Deck 37: People With Disabilities

Question 1

A person with disability is able to use a wheelchair independently. What classification of activity limitation does this person belong to in terms of level of assistance?

A) Profound
B) Severe
C) Moderate
D) Mild

Answer 1

Mild

Question 2

A person with severe communication impairment is presented to ED. He appears very distressed. He is groaning and facial grimace is evident. What essential skill should a nurse possess to be able to best address the situation?

A) Communication skill
B) Leadership skill
C) Clinical assessment skill
D) Health teaching skill

Answer 2

Clinical assessment skill

Question 3

The DisDAT, or Disability Distress Assessment Tool, is a method that could assist in assessing distress in people with ID. Which among the following IS NOT included among the components being measured in this tool?

A) Complete vital signs
B) Appearance
C) Vocal signs
D) Posture

Answer 3

Complete vital signs

Question 4

The following statement refers to DisDAT tool, EXCEPT:

A) It is intended to help identify distress
B) It is designed to describe an individual's usual content cues
C) It is a scoring tool for pain
D) It is meant to help carers and the individual affected with ID

Question 5

During the physical examination of a patient with intellectual disability, the nurse should:

A) Do the examination in a room alone with the patient to decrease environmental stimulus
B) Ask for the patient's consent to perform the examination
C) Provide a detailed and comprehensive explanation of what is going to be done in the physical examination
D) Focus on collecting a detailed history from the patient

Question 6

What is the most important part of the physical assessment for a person with an intellectual disability?

A) Inspection
B) Palpation
C) Percussion
D) Auscultation

Question 7

A person with Down syndrome who developed a seizure activity was given phenytoin to manage the seizure. What can be expected after this intervention?

A) Recurrence of seizure will be minimised
B) Seizure activity will not subside and may get worse
C) Patient will have an improved neurological function
D) Patient will have a decline in intellectual function

Question 8

An intrathecal baclofen pump is being administered via infusion pump to a patient with cerebral palsy to manage generalised hypertonia. After an hour, the patient is noted to have a decreased respiratory rate. What should a nurse do?

A) Decrease the titration rate of the pump
B) Increase the titration rate of the pump
C) Nothing should be done as this is a normal side effect
D) Stop the infusion immediately

Question 9

A ventriculoperitoneal shunt procedure is being rendered to a hydrocephallic child. Halfway through the procedure the child shows signs of irritability, changes in respirations, bulging fontanelle, and is vomiting. What do these signs indicate?

A) Decreased intracranial pressure
B) Increased intracranial pressure
C) Sepsis
D) Shock

Question 10

Gastrostomy tubes are usually used to improve nutritional intake among people with ID who suffer from swallowing difficulty. What is the best way to confirm the proper position of inserted PEG tube to avoid aspiration?

A) X-ray
B) Magnetic Resonance Imaging (MRI)
C) Aspirate the tube to check for the presence of gastric juice
D) Introduce air to the tube and listen for the entry of the sound to the stomach by using a stethoscope