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
Explanation
A. "Tetralogy of Fallot is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta." This is the correct definition of Tetralogy of Fallot. The four defects result in decreased oxygenation of blood, leading to cyanosis and other circulatory problems that require medical intervention.
B. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta." While an overriding aorta is one of the four defects in Tetralogy of Fallot, it is not the sole cause of circulatory problems. The condition results from a combination of four structural abnormalities, not just aortic malposition.
C. "Tetralogy of Fallot is a group of heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy." This statement describes different congenital heart defects but does not accurately define Tetralogy of Fallot. Aortic stenosis and atrial septal defects are not components of this condition.
D. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood." While a ventricular septal defect (VSD) is one of the four components, it is not the only issue affecting circulation. The combination of all four defects contributes to the condition's severity.
Correct Answer is D
Explanation
A. "Kawasaki disease is an abnormal immune response that only affects the liver." This is incorrect. Kawasaki disease primarily affects the blood vessels, especially the coronary arteries, not just the liver. While liver inflammation can occur, it is not the main concern.
B. "Kawasaki disease is an abnormal immune response that causes injury to the body's muscles." This is incorrect. Kawasaki disease is a vasculitis (inflammation of blood vessels), not a muscle disorder. It mainly affects the heart and blood vessels, potentially leading to aneurysms and long-term cardiac complications.
C. "Kawasaki disease is an abnormal immune response in which the body attacks the skin only." This is incorrect. While skin changes (such as a rash, peeling skin, and red palms/soles) are common symptoms, the primary concern is inflammation of the coronary arteries, which can lead to serious heart complications.
D. "Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries." This is correct. Kawasaki disease triggers inflammation in medium-sized arteries, particularly the coronary arteries, which supply blood to the heart. If untreated, this can lead to coronary artery aneurysms, myocardial infarction, or long-term heart disease.
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