The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?
Find a Little League team that encourages participation of kids at all disability levels.
Modify family activities so they are more sedentary for the child.
Find an art class that will allow the child to participate without physical exertion.
Teach the child at home so that the child does not feel overly different.
The Correct Answer is C
Choice A reason: Little League may be too physically demanding for an 8-year-old with muscular dystrophy, risking fatigue or injury. An art class supports engagement without exertion, making this impractical and incorrect compared to the nurse’s suggestion for a low-physical activity suitable for the child.
Choice B reason: Sedentary family activities limit social and creative stimulation, potentially isolating the child with muscular dystrophy. An art class encourages participation, making this overly restrictive and incorrect compared to the nurse’s recommendation for an engaging, low-exertion activity for the 8-year-old.
Choice C reason: An art class allows the 8-year-old with muscular dystrophy to engage socially and creatively without physical exertion, supporting well-being. This aligns with pediatric chronic illness activity planning, making it the correct suggestion for the caregivers to promote the child’s participation and development.
Choice D reason: Homeschooling may reduce social interaction, increasing feelings of difference for the child with muscular dystrophy. An art class fosters inclusion, making this isolating and incorrect compared to the nurse’s suggestion for an activity that supports social engagement without physical demands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cartilage is a connective tissue, not stored in bones, which house minerals like calcium. Minerals are critical for bone strength, making this incorrect, as it misidentifies the substances stored in the musculoskeletal system in the nurse’s understanding of bone physiology.
Choice B reason: Vitamins, like vitamin D, are stored in tissues, not bones, which store minerals for structural integrity. Minerals are the primary storage component, making this incorrect, as it does not reflect the physiological role of bones in the nurse’s musculoskeletal knowledge.
Choice C reason: Spinal fluid is contained in the central nervous system, not stored in bones, which hold minerals. Minerals support bone function, making this incorrect, as it confuses bone physiology with unrelated systems in the nurse’s understanding of the musculoskeletal system.
Choice D reason: Bones store minerals like calcium and phosphorus, essential for strength and metabolic functions. This aligns with musculoskeletal physiology, making it the correct answer for the nurse’s recognition of what is stored in bones as part of their anatomical knowledge.
Correct Answer is D
Explanation
Choice A reason: Explaining differential treatment to siblings fosters resentment and doesn’t teach the impaired child. Time-out after repetition reinforces boundaries, making this unhelpful and incorrect compared to a direct discipline strategy addressing the cognitively impaired preschooler’s continued behavior effectively.
Choice B reason: Taking away privileges like movies is too abstract for a cognitively impaired preschooler to connect to behavior. Immediate time-out is clearer, making this ineffective and incorrect compared to a concrete, immediate consequence tailored to the child’s cognitive limitations in discipline.
Choice C reason: Ignoring behavior and cleaning up avoids teaching consequences, reinforcing unwanted actions in a cognitively impaired child. Time-out provides structure, making this counterproductive and incorrect compared to a strategy that directly addresses and corrects the preschooler’s behavior with appropriate discipline.
Choice D reason: Waiting for a second occurrence and using immediate time-out provides clear, consistent consequences, suitable for a cognitively impaired preschooler’s understanding. This aligns with pediatric behavioral strategies, making it the correct statement reflecting effective discipline for the child’s continued behavior issues.
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