(Select all that apply):.
A nurse is assessing a child with diabetes mellitus.
Which components should be included in the psychosocial assessment of the child?
Evaluate the child's emotional well-being.
Assess for signs of hyperglycemia, such as polyuria.
Monitor growth patterns and assess for any delays.
Obtain a detailed history, including family history of diabetes.
Regularly monitor blood glucose levels to assess glycemic control.
Correct Answer : A,D,E
A. "Evaluate the child's emotional well-being.”.
D. "Obtain a detailed history, including family history of diabetes.”.
E. "Regularly monitor blood glucose levels to assess glycemic control.”.
Choice A rationale:
Evaluate the child's emotional well-being.
Assessing the emotional well-being of a child with diabetes is crucial because living with a chronic condition can have a significant impact on a child's mental health.
Children may experience stress, anxiety, and other emotional challenges related to their condition.
This assessment helps in providing comprehensive care and support to the child.
Choice B rationale:
Assess for signs of hyperglycemia, such as polyuria.
While assessing for signs of hyperglycemia, such as polyuria, is important in managing diabetes, it is primarily a physical assessment and not a psychosocial assessment.
It focuses on the physiological aspects of the condition.
Choice C rationale:
Monitor growth patterns and assess for any delays.
Monitoring growth patterns and assessing for delays in a child's development is important but is also primarily a physical assessment.
It is not a direct component of the psychosocial assessment, although it may indirectly impact a child's emotional well-being.
Choice D rationale:
Obtain a detailed history, including family history of diabetes.
Obtaining a detailed history, including a family history of diabetes, is a crucial part of the assessment.
Family history can be a significant risk factor for the development of diabetes in a child.
Understanding the family history helps in identifying potential genetic predispositions.
Choice E rationale:
Regularly monitor blood glucose levels to assess glycemic control.
Regularly monitoring blood glucose levels is essential in managing diabetes.
While it is a key aspect of diabetes care, it primarily falls under the category of physiological monitoring rather than a direct component of psychosocial assessment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"Children with diabetes should never use insulin pumps.”.
This statement is not accurate.
Insulin pumps can be a valuable tool in the management of diabetes in children.
Insulin pumps provide continuous subcutaneous insulin delivery, offering a more flexible and precise way to administer insulin.
They can be particularly beneficial for children who require multiple daily injections or have difficulty with insulin injections.
Choice B rationale:
"Insulin therapy is not a significant part of diabetes management in children.”.
Insulin therapy is a significant and often essential part of diabetes management in children, especially for those with type 1 diabetes.
Children with type 1 diabetes do not produce insulin and require lifelong insulin therapy to survive.
It plays a crucial role in maintaining glycemic control and preventing complications.
Choice C rationale:
"There are different types of insulin, including rapid-acting and long-acting.”.
This statement is accurate.
Children with diabetes may require different types of insulin to manage their blood sugar effectively.
Rapid-acting insulin is used to cover meals and correct high blood sugar levels, while long-acting insulin provides basal insulin to keep blood sugar stable between meals and overnight.
Understanding the different types of insulin and their respective roles is essential for proper diabetes management.
Choice D rationale:
"Children with diabetes only need short-acting insulin.”.
This statement is not accurate.
While short-acting insulin (rapid-acting) is necessary for mealtime coverage, it is not the only type of insulin children may need.
Long-acting insulin is crucial for providing a basal level of insulin throughout the day and night.
Children with diabetes often require both short-acting and long-acting insulin to achieve optimal glycemic control.
Correct Answer is C
Explanation
Choice A rationale:
"You should avoid any physical activity to keep your blood glucose levels stable.”.
This statement is incorrect.
Physical activity is essential for managing diabetes as it helps lower blood glucose levels.
Advising the child to avoid physical activity is not appropriate.
Choice B rationale:
"Insulin injections are not necessary; you can manage diabetes with diet alone.”.
This statement is misleading and potentially dangerous.
Insulin is a crucial treatment for many individuals with diabetes, and suggesting that it is not necessary can have severe consequences.
Diet alone is not sufficient to manage diabetes for most individuals.
Choice C rationale:
"Regular blood glucose monitoring is important to assess glycemic control.”.
This is The correct response.
Regular blood glucose monitoring is crucial in diabetes management.
It allows the child and their family to assess how well they are managing blood sugar levels and make necessary adjustments to their treatment plan.
Choice D rationale:
"Eating as much sugar as you want won't affect your diabetes.”.
This statement is false.
Consuming excessive sugar can significantly impact blood glucose levels, and individuals with diabetes should be mindful of their sugar intake.
Providing this information is essential for the child and their family to make informed choices.
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