C HAPTER 32: C ARE OF THE C HILD WITH A
P HYSICAL AND M ENTAL OR C OGNITIVE
D ISORDER
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. A child has developed a diaper rash, and the parents are using zinc oxide
to treat it. What does the nurse suggest to aid in the removal of the zinc
oxide?
a. Mild soap and water
b. A cotton ball
c. Mineral oil
d. Alcohol swabs
ANS: C
To completel y remove ointment, especially zinc oxide, mineral oil
should be used.
DIF: Cognitive Level: Application REF: p. 1042 OBJ: 15
TOP: Diaper rash KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
2. The nurse instructs the parents of a child who has had a m yringotom y to
place the child in which position?
, a. Supine
b. On the affected side
c. On the unaffected side
d. In a Trendelenburg’s position
ANS: B
Lying on the affected side faci litates ear drainage following a
myringotom y.
DIF: Cognitive Level: Application REF: p. 1042 OBJ: 16
TOP: Myringotom y KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
3. What are the clinical manifestations of otitis med ia?
a. Earache, wheezing, vomiting
b. Coughing, rhinorrhea, headache
c. Fever, irritabilit y, pulling on ear
d. Wheezing, cough, drainage in ear canal
ANS: C
Clinical manifestations of otitis media include fever, irritability, and
pulling on the ear.
DIF: Cognitive Level: Comprehension REF: p. 982
OBJ: 16 TOP: Otitis media KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity
,4. The nurse instructs the mother of a child with a ventricular septal defect
that she can expect the child to beco me cyanotic when the child does
what?
a. Experiences an elevation in temperature.
b. Sleeps on the left side.
c. Cries vigorousl y.
d. Eats.
ANS: C
Crying vigorousl y will increase the pressure in the right ventricle,
which will allow unoxygenated blood to enter the c irculating volume.
DIF: Cognitive Level: Anal ysis REF: p. 1048 OBJ: 1
TOP: Septal defects KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
5. Parents of a 5-year-old child diagnosed as cognitivel y impaired have come
to the nurse to discuss different approaches to the ongoing care of their
child. The nurse should suggest focusing on what activit y?
a. Acquiring job skills
b. Making decisions
c. Performing self -care activities
d. Reading and doing simple math
ANS: C
, The cognitivel y im paired young child should be encouraged to learn
simple skills for doing self -care.
DIF: Cognitive Level: Application REF: p. 1048 OBJ: 19
TOP: Cognitive impairment KEY: Nursing Process
Step: Implementation MSC: NC LEX: Psychosocial
Integrit y
6. The nurse explains that cognitive impairment is categorized by four levels
that depend on the intelligence quotient (IQ). How is a child with an IQ of
45 classified?
a. Within the normal low range
b. Educable
c. Trainable
d. Severe
ANS: C
The category of trainable is id entified on the basis of an IQ of 35 to
55.
DIF: Cognitive Level: Application REF: p. 1048 OBJ: 17
TOP: Cognitive impairment KEY: Nursing Process
Step: Implementation MSC: NC LEX: Psychosocial
Integrit y
7. What is the major criterion for diagnosing a child as cognitively impaired?
a. An IQ of 75 or less
b. Subaverage functioning
P HYSICAL AND M ENTAL OR C OGNITIVE
D ISORDER
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. A child has developed a diaper rash, and the parents are using zinc oxide
to treat it. What does the nurse suggest to aid in the removal of the zinc
oxide?
a. Mild soap and water
b. A cotton ball
c. Mineral oil
d. Alcohol swabs
ANS: C
To completel y remove ointment, especially zinc oxide, mineral oil
should be used.
DIF: Cognitive Level: Application REF: p. 1042 OBJ: 15
TOP: Diaper rash KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
2. The nurse instructs the parents of a child who has had a m yringotom y to
place the child in which position?
, a. Supine
b. On the affected side
c. On the unaffected side
d. In a Trendelenburg’s position
ANS: B
Lying on the affected side faci litates ear drainage following a
myringotom y.
DIF: Cognitive Level: Application REF: p. 1042 OBJ: 16
TOP: Myringotom y KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
3. What are the clinical manifestations of otitis med ia?
a. Earache, wheezing, vomiting
b. Coughing, rhinorrhea, headache
c. Fever, irritabilit y, pulling on ear
d. Wheezing, cough, drainage in ear canal
ANS: C
Clinical manifestations of otitis media include fever, irritability, and
pulling on the ear.
DIF: Cognitive Level: Comprehension REF: p. 982
OBJ: 16 TOP: Otitis media KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity
,4. The nurse instructs the mother of a child with a ventricular septal defect
that she can expect the child to beco me cyanotic when the child does
what?
a. Experiences an elevation in temperature.
b. Sleeps on the left side.
c. Cries vigorousl y.
d. Eats.
ANS: C
Crying vigorousl y will increase the pressure in the right ventricle,
which will allow unoxygenated blood to enter the c irculating volume.
DIF: Cognitive Level: Anal ysis REF: p. 1048 OBJ: 1
TOP: Septal defects KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
5. Parents of a 5-year-old child diagnosed as cognitivel y impaired have come
to the nurse to discuss different approaches to the ongoing care of their
child. The nurse should suggest focusing on what activit y?
a. Acquiring job skills
b. Making decisions
c. Performing self -care activities
d. Reading and doing simple math
ANS: C
, The cognitivel y im paired young child should be encouraged to learn
simple skills for doing self -care.
DIF: Cognitive Level: Application REF: p. 1048 OBJ: 19
TOP: Cognitive impairment KEY: Nursing Process
Step: Implementation MSC: NC LEX: Psychosocial
Integrit y
6. The nurse explains that cognitive impairment is categorized by four levels
that depend on the intelligence quotient (IQ). How is a child with an IQ of
45 classified?
a. Within the normal low range
b. Educable
c. Trainable
d. Severe
ANS: C
The category of trainable is id entified on the basis of an IQ of 35 to
55.
DIF: Cognitive Level: Application REF: p. 1048 OBJ: 17
TOP: Cognitive impairment KEY: Nursing Process
Step: Implementation MSC: NC LEX: Psychosocial
Integrit y
7. What is the major criterion for diagnosing a child as cognitively impaired?
a. An IQ of 75 or less
b. Subaverage functioning
