Which nursing intervention related to self-care is most appropriate for a teenager diagnosed with moderate intellectual disability (ID)?
Encouraging family to meet the client’s self-care needs to promote bonding
Avoiding interference with the client’s self-care efforts to promote autonomy
Meeting all of the client’s self-care needs to avoid injury
Providing simple directions and praising the client's independent self-care efforts
The Correct Answer is D
Choice A reason: Encouraging family to meet all self-care needs undermines independence and does not promote skill development. While family support is important, overdependence can hinder autonomy and self-esteem in adolescents with ID.
Choice B reason: Avoiding interference entirely is not appropriate because moderate ID requires structured guidance. Without support, the client may struggle or fail to complete tasks correctly, leading to frustration or unsafe outcomes.
Choice C reason: Meeting all self-care needs for the client fosters dependence and prevents skill acquisition. It is only appropriate in cases of severe disability or when safety is at risk, not for moderate ID where partial independence is achievable.
Choice D reason: Providing simple directions and praising independent efforts is the most appropriate intervention. Adolescents with moderate ID benefit from step-by-step instructions and positive reinforcement, which build confidence and encourage skill mastery. This approach balances safety with autonomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The formal operational stage, beginning around age 12, involves abstract thinking, hypothetical reasoning, and problem-solving, which aligns with the scenario described.
Choice B reason: Post-conventional operations are part of Kohlberg’s moral development, not Piaget’s cognitive stages.
Choice C reason: Latent operations is not a recognized Piagetian stage.
Choice D reason: Concrete operations involve logical thinking about tangible objects but do not include abstract or hypothetical reasoning.
Correct Answer is A
Explanation
Choice A reason: Reporting the behavior to a supervisor ensures the issue is addressed appropriately within the chain of command, promoting an ethical and safe workplace.
Choice B reason: Changing care assignments does not address the root cause of the unethical behavior and may isolate the victim rather than resolve the problem.
Choice C reason: Calling security is unnecessary and does not address workplace bullying. This action is more suitable for immediate physical threats, not interpersonal ethical concerns.
Choice D reason: Emailing HR can be appropriate but bypasses immediate supervisory oversight. Addressing the issue through the direct supervisor first is considered the standard ethical procedure in most healthcare settings.
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