Try Naxlex NCLEX-RN (Free-Trial)

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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["C","D"]

Explanation

A. Application of scented lotions. Scented lotions often contain fragrances and chemicals that can irritate the skin, worsening atopic dermatitis. Fragrance-free, hypoallergenic moisturizers should be used instead.

B. Frequent use of sunscreen. While sun protection is important, some sunscreens contain chemicals that may trigger irritation in children with atopic dermatitis. Mineral-based sunscreens (zinc oxide or titanium dioxide) are a better choice.

C. Identification of triggers. Common triggers include allergens (pollen, pet dander), irritants (soaps, detergents), weather changes, and certain foods. Identifying and avoiding triggers helps prevent flare-ups.

D. Use of topical corticosteroids. Low-to-moderate potency topical corticosteroids are the first-line treatment for controlling inflammation and reducing itching during flare-ups.

E. Scrubbing of the affected area. Scrubbing can damage the skin barrier, increase irritation, and worsen symptoms. Gentle cleansing with mild, fragrance-free cleansers is recommended instead.

A. “You should focus solely on cognitive development at home, as professional interventions are not effective for children with fragile X syndrome." B. “Since your child has cognitive delays, you should avoid social activities that could overwhelm them and hinder their progress." C. "It's important to work with a multidisciplinary team to address your child's cognitive delays and support their development.” D. “Cognitive delays in children with fragile X syndrome typically resolve on their own, so there is no need for specialized educational plans or therapies."

Correct Answer is C

Explanation

A. "You should focus solely on cognitive development at home, as professional interventions are not effective for children with fragile X syndrome." This is incorrect. Professional interventions, including speech therapy, occupational therapy, and behavioral therapy, are essential for supporting cognitive and social development in children with fragile X syndrome.

B. "Since your child has cognitive delays, you should avoid social activities that could overwhelm them and hinder their progress." Avoiding social activities can actually be harmful, as children with fragile X syndrome benefit from structured social interactions and support. Instead of avoidance, individualized strategies should be used to help the child participate comfortably.

C. "It's important to work with a multidisciplinary team to address your child's cognitive delays and support their development." This is correct. A multidisciplinary team, including special education teachers, therapists, and healthcare providers, helps ensure the child receives individualized support in cognitive, social, and communication skills.

D. "Cognitive delays in children with fragile X syndrome typically resolve on their own, so there is no need for specialized educational plans or therapies." Cognitive delays in fragile X syndrome do not resolve on their own. Early intervention and specialized education plans (e.g., IEPs) are crucial in maximizing the child’s potential.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a 7-year-old client who has atopic dermatitis, Which of the following interventions should the nurse prioritize for controlling manifestations of the condition? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

A nurse is reinforcing teaching to the parents of a 6-year-old child who has fragile X-syndrome and is manifesting cognitive delays. Which of the following statements concerning coordination of care should the nurse reinforce?

Correct Answer is C

Explanation

A nurse is discussing pertussis with a newly licensed nurse. Which of the following statements should the nurse include?

A nurse is reinforcing education about the inheritance patterns of fragile X syndrome to a couple who have a family history of the disorder. Which of the following statements should the nurse make?

A nurse is reinforcing education to a family with a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?

A nurse is caring for a 13-year-old adolescent in the pediatric emergency room who has a suspected head injury. Which of the following actions should the nurse take first?

A nurse is reinforcing education about nutrition for a patient who has HIV and has a newborn. Which of the following statements should the nurse provide in the teaching?

A nurse is assisting in the care of an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?

A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?

A nurse is collecting data from a child who has been diagnosed with muscular dystrophy. Which of the following findings should the nurse expect? (Select All that Apply.)