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 ["A","C","E"]
Explanation
A. Breathing techniques. Deep breathing exercises help reduce stress, promote relaxation, and lower anxiety, making them an effective strategy to mitigate burnout among healthcare staff.
B. Work extended shifts. Long shifts contribute to burnout by increasing physical and emotional exhaustion. Encouraging shorter shifts and adequate rest periods is more beneficial for staff well-being.
C. Facilitate discussion on vicarious trauma. Caring for terminally ill children can lead to compassion fatigue and secondary trauma. Providing a safe space for staff to discuss their experiences helps in processing emotions and reducing emotional distress.
D. Take sleep aids at night. While sleep is essential, relying on sleep aids is not a recommended long-term strategy for managing burnout. Encouraging healthy sleep hygiene and relaxation techniques is a safer approach.
E. Guided imagery. This stress-reduction technique involves visualizing calming and peaceful scenes, helping healthcare staff manage emotional strain and maintain resilience in a high-stress environment.
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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