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?
“You should focus solely on cognitive development at home, as professional interventions are not effective for children with fragile X syndrome."
“Since your child has cognitive delays, you should avoid social activities that could overwhelm them and hinder their progress."
"It's important to work with a multidisciplinary team to address your child's cognitive delays and support their development.”
“Cognitive delays in children with fragile X syndrome typically resolve on their own, so there is no need for specialized educational plans or therapies."
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. Weight gain. Corticosteroids cause fluid retention and increased appetite, leading to significant weight gain. In a 6-year-old, this can affect self-esteem and social interactions, potentially leading to body image concerns and difficulty fitting in with peers.
B. Irritability. Mood changes, including irritability, anxiety, and mood swings, are common side effects of corticosteroids. These emotional changes can impact relationships with family and friends, affecting the child's psychosocial well-being.
C. Osteoporosis. While long-term corticosteroid use can lead to osteoporosis, it is primarily a physical concern rather than a psychosocial one. Bone health issues typically become more evident later in life rather than in early childhood.
D. Hypertension. Elevated blood pressure is a physiological side effect of corticosteroids but does not directly impact the child’s psychosocial development. It is more of a medical concern requiring monitoring rather than a factor affecting social interactions.
E. Nausea. Although nausea can cause discomfort, it does not have a significant impact on the child's psychosocial development compared to mood changes and body image issues caused by corticosteroid therapy.
Correct Answer is ["4"]
Explanation
Formula:
Volume to administer (mL) = (Desired dose (mg) / Available concentration (mg/mL))
Desired dose = 320 mg
Available concentration = 400 mg / 5 mL
Calculate the concentration per mL:
400mg / 5mL
= 80 mg/mL
Apply the formula:
Volume to administer = 320 mg / 80 mg/mL
=4ml
The nurse should administer 4 mL per dose.
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