Question 1

What intervention is most appropriate to facilitate social development of a child with a cognitive impairment?

Accepted Answer

A)  Provide age-appropriate toys and play activities. 
B)  Avoid exposure to strangers who may not understand cognitive development. 
C)  Provide peer experiences, such as infant stimulation and preschool programs. 
D)  Emphasize mastery of physical skills because they are delayed more often than verbal skills. 
A)  Provide age-appropriate toys and play activities. 
B)  Avoid exposure to strangers who may not understand cognitive development. 
C)  Provide peer experiences, such as infant stimulation and preschool programs. 
D)  Emphasize mastery of physical skills because they are delayed more often than verbal skills.

Question 2

The nurse is teaching parents the signs of a hearing impairment in a child. What should the nurse include as signs? (Select all that apply.)

Accepted Answer

A)  Outgoing behavior 
B)  Yelling to express pleasure 
C)  Asking to have statements repeated 
D)  Foot stamping for vibratory sensation 
E)  Failure to develop intelligible speech by age 24 months 
A)  Outgoing behavior 
B)  Yelling to express pleasure 
C)  Asking to have statements repeated 
D)  Foot stamping for vibratory sensation 
E)  Failure to develop intelligible speech by age 24 months

Question 3

What is a primary goal in caring for a child with cognitive impairment?

Accepted Answer

A)  Developing vocational skills 
B)  Promoting optimum development 
C)  Finding appropriate out-of-home care 
D)  Helping child and family adjust to future care 
A)  Developing vocational skills 
B)  Promoting optimum development 
C)  Finding appropriate out-of-home care 
D)  Helping child and family adjust to future care

Question 4

What are indications for a referral regarding a communication impairment in a school-age child? (Select all that apply.)

Accepted Answer

A)  Barely audible voice quality 
B)  Vocal pitch inappropriate for age 
C)  Intonation noted during speaking 
D)  Maintains a rhythm while speaking 
E)  Distortion of sounds after age 7 years 
A)  Barely audible voice quality 
B)  Vocal pitch inappropriate for age 
C)  Intonation noted during speaking 
D)  Maintains a rhythm while speaking 
E)  Distortion of sounds after age 7 years

Question 5

What condition is defined as reduced visual acuity in one eye despite appropriate optical correction?

Accepted Answer

A)  Myopia 
B)  Hyperopia 
C)  Amblyopia 
D)  Astigmatism 
A)  Myopia 
B)  Hyperopia 
C)  Amblyopia 
D)  Astigmatism

Question 6

The nurse is preparing an education program on hearing impairment for a group of new staff nurses. What concepts should be included? (Select all that apply.)

Accepted Answer

A)  A child with a slight hearing loss is usually unaware of a hearing difficulty. 
B)  A clinical manifestation of a hearing impairment in children is avoidance of social interaction. 
C)  A child with a severe hearing loss may hear a loud voice if nearby. 
D)  Children with sensorineural hearing loss can benefit from the use of a hearing aid. 
E)  A clinical manifestation of hearing impairment in an infant is lack of the startle reflex.
F) Identification of a hearing loss after the first year is essential to facilitate language development in children. 
A)  A child with a slight hearing loss is usually unaware of a hearing difficulty. 
B)  A clinical manifestation of a hearing impairment in children is avoidance of social interaction. 
C)  A child with a severe hearing loss may hear a loud voice if nearby. 
D)  Children with sensorineural hearing loss can benefit from the use of a hearing aid. 
E)  A clinical manifestation of hearing impairment in an infant is lack of the startle reflex.
F) Identification of a hearing loss after the first year is essential to facilitate language development in children.

Question 7

What action should the school nurse take for a child who has a hematoma (black eye) with no hemorrhage into the anterior chamber?

Accepted Answer

A)  Apply a warm moist pack. 
B)  Have the child keep the eyes open. 
C)  Apply ice for the first 24 hours. 
D)  Refer to an ophthalmologist immediately. 
A)  Apply a warm moist pack. 
B)  Have the child keep the eyes open. 
C)  Apply ice for the first 24 hours. 
D)  Refer to an ophthalmologist immediately.

Question 8

What suggestion by the nurse for parents regarding stuttering in children is most helpful?

Accepted Answer

A)  Offer rewards for proper speech. 
B)  Encourage the child to take it easy and go slow when stuttering. 
C)  Help the child by supplying words when he or she is experiencing a block. 
D)  Give the child plenty of time and the impression that you are not in a hurry. 
A)  Offer rewards for proper speech. 
B)  Encourage the child to take it easy and go slow when stuttering. 
C)  Help the child by supplying words when he or she is experiencing a block. 
D)  Give the child plenty of time and the impression that you are not in a hurry.

Exam 21: The Child with Cognitive, Sensory, or Communication Impairment

What intervention is most appropriate to facilitate social development of a child with a cognitive impairment?

The nurse is teaching parents the signs of a hearing impairment in a child. What should the nurse include as signs? (Select all that apply.)

What is a primary goal in caring for a child with cognitive impairment?

What are indications for a referral regarding a communication impairment in a school-age child? (Select all that apply.)

What condition is defined as reduced visual acuity in one eye despite appropriate optical correction?

The nurse is preparing an education program on hearing impairment for a group of new staff nurses. What concepts should be included? (Select all that apply.)

What action should the school nurse take for a child who has a hematoma (black eye) with no hemorrhage into the anterior chamber?

What suggestion by the nurse for parents regarding stuttering in children is most helpful?

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

The Child with Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child with Respiratory Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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