What behavior seen in children should be addressed by the nurse ...

[Jipu 123]

What behavior seen in children should be addressed by the nurse who is providing care to a child with a chronic illness?
 
  a. An infant who is uncooperative
  b. A toddler who expresses loneliness
  c. A preschooler who refuses to participate in self-care
  d. An adolescent who is showing independence

Question 2

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

[xthemafja]

Answer to Question 1

ANS: C
Preschoolers thrive on being independent and are in the phase of gaining autonomy, so they want to perform as many self-care tasks as possible. If a preschooler is refusing to participate in self-care activities, then the home health nurse should address this. Infants are uncooperative by nature, and toddlers do not understand the concept of loneliness, so these are not observations that would need to be addressed. Adolescents are always striving for independence, so this is a normal observation; if the adolescent were becoming more dependent on family, it might require intervention.

Answer to Question 2

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. The boy is receiving oral foods and is eating finger foods. He has acquired this skill. Mobility is a new developmental task. Opportunities for socialization should be ongoing.

[Jipu 123]

Excellent

[Liddy]

TYSM