child should be encouraged to learn simple skills for doing self-care.

 

DIF:    Cognitive Level: Application             REF:    Page 1068       OBJ:    2

TOP:    Cognitive impairment                         KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

2. The nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ). A child with an IQ of 45 is classified as:

a.	within the normal low range.
b.	educable.
c.	trainable.
d.	severe.

 

ANS:   C

The category of trainable is identified on the basis of an IQ of 35 to 55.

 

DIF:    Cognitive Level: Application             REF:    Page 1067       OBJ:    2

TOP:    Cognitive impairment                         KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

3. The nurse reviews the major criterion for diagnosing a child as cognitively impaired, which is:

a.	an IQ of 75 or less.
b.	subaverage functioning.
c.	an IQ of 70 or less.
d.	onset before 18.

ANS:   C

Cognitive impairment categories are based on IQs from 20 to 70.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 1067       OBJ:    2

TOP:    Cognitive impairment                         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

4. The priority nursing interventions for the cognitively impaired child are to support the family to provide:

a.	good nutrition.
b.	loving interactions.
c.	stimulation to improve.
d.	contact with peers.

 

ANS:   B

Nursing interventions focus on promoting optimal development and loving interactions with family.

 

DIF:    Cognitive Level: Application             REF:    Page 1068       OBJ:    2

TOP:    Cognitive impairment                         KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance

 

5. The nurse uses a diagram to show the etiology of Down syndrome, which shows that:

a.	there is an extra chromosome on the 21st pair.
b.	there is a missing chromosome on the 21st pair.
c.	there are two pairs of the 21st chromosome.
d.	the chromosome’s 21st pair is missing.

 

ANS:   A

Down syndrome is attributed to an extra chromosome on the 21st pair.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 1069       OBJ:    3

TOP:    Cognitive impairment                         KEY:   Nursing Process Step: Evaluation

MSC:   NCLEX: Health Promotion and Maintenance