UP NHM CHO 7 Sept 2022(shift-1st)
Child Health Nursing (Pediatrics)
Hard
Which of the following is an important aspect regarding the ability of the primary caregiver to provide care for a child with mental retardation?
Appeared in: UP NHM CHO 7 Sept 2022(shift-1st)
Explanation
- Having realistic expectations is fundamental for a caregiver's long-term emotional well-being and effectiveness in providing care.
- This mindset allows the caregiver to set achievable goals for the child, celebrate small successes, and avoid the chronic frustration or disappointment that leads to burnout.
- A realistic outlook helps prevent caregiver burnout and fosters a supportive, positive environment for the child's development within their actual capabilities.
- Adapting hopes and expectations to match the reality of the child's abilities is a crucial task for parents of children with developmental disabilities.
Why Other Options Were Wrong
- Option B: This focuses on the child's ability, which is highly variable. A caregiver's effectiveness often depends on their ability to provide care even when the child cannot communicate their needs clearly.
- Option C: This is an unrealistic expectation for many children with intellectual disabilities. A key part of the caregiver's role is to assist with self-care needs that the child cannot perform independently.
- Option D: Anxiety is a negative emotional state that hinders caregiving. While common, it is a problem to be addressed, not a positive or important aspect of the ability to provide care.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Caregiver adaptation and coping mechanisms for children with developmental disabilities to guide bedside assessment, documentation, and the next nursing action.
- Nurses are instrumental in assessing caregiver strain and risk for burnout, which are significant health concerns for families of children with chronic conditions.
- Nursing interventions include providing accurate education about the child's condition, facilitating connections to support groups, and helping the family set realistic, short-term goals to build confidence and reduce stress.
- What if? If a caregiver is in denial and has unrealistically high expectations for the child's progress, the nurse's priority is to build trust, provide gentle education about the condition, focus on celebrating the child's current small achievements, and connect the family with peer support from other parents who have more experience.
How to Approach the Question
- First, analyze the question's core focus. It asks for an 'important aspect' regarding the 'ability of the primary caregiver'. This directs you to evaluate the options from the caregiver's perspective.
- Evaluate each option based on whether it describes a positive, foundational quality of the caregiver, a characteristic of the child, or a negative factor.
- Option A, 'realistic expectations', is a cognitive mindset of the caregiver that promotes positive coping. This is a strong candidate.
- Options B and C describe the child's abilities ('child can communicate', 'child can meet his own care needs'). These are external to the caregiver's inherent ability.
- Option D describes a negative emotional state ('anxious'). While common, anxiety is a barrier to effective care, not a positive aspect of the ability to provide it.
- Conclude that the best answer is the one that describes an adaptive, internal quality of the caregiver that enables long-term, effective care.
Concept Tested & Keywords
- Concept Tested: Caregiver adaptation and coping mechanisms for children with developmental disabilities.
- Stem keywords: primary caregiver, child with mental retardation, ability to provide care
- Lead-in keywords: important aspect
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Question ID
Q1i-Ysm-9U4hB2j30zPHEk
Reference Book
E6 Nursing Fundamentals Potter Perry 12e Part 1 pp. 156-158, 158-160
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 13237-13239
Practise the full UP NHM CHO 7 Sept 2022(shift-1st)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Central Nervous System Questions
- What is the most serious complication of meningitis in young children?
- A nurse is taking care of child who is having epilepsy. What nurse should do immediately?
- Which of the following nursing intervention can be used to prevent increased Intracranial pressure (ICP) in an unconscious child?
- Which of the following is NOT a complication of measles?
- Which of the following conditions can result in a hairy patch on the back of children?
- Which of the following symptoms suggest that the child has severe dehydration?
- An unconscious child came to your clinic with dehydration, the nurse should do first?
- Hypertonicity and scissoring leg movements are expected clinical findings in?
- Priority nursing action while caring for an infant with meningocele?
- What cranial nerve abnormality may be seen in children with chronic hydrocephalus?
More UP NHM CHO 7 Sept 2022(shift-1st) Questions
- Foetal infection of a pregnant woman with syphilis can be diagnosed by:
- If a pregnant woman's BMI is 32, then the woman is diagnosed to be:
- An unregistered primipara woman with a history of no ANC and immunisation, has delivered a male baby in the labour room. She was tested to be Rh-nega…
- The care organised for and provided to all women in a manner that maintains their dignity, privacy and confidentiality, ensures freedom from harm and…
- The irregular, pink, depressed linear marks seen over the lower abdomen and the thighs during pregnancy are known as \ \ \ \ \ \ .
- Name the structure formed from the union of the ampulla of the ductus deferens and the duct of the seminal vesicle
- Which of the following maternal haemoglobinopathies causes non-immune foetal hydrops?
- Which of the following is NOT a benefit of Kegel exercises?
- The introduction of the services of an ASHA worker is an example of which of the following?
- Prevention and control of locally endemic diseases is the key function of: