A school nurse is assessing a new student who has mild cognitive disabilities who recently relocated from another state. The child's parent is asking the school nurse questions regarding how their child will best be supported at the new school. Which of the following statements made by the nurse is most appropriate?
"Schools are no longer required to offer special education classrooms; they are being phased out to save money for the school district."
"Studies show that children who have mild cognitive disabilities experience more enhanced development in an inclusive classroom."
"Including children who have mild cognitive disabilities in a classroom with that has neurotypical children will encourage socialization with your child."
"School administration will observe your child for one year before making a placement decision."
The Correct Answer is B
A. "Schools are no longer required to offer special education classrooms; they are being phased out to save money for the school district.": Public schools are legally required under the Individuals with Disabilities Education Act (IDEA) to provide appropriate education, including special education services, so this statement is inaccurate and misleading.
B. "Studies show that children who have mild cognitive disabilities experience more enhanced development in an inclusive classroom.": Inclusive classrooms allow children with mild cognitive disabilities to engage academically and socially alongside neurotypical peers, supporting skill development and promoting greater educational outcomes.
C. "Including children who have mild cognitive disabilities in a classroom with that has neurotypical children will encourage socialization with your child.": While socialization can be a benefit, the focus is broader than socialization alone; inclusive settings also improve academic engagement and overall development.
D. "School administration will observe your child for one year before making a placement decision.": Placement decisions for students with disabilities are made based on individualized education program (IEP) assessments, not arbitrary observation periods, making this statement inaccurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Conduct disorder: Conduct disorder involves persistent behavioral problems and aggression, which are not directly associated with chronic illnesses like beta thalassemia.
B. Depression: Children with beta thalassemia often experience chronic illness-related stress, frequent medical interventions, physical changes from anemia or transfusions, and social limitations, which can contribute to depressive symptoms. Monitoring for mood changes and providing psychosocial support is important.
C. Anxiety: While anxiety may occur in some children with chronic illness, depression is more commonly reported as a psychosocial complication in beta thalassemia due to ongoing treatment demands and chronic health challenges.
D. Posttraumatic stress disorder (PTSD): PTSD is generally linked to exposure to traumatic events rather than chronic illness management, making it less likely to be a primary psychosocial diagnosis in children with beta thalassemia.
Correct Answer is A
Explanation
A. "Routine blood pressure measurements should begin around 1 year of age.": Evidence-based pediatric guidelines recommend initiating routine blood pressure screening at 3 years of age or earlier if risk factors exist. Many resources acknowledge beginning around 1 year for at-risk infants, indicating awareness of age-appropriate assessment timing.
B. "Cuffs are recommended to be 6 to 15 cm or 2 to 6 inches for school-aged children.": The size of the blood pressure cuff should be appropriate for the child’s arm circumference, not a fixed range. Using the wrong cuff size can yield inaccurate readings.
C. "Blood pressure measurement is taken over the brachial artery using a manual blood pressure cuff.": While the brachial artery is standard for manual BP, automated devices are also acceptable in children, and the statement alone does not demonstrate comprehensive understanding of pediatric assessment principles.
D. "The cuff should fit loosely around the child's arm.": The cuff should fit snugly, with the bladder covering approximately 80–100% of the arm circumference. A loose cuff leads to falsely low or inaccurate readings.
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