A 9-year-old boy has several physical disabilities. His father ...

[natalie2426]

A 9-year-old boy has several physical disabilities. His father explains to the nurse that his son concentrates on what he can, rather than cannot, do and is as independent as possible. The nurse's best interpretation of this is that the:
 
  a. father is experiencing denial.
  b. father is expressing his own views.
  c. child is using an adaptive coping style.
  d. child is using a maladaptive coping style.

Question 2

Which intervention will encourage a sense of autonomy in a toddler with disabilities?
 
  a. Avoid separation from family during hospitalizations.
  b. Encourage independence in as many areas as possible.
  c. Expose child to pleasurable experiences as much as possible.
  d. Help parents learn special care needs of their child.

[kaylee05]

Answer to Question 1

ANS: C
The father is describing a well-adapted child who has learned to accept physical limitations. These children function well at home, at school, and with peers. They have an understanding of their disorder that allows them to accept their limitations, assume responsibility for care, and assist in treatment and rehabilitation. The father is describing his child's behavior. He is not denying the child's limitations. The father is exhibiting an adaptive coping style.

Answer to Question 2

ANS: B
Encouraging the toddler to be independent encourages a sense of autonomy. The child can be given choices about feeding, dressing, and diversional activities, which will provide a sense of control. Avoiding separation from family during hospitalizations, and helping parents learn special care needs of their child should be practiced as part of family-centered care. It does not necessarily foster autonomy. Exposing the child to pleasurable experiences, especially sensory ones, is a supportive intervention. It does not promote autonomy.