What is an important nursing consideration for a client with cerebral palsy?
Providing minimal social interaction to prevent overstimulation.
Restricting physical activity to prevent injury.
Encouraging independence and self-care skills.
Promoting a sedentary lifestyle to conserve energy.
The Correct Answer is C
Choice A rationale
Social interaction is essential for development and can enhance emotional and psychological well-being. Isolation can negatively affect the child.
Choice B rationale
Restricting physical activity is counterproductive. Physical activity should be encouraged within safe limits to promote strength and coordination.
Choice C rationale
Encouraging independence and self-care skills helps the child develop autonomy and confidence, essential for managing daily activities and improving quality of life.
Choice D rationale
Promoting a sedentary lifestyle is detrimental to health. Physical activity and engagement in activities enhance physical and mental well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Distracting the child by buying a toy can reinforce the tantrum behavior by teaching the child that tantrums result in rewards. This can lead to an increase in tantrum frequency as the child learns to manipulate situations to get new toys or other desired items.
Choice B rationale
Appearing to ignore the child during a tantrum helps to extinguish the behavior over time. By not giving attention to the tantrum, the child learns that this behavior does not achieve their desired outcome. Consistency is key in this approach to ensure the child understands that tantrums are ineffective.
Choice C rationale
Placing the child in time-out for 3 minutes can be effective in some cases, but it may not be the first recommendation. Time-out removes the child from a stimulating environment and gives them time to calm down. However, it may not address the underlying reasons for the tantrum.
Choice D rationale
Calmly telling the child to stop might not be effective during the peak of a tantrum. Toddlers in the midst of a tantrum often cannot process verbal instructions or reasoning, so this approach may not achieve the desired result.
Correct Answer is A
Explanation
Choice A rationale
It's normal for an 8-month-old child to exhibit separation anxiety when their parents leave. This stage of development typically begins around 6 to 8 months of age and can peak around 14 to 18 months. It is a sign that the child has developed a strong attachment to their parents and understands the concept of object permanence—that objects and people continue to exist even when they are not visible.
Choice B rationale
While rest is important for an infant, this statement does not address the underlying issue of separation anxiety. It implies that the child's crying is due to fatigue, which can be misleading to the parents.
Choice C rationale
An overstimulating environment can cause distress in infants, but in this case, the crying is more directly related to separation anxiety. It's essential to differentiate between the two causes so that parents can respond appropriately.
Choice D rationale
Notifying a provider is unnecessary for typical separation anxiety. This response could unnecessarily alarm the parents and does not educate them on the normalcy of this developmental phase.
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