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Chapter 22 Chronic Conditions and Palliative Care: Caring for the Child and Family Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition

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MULTIPLE CHOICE 1. A nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms as he tries to eat. The nurse recognizes that he has which type of cerebral palsy? a. Athetoid b. Ataxic c. Spastic d. Mixed ANS: C Spasticity is characterized by tension in certain muscle groups, which makes voluntary movements of muscles jerky and uncoordinated. DIF: Cognitive Level: Comprehension REF: 514 OBJ: 9 TOP: Cerebral Palsy KEY: Nursing Process Step: Data Collection 2. Parents of a 10-year-old child diagnosed with an intellectual deficit are sharing multiple approaches they implement in dealing with various challenges. Which statement by the parents alerts the nurse they need further instruction? a. “We dress our son every morning for school.” b. “Our son participates in the Special Olympics every year.” c. “Our son attends play therapy at a center close to home.” d. “We attend a support group once a week.” ANS: A The child with an intellectual disability needs to develop a sense of accomplishment. Caregivers should not “take over” projects because of their own need to assist or speed up the process. DIF: Cognitive Level: Application REF: 517 OBJ: 6 TOP: Cognitive Impairment KEY: Nursing Process Step: Implementation 3. What important focus of nursing care for the dying child and the family should a nurse implement? a. Nursing care should be organized to minimize contact with the child. b. Adequate oral intake is crucial to the dying child. c. Families should be made aware that hearing is the last sense to stop functioning before death. d. It is best for the family if the nursing staff provides all the child’s care. ANS: C Hearing is intact even when there is a loss of consciousness. DIF: Cognitive Level: Analysis REF: 523 OBJ: 9 TOP: Dying Child KEY: Nursing Process Step: Planning 4. A 6-year-old child with leukemia asks, “Who will take care of me in heaven?” What is the best response by a nurse? a. “Who do you think will take care of you?” b. “Your grandparents and God will take care of you.” c. “Your mom will know more about that than I do.” d. “Why are you asking me that?”

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TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER

, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER




MULTIPLE CHOICE
1. A nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms
as he tries to eat. The nurse recognizes that he has which type of cerebral palsy?
a. Athetoid
b. Ataxic
c. Spastic
d. Mixed

ANS: C
Spasticity is characterized by tension in certain muscle groups, which makes voluntary movements of muscles jerky and
uncoordinated.
DIF: Cognitive Level: Comprehension REF: 514 OBJ: 9
TOP: Cerebral Palsy KEY: Nursing Process Step: Data Collection

2. Parents of a 10-year-old child diagnosed with an intellectual deficit are sharing multiple approaches they implement in dealing with
various challenges. Which statement by the parents alerts the nurse they need further instruction?
a. “We dress our son every morning for school.”
b. “Our son participates in the Special Olympics every year.”
c. “Our son attends play therapy at a center close to home.”
d. “We attend a support group once a week.”

ANS: A
The child with an intellectual disability needs to develop a sense of accomplishment. Caregivers should not “take over”
projects because of their own need to assist or speed up the process.
DIF: Cognitive Level: Application REF: 517 OBJ: 6
TOP: Cognitive Impairment KEY: Nursing Process Step: Implementation

3. What important focus of nursing care for the dying child and the family should a nurse implement?
a. Nursing care should be organized to minimize contact with the child.
b. Adequate oral intake is crucial to the dying child.

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