ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 18 : Impact of Cognitive or Sensory Impairment on the Child and Family Questions
Question 1 of 5
One of the techniques that has been especially useful for learners having cognitive impairment is called fading. What description best explains this technique?
Correct Answer: D
Rationale: Fading involves guiding the child through a task and gradually reducing assistance to promote independence. Positive reinforcement supports behavior modification, verbal explanations are less effective, and negative reinforcement is not the primary focus of fading.
Question 2 of 5
The parents of a child with cognitive impairment ask the nurse for guidance with discipline. What should the nurses recommendation be based on?
Correct Answer: C
Rationale: Behavior modification, using clear, simple, and consistent limits with reinforcement of desired behaviors, is effective for children with cognitive impairment. Discipline is necessary and effective when tailored to mental age, and physical punishment is inappropriate.
Question 3 of 5
What intervention is most appropriate to facilitate social development of a child with a cognitive impairment?
Correct Answer: C
Rationale: Peer experiences, such as infant stimulation and preschool programs, foster social development by providing opportunities for interaction. Age-appropriate toys support play but not socialization, avoiding strangers limits social growth, and verbal skills are often more delayed than physical skills.
Question 4 of 5
The nurse is discussing sexuality with the parents of an adolescent girl who has a moderate cognitive impairment. What factor should the nurse consider when dealing with this issue?
Correct Answer: C
Rationale: A concrete code of sexual conduct helps adolescents with cognitive impairment navigate social situations safely due to their susceptibility to persuasion and limited judgment. Sterilization is ethically complex and not universally recommended, sexual drive is not necessarily limited, and intercourse can occur without abuse, necessitating education.
Question 5 of 5
The mother of a young child with cognitive impairment asks for suggestions about how to teach her child to use a spoon for eating. The nurse should make which recommendation?
Correct Answer: A
Rationale: Task analysis breaks down self-feeding into manageable steps, guiding the child to master each component. Expecting the task to be unlearnable is defeatist, continued spoon-feeding delays independence, and finger foods avoid necessary socialization skills.