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 Nursing continuing education $3/hr

Exam & Evaluation (Adults with Down Syndrome)
 
Questions: Please respond to following statements.

1 Which of the following is characteristic of adults with Down syndrome?
  Mild to moderate mental retardation
  Inability to communicate effectively
  Excellent physical coordination and motor control
  Severe to profound mental retardation
2 Which of the following physical characteristics are commonly seen in adults with Down syndrome?
  Bulging brow and protruberant facial features
  Large ears, hands, and feet
  Low muscle tone
  Round, vacant eyes
3 Which of the following age-related disorders are less common in adults with Down syndrome than in their non-disabled peers?
  Alzheimerís disease
  High blood pressure
  Diabetes
  Hearing loss
4 Early symptoms of Alzheimerís disease in adults with Down syndrome include all of the following EXCEPT:
  Memory loss
  Decline in daily living skills
  Social withdrawal
  Speech and language delays
5 The National Down Syndrome Society recommends a baseline cognitive test at age 30, then annual testing thereafter for adults with Down syndrome.
True     False
6 In the early stages of Alzheimerís disease, itís good to keep the adult in the familiar environment as long as possible.
True     False
7 What sensory impairments are common in adults with Down syndrome?
  Increased sensitivity to noise and lights in the environment.
  Hearing loss, cataracts, and refractive errors.
  Glaucoma and cortical blindness.
  Flashing lights and tunnel vision
8 Which statement about adults with Down syndrome and atlantoaxial instability (AAI) is correct?
  They invariably have neurological symptoms
  They should not participate in organized sports
  They should avoid certain high risk sports.
  They should not play organized sports.
9 Adults with Down syndrome are at risk for valvular heart disorders, even if they have no cardiac history.
True     False
10 Which autoimmune disorder is most commonly seen in adults with Down syndrome?
  Systemic lupus erythematosus
  Hypothyroidism
  Type II diabetes
  Fibromyalgia
11 Adults with Down syndrome have a higher incidence of all these disorders EXCEPT:
  Attention deficit hyperactivity disorder
  Depression
  Autism
  Schizophrenia
12 Which of the following is NOT generally a high risk area for adults with Down syndrome?
  Sleep apnea
  Dental caries
  Testicular cancer
  Physical and sexual abuse
13 Which physical exam component is NOT recommended by the NDSS health care guidelines?
  Regular Pap smears on all women over the age of 21 years
  Monitoring for obesity
  Auscultation for valvular disorders
  Screening pelvic ultrasounds every 2-3 years for women who refuse bimanual exams
14 Which testing procedure is NOT recommended by the NDSS health care guidelines?
  Repeat X-rays of the cervical spine every five years to rule out atlantoaxial instability (AAI)
  Auditory testing and ophthalmologic examination every two years
  Dental visits every six months
  Annual thyroid screening (TSH and T4)
15 Which developmental area is NOT emphasized by the NDSS health care guidelines?
  Speech and language
  Vocational opportunities
  Functional abilities
  Reading and writing
16 Which statement about life expectancy in adults with Down syndrome is NOT true?
  They have shorter life spans than the population at large.
  The major causes of death in people with DS are different than those of the population at large.
  Major causes of death are cancer and heart disease.
  Nursing interventions can influence life expectancy.
17 Adults with Down syndrome should follow the same desired body weight ranges as their non-disabled peers.
True     False
18 Medlen recommends all of the following dietary guidelines EXCEPT:
  Including all of the five food groups in every meal.
  Taking half of the desired portion size.
  Eating at least every five hours.
  Including two out of the five food groups in each planned snack.
19 Which of the following statements about premature aging in adults with Down syndrome is NOT true?
  Signs of premature aging are detectable with routine cranial MRIís.
  Cognitive function often declines.
  Intellectual deterioration is rare in adults living at home.
  Gray hair and physical slowness may be seen as early as the middle 30's.
20 Which issues are particularly important when considering community integration for adults with Down syndrome?
  Access to high-quality medical care and reliable transportation
  Firm control over the adultís choices job choices
  Strict limits on available living arrangements
  Circumscribed social circles
21 Which of the following is NOT part of the litmus test for measuring quality of life for adults with mental retardation?
  Privacy
  Ability to change decisions after theyíre made
  Health and safety
  Parental approval
22 Which of the following is NOT a component of the asset management model for housing and services?
  The person with the disability and his family
  The personal values and beliefs of the nurse
  State and federal agency services
  Local community supports
23 Which of the following housing options are appropriate for adults with Down syndrome?
  Foster care
  Group homes
  Nursing homes
  Any of the above may be appropriate
24 Which of the following is NOT generally an educational option for adults with Down syndrome?
  Secondary programs with a post-secondary extension
  Post-secondary independent living programs
  Two or four-year college or university programs with learning disability components
  Regular four-year baccalaureate programs
25 Which of the following components of the supported employment process is appropriate for nursing involvement?
  Consumer assessment
  Job development and placement
  Job training and ongoing support
  Any of the above components may be appropriate for nursing involvement.
26 Adults with Down syndrome are infertile and do not need information about contraception.
True     False
27 The National Down Syndrome Society website contains detailed information about which of the following topics?
  Health
  Development
  Education & Schooling
  Life Planning
  Resource Locator
  All of the above
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