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10 Cards in this Set
- Front
- Back
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A young child who has an intelligence quotient (IQ) of 45 would be described as which of the following?
a) Mildly cognitively impaired but educable b) Moderately cognitively impaired but trainable c) Within the lower limits of the range of normal intelligence d) Severely cognitively impaired and completely dependent on others for care |
Moderately cognitively impaired but trainable
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When a child with mild cognitive impairment reaches the end of adolescence, which of the following characteristics would be expected?
a) Achieves a mental age of 5 to 6 years b) Achieves a mental age of 8 to 12 years c) Is unable to progress in functional reading or mathematics d) Acquires practical skills and useful reading and mathematics to an eighth-grade level |
Achieves a mental age of 8 to 12 years
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When should children with cognitive impairment be referred for stimulation and educational programs?
a) As young as possible b) As soon as they have the ability to communicate in some way c) At age 3 years, when schools are required to provide services d) At age 5 or 6 years, when schools are required to provide services |
As young as possible
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Parents of a child with cognitive impairement ask the nurse for guidance in toilet training. They have older children who were successfully toilet trained but do not know how to do this with the impaired child. The nurse's recommendation should include which of the following?
a) Accidents cannot be ignored if toilet training is to be successful b) Determine the child's readiness to begin toilet training c) Toilet training should not be initiated until the child has sufficient speech d) A more punitive approach is needed because of the child's cognitive impairment |
Determine the child's readiness to begin toilet training
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What is one of the major physical characteristics of the child with Down syndrome?
a) Excessive height b) Spots on the palms c) Hypotonic musculature d) Inflexibility of the joints |
Hypotonic musculature
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The child with Down syndrome may be screened for which of the following before participating in some sports?
a) Hyperflexibility b) Cutis marmorata c) Atlantoaxial instability d) Speckling of iris (Brushfield spots) |
Antlantoaxial instability
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Distortion of sound and problems in discrimination are characteristic of what type of hearing loss?
a) Conductive b) Sensorineural c) Central auditory imperceptive d) Mixed conductive-sensorineural |
Sensorineural
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A nurse would suspect possible visual impairment in a child who displays which of the following?
a) Excessive rubbing of the eyes b) Delay in speech development c) Rapid lateral movement of the eyes d) Lack of interest in casual conversation with peers |
Excessive rubbing of the eyes
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Which of the following is a common clinical manifestation of autism?
a) Deafness b) Tendency to overeat c) Early abnormal eye contact d) Intense desire to be held and cuddled |
Early abnormal eye contact
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The nurse should make a referral for communication impairment in which of the following situations?
a) Dysfluency occuring at any age b) First words not uttered before age 2 years c) Speech largely unintelligible at 18 months d) Substitution of easily produced sounds for more difficult ones by age 3 years |
First words not uttered before age 2 years
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