McKinney-4th-Edition-Maternal-Child-Nursing
Chapter 54: The Child with a Developmental Disability
Test Bank
MULTIPLE CHOICE
1. A parent whose child has been diagnosed with a cognitive deficit
should be counseled tha
...
McKinney-4th-Edition-Maternal-Child-Nursing
Chapter 54: The Child with a Developmental Disability
Test Bank
MULTIPLE CHOICE
1. A parent whose child has been diagnosed with a cognitive deficit
should be counseled that intellectual impairment
a. Is usually due to a genetic defect
b. May be caused by a variety of factors
c. Is rarely due to first trimester events
d. Is usually caused by parental intellectual impairment
ANS: B
Feedback
A
Only a small percentage of children with intellectual
impairment are affected by a genetic defect.
B
There are a multitude of causes for intellectual
impairment. In most cases, a specific cause has not been
identified.
C
One third of children with intellectual impairment are
affected by first trimester events.
D
Intellectual impairment can be transmitted to a child only
if the parent has a genetic disorder.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 1480
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and
Maintenance
2. A parent asks the nurse why a developmental assessment is being
conducted for a child during a routine well-child visit. The nurse
answers based on the knowledge that routine developmental
assessments during well-child visits are
a. Not necessary unless the parents request them
b. The best method for early detection of cognitive disorders
c. Frightening to parents and children and should be avoided
d. Valuable in measuring intelligence in children
ANS: B
Feedback
A
Developmental assessment is a component of all wellchild
examinations.
B
Early detection of cognitive disorders can be facilitated
through assessment of development at each well-child
examination.
C
Developmental assessments are not frightening when the
parent and child are educated about the purpose of the
assessment.
D
Developmental assessments are not intended to measure
intelligence.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1483
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion
and Maintenance
3. The father of a child recently diagnosed with developmental delay
is very rude and hostile toward the nurses. This father was
cooperative during the childs evaluation a month ago. What is the
best explanation for this change in parental behavior?
a. The father is exhibiting symptoms of a psychiatric illness.
b. The father may be abusing the child.
c.
The father is resentful of the time he is missing from work
for this appointment.
d. The father is experiencing a symptom of grief.
ANS: D
Feedback
A
One cannot determine that a parent is exhibiting
symptoms of a psychiatric illness on the basis of a single
situation.
B
The scenario does not give any information to suggest
child abuse.
C
Although the father may have difficulty balancing his work
schedule with medical appointments for his child, a more
likely explanation for his behavior change is that he is
grieving the loss of a normal child.
D
After a child is diagnosed with a developmental delay,
families typically experience a cycle of grieving that is
repeated when developmental milestones are not met.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1485
OBJ: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
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