Ch29 Exam Questions Caring For People With Developmental

Test Generator Questions, Chapter 29, Caring for People With Developmental Disabilities

Format:  Multiple Choice

Chapter Number:  29

Client Needs:  Physiological Integrity: Basic Care and Comfort

Cognitive Level:  Understand

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  652, Introduction to Developmental Disabilities

1. A toddler was found face down in a pool and appears to have been missing for approximately 10 minutes. As a result of being deprived of oxygen for several minutes, which type of developmental disability may develop according to Table 29-1?

A) Genetic

B) Congenital

C) Autism

D) Cerebral palsy

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  655, Education and Protection of Rights

2. Which piece of legislation ensures that people who have disabilities are treated the same as those without disabilities?

A) The Americans with Disabilities Act

B) The Medicare Act

C) The Arc of the United States Act

D) The Omnibus Budget Reconciliation Act

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  655, Education and Protection of Rights

3. The Arc of the United States protects the rights of:

A) older adults.

B) children.

C) those with intellectual disabilities.

D) women with disabilities.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  652, Introduction to Developmental Disabilities

4. The nursing assistant is caring for a hospitalized adult client diagnosed with Fragile X syndrome. The client was admitted with a reddened area on the palm of the right hand in the shape of a curling iron. The guardian has been with the client and has helped the client with toileting. What is the first action for the nursing assistant to take?

A) Report the observation as physical abuse.

B) Ask the guardian what happened.

C) Determine the method of communication the client uses.

D) Establish if the client styles hair without help.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  652, Introduction to Developmental Disabilities

5. The nursing assistant is caring for a child with autism who is admitted to the hospital for an appendectomy. What is the best way for the nursing assistant to prepare to communicate with the client?

A) Use information from a textbook on communicating with clients with autism.

B) Employ what the RN does to interact and communicate with the client.

C) Apply what worked well with another client who has autism.

D) Ask the parent the best way to interact and communicate with the child.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  652, Introduction to Developmental Disabilities

6. The nursing assistant is caring for a resident diagnosed with Down syndrome who suddenly develops a temperature of 101°F, pulse rate of 100, respiration rate of 28, blood pressure of 90/50 mm Hg. What is the priority action for the nursing assistant to take?

A) Determine whether the resident has a productive cough.

B) Examine the urine for a strong odor and cloudiness.

C) Discover if the vital signs have recently changed.

D) Provide more noncaffeinated fluids to drink.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  656, Caring for People With Developmental Disabilities

7. Which is an effective way to communicate with a person who has a developmental disability?

A) Speaking in a very loud tone of voice

B) Using simple words and short phrases

C) Providing written instructions

D) Picture boards and photographs

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  655, Education and Protection of Rights

8. Which statement about the needs of a person with a developmental disability is true?

A) A person with a developmental disability will require complete assistance with activities of daily living (ADLs).

B) It is not necessary to encourage independence in a person with a developmental disability, because the disability is permanent.

C) Care is tailored to the individual person’s needs, and these will vary greatly depending on the severity and type of disability.

D) People with developmental disabilities rarely have emotional needs, but many physical ones.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  656, Caring for People With Developmental Disabilities

9. The nursing assistant will immediately report to the nurse when a resident diagnosed with a developmental disability:

A) eats only 60% of breakfast.

B) refuses to take a bath.

C) seems confused.

D) reports being cold.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  656, Caring for People With Developmental Disabilities

10. How can the nursing assistant best tell if a resident with a developmental disability is in pain?

A) Ask simply, “Are you in pain?”

B) Check vital signs for abnormal results.

C) Watch for changes in usual behaviors.

D) Offer to get the nurse to administer pain medication.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  656, Caring for People With Developmental Disabilities

11. In order to best care for a resident with a developmental disability, the nursing assistant will:

A) learn about the condition that caused the disability.

B) strictly follow the nursing plan of care.

C) focus on the resident’s abilities rather than disabilities.

D) ask family members about the resident’s likes and dislikes.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  656, Caring for People With Developmental Disabilities

12. An example of a life skill would be:

A) using a shoehorn to help put on shoes.

B) learning to use a cellular telephone.

C) working in a sheltered workshop.

D) cooking with a microwave oven.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  652, Introduction to Developmental Disabilities

13. Which statement is true about developmental disabilities?

A) The seriousness of the disability is not the same for everyone having the disability.

B) Developmental disabilities rarely affect a person both physically and mentally.

C) The effects of a developmental disability are usually cured with proper treatment.

D) Most developmental disabilities are caused at the time of a person’s birth.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  652, Introduction to Developmental Disabilities

14. The nursing assistant will be assigned a new client with a congenital abnormality called spina bifida. The nursing assistant can anticipate this client may have which type of problem requiring nursing care?

A) Anger and temper tantrums

B) Bowel and bladder control

C) Inappropriate speech

D) Seizure activity

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  656, Caring for People With Developmental Disabilities

15. When caring for a resident with a developmental disability, the nursing assistant notes that the resident is acting unusually. The resident seems to be warm to the touch, refusing to get out of bed, and has not eaten breakfast or lunch. What is the first intervention the nursing assistant should take?

A) Take the resident’s vital signs.

B) Order a new tray with soup and crackers.

C) Remove the blanket from the bed.

D) Let the RN know that the resident needs to be assessed.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  656, Caring for People With Developmental Disabilities

16. The nursing assistant is caring for a client with spina bifida and observes that the urine has a strong odor and is cloudy. What is the first intervention the nursing assistant should take?

A) Take the client’s vital signs.

B) Obtain a clean catch urine.

C) Provide more fluids to drink.

D) Report the observations to the RN.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  652, Introduction to Developmental Disabilities

17. The nursing assistant (NA) is caring for a resident diagnosed with Fragile X syndrome. What observations should the NA report to the nurse immediately? The resident:

A) eats half of the afternoon snack and drinks all of the serving of milk.

B) hits and tries to bite the NA during personal care.

C) refuses to sit in a chair and wants to go back to bed instead.

D) wants to stay longer at activity to color a drawing.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  652, Introduction to Developmental Disabilities

18. The nursing assistant prepares to provide care for a client with cerebral palsy. What is the appropriate action for the nursing assistant to take?

A) Determine what the client needs to function at potential.

B) Administer total care because the client has no control of movements.

C) Discover the client’s strengths and focus upon them.

D) Establish the best way to communicate with the client.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  656, Caring for People With Developmental Disabilities

19. The nursing assistant is caring for a resident with Down syndrome. Which is the best way to communicate with the resident about the need to eat foods with less salt? The nursing assistant:

A) uses food labels to show the resident the differences in salt content for different foods.

B) states “Do not add salt, salt is bad for you,” and removes the saltshaker.

C) gives the resident a pamphlet on using less salt written at a fifth-grade reading level.

D) prepares the food with an herbal alternative for salt and serves it.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  656, Caring for People With Developmental Disabilities

20. The nursing assistant is caring for a resident with autism and observes that the resident loses consciousness and has a seizure while in bed. What is the first intervention the nursing assistant should take?

A) Remove any objects that the resident may hit with movements.

B) Determine the time the event started and how long it lasted.

C) Turn the resident to the side to decrease risk for aspiration.

D) Report to the nurse immediately for further assistance.