The nurse is discussing sexuality with the parents of an ...

[SAVANNAHHOOPER23]

The nurse is discussing sexuality with the parents of an adolescent girl with moderate cognitive impairment. Which should the nurse consider when dealing with this issue?
 
  a. Sterilization is recommended for any adolescent with cognitive impairment.
  b. Sexual drive and interest are limited in individuals with cognitive impairment.
  c. Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.
  d. Sexual intercourse rarely occurs unless the individual with cognitive impairment is sexually abused.

Question 2

Appropriate interventions to facilitate socialization of the cognitively impaired child include:
 
  a. providing age-appropriate toys and play activities.
  b. providing peer experiences, such as scouting, when older.
  c. avoiding exposure to strangers who may not understand cognitive development.
  d. emphasizing mastery of physical skills because they are delayed more often than verbal skills.

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Answer to Question 1

ANS: C
Adolescents with moderate cognitive impairment may be easily persuaded and lack judgment. A well-defined, concrete code of conduct with specific instructions for handling certain situations should be laid out for the adolescent. Permanent contraception by sterilization presents moral and ethical issues and may have psychological effects on the adolescent. It may be prohibited in some states. The adolescent needs to have practical sexual information regarding physical development and contraception. Cognitively impaired individuals may desire to marry and have families. The adolescent needs to be protected from individuals who may make intimate advances.

Answer to Question 2

ANS: B
The acquisition of social skills is a complex task. Children of all ages need peer relationships. Parents should enroll the child in preschool. When older, they should have peer experiences similar to those of other children such as group outings, Boy and Girl Scouts, and Special Olympics. It is important to provide age-appropriate toys and play activities, but peer interactions will facilitate social development. Parents should expose the child to strangers so that the child can practice social skills. Verbal skills are delayed more than physical skills.

[SAVANNAHHOOPER23]

Thank you

[Ddddd]

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