A nurse in the pediatric clinic is collecting data from a 15-year-old child who has a history of epilepsy. The child's pediatric collaborative healthcare team includes the pediatrician, neurologist, life specialist, case manager, and nurse. Which of the following scenario(s) are examples of collaborative goal setting? (Select All that Apply.)
The child's parents express concerns about seizure management during sleep and the neurologist works to adjust the child's medication to decrease the incidence of nightime seizures.
The child remains seizure-free after six months of taking a lower dosage of medication after a dose change by the provider.
The child expresses a desire to participate in a team sport at school and the team determines which sports are safe and any necessary safety precautions with the child and parents.
The nurse checks the child at each visit for mental health concerns and relays their assessment findings to the parents, child life specialist, and pediatrician.
The child's parents receive suggestions about complementary therapies from a family member and begin using them for their own child.
Correct Answer : A,C,D
A. The child's parents express concerns about seizure management during sleep, and the neurologist works to adjust the child's medication to decrease the incidence of nighttime seizures. This is an example of collaborative goal setting because the healthcare team listens to parental concerns and works together to modify treatment to improve the child’s seizure management. The neurologist, parents, and possibly the pediatrician are involved in decision-making, ensuring a team-based approach to care.
B. The child remains seizure-free after six months of taking a lower dosage of medication after a dose change by the provider. This is not collaborative goal setting because it describes an outcome rather than a team-based decision-making process. The provider adjusted the medication, but there is no mention of discussion or input from multiple members of the healthcare team or the child and parents.
C. The child expresses a desire to participate in a team sport at school, and the team determines which sports are safe and any necessary safety precautions with the child and parents. This is collaborative goal setting because it involves the child, parents, and healthcare team working together to find safe and appropriate activities. The discussion ensures that the child’s personal goals are supported while prioritizing their safety.
D. The nurse checks the child at each visit for mental health concerns and relays their assessment findings to the parents, child life specialist, and pediatrician. This is an example of collaborative care because the nurse shares important assessment findings with the interdisciplinary team. By involving the pediatrician and child life specialist, the team can address the child’s mental health in addition to their physical condition.
E. The child's parents receive suggestions about complementary therapies from a family member and begin using them for their own child. This is not an example of collaborative goal setting because the healthcare team was not involved in the decision-making process. Effective collaboration requires input from qualified professionals, ensuring that treatments are safe and evidence-based.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Frequent assessments of blood glucose levels. While hypothyroidism can affect metabolism, levothyroxine does not typically require frequent blood glucose monitoring unless the client has diabetes or another metabolic condition.
B. Routine monitoring of thyroid-stimulating hormone (TSH) levels. TSH is the primary indicator used to assess whether levothyroxine dosage is effective. Routine TSH monitoring ensures that thyroid hormone levels remain within the target range, preventing complications such as under-treatment (persistent hypothyroid symptoms) or over-treatment (hyperthyroid symptoms like palpitations and weight loss).
C. Regular monitoring of blood pressure. While thyroid dysfunction can affect blood pressure, routine BP monitoring is not the primary focus of hypothyroidism management unless the client has additional risk factors for hypertension.
D. Continuous monitoring of body temperature. Hypothyroidism can cause cold intolerance, but continuous body temperature monitoring is not necessary unless the client is at risk for severe hypothyroidism complications such as myxedema coma.
Correct Answer is A
Explanation
A. Recommending early intervention services for developmental support within the first month after birth. Early intervention is critical for children with Down syndrome to support cognitive, motor, and social development. Services such as physical therapy, speech therapy, and occupational therapy should begin as soon as possible to maximize the child's developmental potential.
B. Suggesting the parents consider genetic testing to guide future reproductive decisions. While genetic counseling can be beneficial for family planning, this is not the immediate priority for parents who are just beginning to care for their newborn with Down syndrome. The focus should be on supporting the child's development and parental education.
C. Encouraging the parents to research advancements in treatments for Down syndrome independently. While learning about Down syndrome is important, parents should receive guidance from healthcare professionals and support organizations rather than being left to navigate information on their own. Providing credible resources is more appropriate.
D. Providing the parents with a list of local pediatricians for well-child check-ups and vaccinations. While pediatric follow-ups are necessary, Down syndrome care goes beyond standard well-child visits. A more comprehensive approach includes early intervention services, specialty care (e.g., cardiology, ENT), and developmental support.
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