Chapter 54: The Child with a Developmental Disability
Test Bank
MULTIPLE CHOICE
1. A parent whose child has been diagnosed with a cognitive deficit should be counseled that
intellectual impairment
a. Is usually due to a genetic defect
b. May be caused by a variety of factors
c. Is rarely due to first trimester events
d. Is usually caused by parental intellectual impairment
ANS: B
Feedback
A Only a small percentage of children with intellectual impairment are affected by
a genetic defect.
B There are a multitude of causes for intellectual impairment. In most cases, a
specific cause has not been identified.
C One third of children with intellectual impairment are affected by first trimester
events.
D Intellectual impairment can be transmitted to a child only if the parent has a
genetic disorder.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 1480
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
2. A parent asks the nurse why a developmental assessment is being conducted for a child during
a routine well-child visit. The nurse answers based on the knowledge that routine
developmental assessments during well-child visits are
a. Not necessary unless the parents request them
b. The best method for early detection of cognitive disorders
c. Frightening to parents and children and should be avoided
d. Valuable in measuring intelligence in children
ANS: B
Feedback
A Developmental assessment is a component of all well-child examinations.
B Early detection of cognitive disorders can be facilitated through assessment of
development at each well-child examination.
C Developmental assessments are not frightening when the parent and child are
educated about the purpose of the assessment.
D Developmental assessments are not intended to measure intelligence.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1483
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
, 3. The father of a child recently diagnosed with developmental delay is very rude and hostile
toward the nurses. This father was cooperative during the child’s evaluation a month ago.
What is the best explanation for this change in parental behavior?
a. The father is exhibiting symptoms of a psychiatric illness.
b. The father may be abusing the child.
c. The father is resentful of the time he is missing from work for this appointment.
d. The father is experiencing a symptom of grief.
ANS: D
Feedback
A One cannot determine that a parent is exhibiting symptoms of a psychiatric
illness on the basis of a single situation.
B The scenario does not give any information to suggest child abuse.
C Although the father may have difficulty balancing his work schedule with
medical appointments for his child, a more likely explanation for his behavior
change is that he is grieving the loss of a normal child.
D After a child is diagnosed with a developmental delay, families typically
experience a cycle of grieving that is repeated when developmental milestones
are not met.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1485
OBJ: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
4. An appropriate nursing diagnosis for a child with a cognitive dysfunction who has a limited
ability to anticipate danger is
a. Impaired social interaction
b. Deficient knowledge
c. Risk for injury
d. Ineffective coping
ANS: C
Feedback
A Impaired social interaction is indeed a concern for the child with a cognitive
disorder but does not address the limited ability to anticipate danger.
B Because of the child’s cognitive deficit, knowledge will not be retained and will
not decrease the risk for injury.
C The nurse needs to know that limited cognitive abilities to anticipate danger lead
to risk for injury.
D Ineffective individual coping does not address the limited ability to anticipate
danger.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1485
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Health Promotion and Maintenance
5. Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should
include information about
a. Institutional placement
b. Sexual development
c. Sterilization
Test Bank
MULTIPLE CHOICE
1. A parent whose child has been diagnosed with a cognitive deficit should be counseled that
intellectual impairment
a. Is usually due to a genetic defect
b. May be caused by a variety of factors
c. Is rarely due to first trimester events
d. Is usually caused by parental intellectual impairment
ANS: B
Feedback
A Only a small percentage of children with intellectual impairment are affected by
a genetic defect.
B There are a multitude of causes for intellectual impairment. In most cases, a
specific cause has not been identified.
C One third of children with intellectual impairment are affected by first trimester
events.
D Intellectual impairment can be transmitted to a child only if the parent has a
genetic disorder.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 1480
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
2. A parent asks the nurse why a developmental assessment is being conducted for a child during
a routine well-child visit. The nurse answers based on the knowledge that routine
developmental assessments during well-child visits are
a. Not necessary unless the parents request them
b. The best method for early detection of cognitive disorders
c. Frightening to parents and children and should be avoided
d. Valuable in measuring intelligence in children
ANS: B
Feedback
A Developmental assessment is a component of all well-child examinations.
B Early detection of cognitive disorders can be facilitated through assessment of
development at each well-child examination.
C Developmental assessments are not frightening when the parent and child are
educated about the purpose of the assessment.
D Developmental assessments are not intended to measure intelligence.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1483
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
, 3. The father of a child recently diagnosed with developmental delay is very rude and hostile
toward the nurses. This father was cooperative during the child’s evaluation a month ago.
What is the best explanation for this change in parental behavior?
a. The father is exhibiting symptoms of a psychiatric illness.
b. The father may be abusing the child.
c. The father is resentful of the time he is missing from work for this appointment.
d. The father is experiencing a symptom of grief.
ANS: D
Feedback
A One cannot determine that a parent is exhibiting symptoms of a psychiatric
illness on the basis of a single situation.
B The scenario does not give any information to suggest child abuse.
C Although the father may have difficulty balancing his work schedule with
medical appointments for his child, a more likely explanation for his behavior
change is that he is grieving the loss of a normal child.
D After a child is diagnosed with a developmental delay, families typically
experience a cycle of grieving that is repeated when developmental milestones
are not met.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1485
OBJ: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
4. An appropriate nursing diagnosis for a child with a cognitive dysfunction who has a limited
ability to anticipate danger is
a. Impaired social interaction
b. Deficient knowledge
c. Risk for injury
d. Ineffective coping
ANS: C
Feedback
A Impaired social interaction is indeed a concern for the child with a cognitive
disorder but does not address the limited ability to anticipate danger.
B Because of the child’s cognitive deficit, knowledge will not be retained and will
not decrease the risk for injury.
C The nurse needs to know that limited cognitive abilities to anticipate danger lead
to risk for injury.
D Ineffective individual coping does not address the limited ability to anticipate
danger.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1485
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Health Promotion and Maintenance
5. Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should
include information about
a. Institutional placement
b. Sexual development
c. Sterilization
