NURS 306 exam 2 spring 2026 UPDATED ACTUAL Questions
and CORRECT Answers
what is the definition of cognitive impairment? any type of intellectual disability that results in functional deficits
when is cognitive impairment diagnosed? before age 18
what are the two primary criteria used to identify an intellectual functioning: IQ <70
intellectual disability? functional impairment: self care, home living, social skills, health, safety, work
what are risk factors impacting developmental - lower socioeconomic status
progression and chronic illness? - exposure to substances/drugs in utero or care r/t - prematurity
- experienced racism or chronic stress
- family hx of mental health disorder
- child in foster care
- preterm infants
what conditions make an infant "high risk" for - neonatal asphyxia
developmental issues? - neonatal infections or jaundice
- infants requiring resuscitation
what factors impact cognitive development? - fetal brain development
- genetic syndromes
- teratogenic effects
- nutrition and housing
- nurturing relationship from birth
- progression of G&D
- fetal alcohol and drug exposure
, what are early signs of cognitive impairment? - dysmorphic syndromes
- irritability or nonresponsiveness to the environment
- major organ dysfunction
- gross and fine motor delay
- language difficulties
- behavioral difficulties - either aggressive or issues with - environmental
adaptation
what are examples of supportive nursing care for - community resources
patients with cognitive impairments? - safety measures in hospitals
- conduct development evaluations
- conduct hearing and vision testing
- interact at developmental level
what are key nursing considerations for infants with screen for delays
cognitive impairments according to Erikson's stages? limit painful procedures and treat appropriately
encourage stimulating environments for sensory development
what are nursing priorities for toddlers with cognitive balance typical development with protecting medical equipment
impairments? allowing autonomy
managing parental stress and coping
what are key nursing considerations for preschoolers modeling learned behaviors - parental depression, mood swings, abuse
with cognitive impairments according to Erikson's therapies for cognitive, physical, language, social delays
stages?
what are concerns for school-age children with effects of cognitive, physical, language, and social delays on peer engagement
cognitive impairments? and camaraderie
learning disabilities often seen
what are concerns for adolescents with cognitive less adherence to treatment regimen
impairments? higher risk of maladaptive behaviors - self-mutilation
challenges with friend groups due to physical limitations
what are special considerations for special people? ADLs
transportation
primary health and specialty care
insurance
family education on medical care at home
impact on family unit
why are individuals with cognitive impairments at risk early death
for poorer health outcomes? health inequality
less access to PCPs
impaired communication delaying treatment or identification of issues
avoidance of seeking care d/t overstimulating environments and associated
stress
how do chronic illnesses and disabilities impact children present unique needs that children and families must navigate
and families?
are chronic disease and disabilities the same? no
how are they similar? can create additional challenges for children, families, and caregivers
and CORRECT Answers
what is the definition of cognitive impairment? any type of intellectual disability that results in functional deficits
when is cognitive impairment diagnosed? before age 18
what are the two primary criteria used to identify an intellectual functioning: IQ <70
intellectual disability? functional impairment: self care, home living, social skills, health, safety, work
what are risk factors impacting developmental - lower socioeconomic status
progression and chronic illness? - exposure to substances/drugs in utero or care r/t - prematurity
- experienced racism or chronic stress
- family hx of mental health disorder
- child in foster care
- preterm infants
what conditions make an infant "high risk" for - neonatal asphyxia
developmental issues? - neonatal infections or jaundice
- infants requiring resuscitation
what factors impact cognitive development? - fetal brain development
- genetic syndromes
- teratogenic effects
- nutrition and housing
- nurturing relationship from birth
- progression of G&D
- fetal alcohol and drug exposure
, what are early signs of cognitive impairment? - dysmorphic syndromes
- irritability or nonresponsiveness to the environment
- major organ dysfunction
- gross and fine motor delay
- language difficulties
- behavioral difficulties - either aggressive or issues with - environmental
adaptation
what are examples of supportive nursing care for - community resources
patients with cognitive impairments? - safety measures in hospitals
- conduct development evaluations
- conduct hearing and vision testing
- interact at developmental level
what are key nursing considerations for infants with screen for delays
cognitive impairments according to Erikson's stages? limit painful procedures and treat appropriately
encourage stimulating environments for sensory development
what are nursing priorities for toddlers with cognitive balance typical development with protecting medical equipment
impairments? allowing autonomy
managing parental stress and coping
what are key nursing considerations for preschoolers modeling learned behaviors - parental depression, mood swings, abuse
with cognitive impairments according to Erikson's therapies for cognitive, physical, language, social delays
stages?
what are concerns for school-age children with effects of cognitive, physical, language, and social delays on peer engagement
cognitive impairments? and camaraderie
learning disabilities often seen
what are concerns for adolescents with cognitive less adherence to treatment regimen
impairments? higher risk of maladaptive behaviors - self-mutilation
challenges with friend groups due to physical limitations
what are special considerations for special people? ADLs
transportation
primary health and specialty care
insurance
family education on medical care at home
impact on family unit
why are individuals with cognitive impairments at risk early death
for poorer health outcomes? health inequality
less access to PCPs
impaired communication delaying treatment or identification of issues
avoidance of seeking care d/t overstimulating environments and associated
stress
how do chronic illnesses and disabilities impact children present unique needs that children and families must navigate
and families?
are chronic disease and disabilities the same? no
how are they similar? can create additional challenges for children, families, and caregivers
