The home health nurse is planning care for a 3-year-old boy who ...

[big1devin]

The home health nurse is planning care for a 3-year-old boy who has Down syndrome and is receiving continuous oxygen. He recently began walking around furniture. He is spoon-fed by his parents and eats some finger foods.
 
  Which is the most appropriate goal to promote normal development?
  a. Encourage mobility.
  b. Encourage assistance in self-care.
  c. Promote oral-motor development.
  d. Provide opportunities for socialization.

Question 2

One of the supervisors for a home health agency asks the nurse to give the family a survey evaluating the nurses and other service providers. The nurse should recognize this as:
 
  a. inappropriate, unless nurses are able to evaluate family.
  b. appropriate to improve quality of care.
  c. inappropriate, unless nurses and other providers agree to participate.
  d. inappropriate, because family lacks knowledge necessary to evaluate professionals.

[lgoldst9]

Answer to Question 1

ANS: A
A major principle for developmental support in children with complex medical issues is that it should be flexible and tailored to the individual child's abilities, interests, and needs. This child is exhibiting readiness for ambulation. It is an appropriate time to provide activities that encourage mobility, for example, longer oxygen tubing. Parents should provide decreasing amounts of assistance with self-care as he is able to develop these skills. He is receiving oral foods and is eating finger foods. He has acquired oral-motor development. Mobility is a new developmental task. Opportunities for socialization should be ongoing.

Answer to Question 2

ANS: B
Quality assessment and improvement activities are essential for virtually all organizations. Family involvement is essential in evaluating a home care plan and can occur on several levels. The nurse can ask the family open-ended questions at regular intervals to assess their opinion of the effectiveness of care. Families should also be given an opportunity to evaluate the individual home care nurses, the home care agency, and other service providers periodically. The nurse is the care provider. The evaluation is of the provision of care to the patient and family. The nurse's role is not to evaluate the family. Quality-monitoring activities are required by virtually all health care agencies. During the evaluation process, the family is requested to provide their perceptions of care.

[big1devin]

Correct answers!

[lgoldst9]

Great! Please up vote