Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A nurse caring for a child with cerebral palsy (CP) administers the medication baclofen in
order to decrease which of the following symptoms?
a. Pain
b. Seizures
c. Drooling
d. Spasticity
ANS: D
Baclofen reduces spasticity. When given via an implanted pump it is more effective
then when given orally.
DIF: Cognitive Level: Comprehension REF: 514 OBJ: 9
TOP: Cerebral Palsy KEY: Nursing Process Step: Implementation
2. A nurse providing care to a child with an intellectual disability should make which of the
following interventions the priority?
a. Teach the parents to provide all care.
b. Normalize the opportunities for the child as much as possible.
c. Provide resources for specialized schools for intellectually impaired children.
d. Perform an intelligence test.
ANS: B
The goal of care is to normalize the opportunities for the child and family as much as
possible. Parents do not need to provide all care as the child should be encouraged to
perform as much as possible. Children should also be integrated into regular
classrooms as much as possible.
DIF: Cognitive Level: Application REF: 517 OBJ: N/A
, TOP: Intellectual Disability KEY: Nursing Process Step:
Implementation
3. A young child on the pediatric unit cannot express himself well and has been diagnosed
with an intellectual disability. What therapeutic intervention might a nurse implement that
allows children enhance their development?
a. Play therapy
b. Art therapy
c. Music therapy
d. Cognitive behavioural therapy
ANS: A
Play therapy should be prescribed to nurture growth and development, which is a
priority for children with an intellectual disability.
DIF: Cognitive Level: Comprehension REF: 518 OBJ: N/A
TOP: Goals of Care for Children with Intellectual Disability KEY:
Nursing Process Step: Implementation
4. A nurse is admitting a child with an intellectual disability to the pediatric unit. When
assessing the child’s diet, the best question the nurse could ask would be which of the
following?
a. “What food does your child eat?”
b. “Does your child feed herself?”
c. “Tell me about your child’s eating habits”
d. “How does your child get fluids?”
ANS: C
Open-ended questions that have a positive approach will help develop a good
relationship between the parents and nurse as well as provide more information.
DIF: Cognitive Level: Application REF: 517 OBJ: N/A
TOP: Intellectual Disability KEY: Nursing Process Step: Data
Collection
5. The most important goal of a nurse who provides palliative care to a child would be
MULTIPLE CHOICE
1. A nurse caring for a child with cerebral palsy (CP) administers the medication baclofen in
order to decrease which of the following symptoms?
a. Pain
b. Seizures
c. Drooling
d. Spasticity
ANS: D
Baclofen reduces spasticity. When given via an implanted pump it is more effective
then when given orally.
DIF: Cognitive Level: Comprehension REF: 514 OBJ: 9
TOP: Cerebral Palsy KEY: Nursing Process Step: Implementation
2. A nurse providing care to a child with an intellectual disability should make which of the
following interventions the priority?
a. Teach the parents to provide all care.
b. Normalize the opportunities for the child as much as possible.
c. Provide resources for specialized schools for intellectually impaired children.
d. Perform an intelligence test.
ANS: B
The goal of care is to normalize the opportunities for the child and family as much as
possible. Parents do not need to provide all care as the child should be encouraged to
perform as much as possible. Children should also be integrated into regular
classrooms as much as possible.
DIF: Cognitive Level: Application REF: 517 OBJ: N/A
, TOP: Intellectual Disability KEY: Nursing Process Step:
Implementation
3. A young child on the pediatric unit cannot express himself well and has been diagnosed
with an intellectual disability. What therapeutic intervention might a nurse implement that
allows children enhance their development?
a. Play therapy
b. Art therapy
c. Music therapy
d. Cognitive behavioural therapy
ANS: A
Play therapy should be prescribed to nurture growth and development, which is a
priority for children with an intellectual disability.
DIF: Cognitive Level: Comprehension REF: 518 OBJ: N/A
TOP: Goals of Care for Children with Intellectual Disability KEY:
Nursing Process Step: Implementation
4. A nurse is admitting a child with an intellectual disability to the pediatric unit. When
assessing the child’s diet, the best question the nurse could ask would be which of the
following?
a. “What food does your child eat?”
b. “Does your child feed herself?”
c. “Tell me about your child’s eating habits”
d. “How does your child get fluids?”
ANS: C
Open-ended questions that have a positive approach will help develop a good
relationship between the parents and nurse as well as provide more information.
DIF: Cognitive Level: Application REF: 517 OBJ: N/A
TOP: Intellectual Disability KEY: Nursing Process Step: Data
Collection
5. The most important goal of a nurse who provides palliative care to a child would be
