Exam & Evaluation (Adolescents with Down Syndrome)
Questions: Please respond to following statements.
Adolescents with Down syndrome display varying degrees of mental retardation, usually in the mild to moderate range.
Which of the following features is NOT commonly seen in teens with Down syndrome?
Epicanthal folds in the eyes
Low muscle tone
Which health issue is more common among teens with Down syndrome than their non-disabled peers?
Coronary artery disease
Sensory impairments, including hearing loss and vision problems, can always be corrected in teens with Down syndrome.
Adolescents with Down syndrome almost always have atlantoaxial instability and should avoid organized sports.
Teens with Down syndrome are not at particular risk for heart valve problems.
Adolescents with Down syndrome should be encouraged to adopt a philosophy of watchful waiting when they develop symptoms of respiratory infections.
All of the following disorders are more common in teens with Down syndrome than in the adolescent population at large, EXCEPT:
Attention deficit hyperactivity disorder
In teens with Down syndrome, depression may cause unusual symptoms such as activity slowdowns and hallucinatory self-talk.
Sleep apnea is so common in adolescents with Down syndrome that it doesnít warrant investigation by the health care provider.
Which web site could you recommend to a teen with Down syndrome who wants to know more about using the Internet?
Dr. Leshinís Down Syndrome: Health Issues
The National Association for Down Syndrome
The National Down Syndrome Society
Because health care providers invariably ask about the social, educational, and developmental progress of teens with Down syndrome, the nurse doesnít need to be involved in this assessment.
Which diagnostic test is NOT routinely recommended for adolescents with Down syndrome?
Pelvic exam for sexually active females
T4 and TSH to evaluate thyroid function
Cervical spine X-rays as needed for Special Olympics
Mini-mental status exam to detect signs of dementia
Which recommendation is NOT part of the NDSS Health Care Guidelines for adolescents with Down Syndrome?
Eat a low calorie high-fiber diet.
Prepare for a well-paying job to avoid dependence on government benefits.
Register for voting and selective service at age 18.
Encourage regular socialization and physical activity.
Which of the following activities is NOT considered a good recommendation for teens with Down syndrome?
Which of the following statements reflects current thinking about cognitive ability in adolescents with Down syndrome?
With age-appropriate activities and stimulation, development continues in adolescence.
Academic learning cannot be separated from cognitive abilities.
Cognitive impairments invariably keep the teen from learning self-care & household management skills
Work readiness skills cannot be taught until cognitive abilities are maximized.
Medlen makes several practical recommendations for weight management in teens with Down syndrome. Which of the following is NOT part of those recommendations?
Eat three meals a day, supplemented by healthy snacks if meals are more than five hours apart.
Include three out of the five food groups in each meal.
Include two out of the five food groups in each snack.
When choosing food portions, put the desired portion on the plate at the beginning of the meal.
Teens with Down syndrome should select goals that meet which criteria?
Moderately challenging, with a reasonable chance of success.
Carefully tailored to ensure at least a 90% success rate.
Based on a developmental level that is 10-15% above the teenís current level.
None of the above
Which type of social activity offers the best opportunity to form friendships?
Special interest groups
Going to the mall
Use the Internet
Teens with Down syndrome are more vulnerable to both sexual and physical abuse than their non-disabled peers.
Abuse prevention in adolescents with Down syndrome should include all of the following EXCEPT:
Limiting discussions about abuse in order to retain the teenís innocence.
Teaching personal body safety concepts in an understandable form.
Practicing assertiveness skills.
Learning sexual language for body parts.
Nurses have little or no role in the transition process as the adolescent moves from the school setting to the work world.
According to the NDSS article on Atlantoaxial Instability, early diagnosis of AAI can prevent severe spinal cord injury. Which of the following is a common method of diagnosing AAI?
Taking frequent interval histories
All of the above
According to Dr. Van Dyke, the social skills needed for dating cannot be taught as part of a life-skills curriculum.
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