Nursing continuing education $3/hr

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

1 Adolescents with Down syndrome display varying degrees of mental retardation, usually in the mild to moderate range.
True     False
2 Which of the following features is NOT commonly seen in teens with Down syndrome?
  Epicanthal folds in the eyes
  Low muscle tone
  Muscle spasticity
  Flattened mid-face
3 Adolescents with Down syndrome almost always have atlantoaxial instability and should avoid organized sports.
True     False
4 Teens with Down syndrome are not at particular risk for heart valve problems.
True     False
5 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
  Obsessive-compulsive disorder
6 In teens with Down syndrome, depression may cause unusual symptoms such as activity slowdowns and hallucinatory self-talk.
True     False
7 Sleep apnea is fairly common in adolescents with Down syndrome.
True     False
8 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.
True     False
9 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
10 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.
11 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.
12 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
13 Which type of social activity offers the best opportunity to form friendships?
  Special interest groups
  Going to the mall
  Spectator sports
  Use the Internet
14 Teens with Down syndrome are more vulnerable to both sexual and physical abuse than their non-disabled peers.
True     False
15 Nursing interventions that promote self-esteem, self-determination, and successful coping can contribute to the adolescentís self-competence.
True     False
16 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?
  Lateral x-rays
  Taking frequent interval histories
  Physical exams
  All of the above
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