Deck 21: Populations Affected by Disabilities

Question 1

Which statement about Supplemental Security Income (SSI)and Social Security Disability Insurance (SSDI)is correct?

A)SSI is funded through disability trust fund monies
B)To qualify for SSDI,the person with disabilities must have limited income and resources
C)SSDI recipients receive Medicaid health benefits
D)Persons with disabilities who receive SSI may receive a state supplement.

Answer 1

Persons with disabilities who receive SSI may receive a state supplement.

Question 2

A professional strongly encouraged institutionalization,so the parents could focus on care of their other family members.Which suggestion would be appropriate for the nurse to make to the parents?

A)As the expert pointed out,institutionalization will reduce family stress
B)The child has a right to an education in the least-restrictive setting
C)The child will eventually adapt to whatever choice the parents make
D)The choice of what to do is entirely the parents'.

Answer 2

The child has a right to an education in the least-restrictive setting

Question 3

A young woman rolled her wheelchair up the ramp into the clinic to the desk where the intake nurse greeted her.Which should be the nurse's first response?

A)"How can I help you?"
B)"Who came with you today?"
C)Compliment her on her skill with the wheelchair
D)Sit so the nurse is at wheelchair level with the young woman

Answer 3

Sit so the nurse is at wheelchair level with the young woman

Question 4

A man came for follow-up care to the free clinic,explaining that he had applied for a job based on his education and years of previous work experience,but,being in a wheelchair,he was turned down.Which response would be most appropriate for the nurse?

A)"If you know you can do the job,go to the free legal aid clinic for assistance.The employer may not know the law."
B)"No one would want to hire a handicapped person,so you can continue to come here for free care."
C)"Because it can be expensive to obtain the necessary equipment to help you do that job,the employer has every right to refuse to hire you."
D)"The law says,if a handicapped person applies,he or she has to get hired even if an able-bodied person also applies."

Question 5

A nurse came limping into work with a huge cast on her right leg and asked to have an assignment for a week or two that did not require driving.The nurse said,"I never realized how difficult it is to get some places without two good legs.Now I know how persons with disabilities must feel!" Which would be the most appropriate response from the nursing supervisor?

A)"I'm sure you'll be even more understanding and supportive now."
B)"Not really; you'll be out of that cast in a few weeks."
C)"What a great opportunity to attend some support groups for people with disabilities and share with us which ones are most helpful."
D)"Why don't you just take some sick leave rather than try to work with that leg cast?"

Question 6

Which is an accurate definition of impairment?

A)A disadvantage resulting from a disability that prevents fulfillment of an expected role
B)A restriction or inability to perform an activity in a normal manner
C)A problem in body function or structure
D)A defect that affects society on a macro level

Question 7

Which problem depends on the responses of other people and therefore cannot be measured?

A)Disability
B)Handicap
C)Impairment
D)Injury

Question 8

A mother has recently learned that her infant has been diagnosed with spina bifida.Which nutrient was lacking during gestation?

A)Calcium
B)Vitamin K
C)Folic acid
D)Vitamin D

Question 9

Which best describes the proportion of the U.S.population that is made up of persons with a long-lasting condition or disability?

A)The number is about 5% and increasing
B)The number is about 10% and stable
C)The proportion is about 15% and stable
D)The proportion is almost 20% and increasing.

Question 10

Which best describes the prevalence of autism in the United States?

A)The prevalence of autism has increased in the past decade
B)The prevalence of autism has decreased in the past decade
C)The prevalence of autism has remained stable in the past decade
D)Because the etiology is unknown,it is difficult to determine the prevalence of autism.

Question 11

A young man rolled his wheelchair up the ramp into the clinic to the desk where the intake nurse greeted him.After welcoming him to the clinic,which should be the initial question asked by the nurse?

A)"Are you a vet home from the war?"
B)"Can I help you into the treatment room to see the nurse practitioner?"
C)"Do you have any family with you to help today?"
D)"What brings you to the clinic today?"

Question 12

Which best describes the prevalence of disabilities in U.S.children under age 15?

A)About 5%
B)About 10%
C)About 15%
D)About 20%

Question 13

Which concern can a nurse as a citizen help address?

A)Advocating for removal of environmental and social barriers to needed services
B)Continuing to engage in political action to increase funding for care for the handicapped
C)Recognizing that it is better to offer to help than to wait for a person with handicaps to have to ask for assistance
D)Needing to not stare or ask personal questions of a person with a disability

Question 14

A nurse is caring for an individual with disabilities.Which would put this client at risk for the fatal four?

A)A history of falls
B)Immobility
C)Anorexia
D)A history of constipation

Question 15

Which best describes the current perspective on how communities should treat persons with disabilities (PWDs)?

A)Be supportive of PWDs and try to reduce environmental barriers
B)Maximize opportunities for PWDs to work and otherwise contribute to community life
C)PWDs have civil rights just as other citizens do
D)Recognize that PWDs deserve our support both financially and otherwise

Question 16

Which describes the most important need of every school-aged child with a disability?

A)A teacher who understands the child's needs
B)An advocate within the school system
C)An assessment with comparison with developmental milestones
D)An individualized education plan (IEP)

Question 17

Which problem was the Ticket to Work and Work Incentives Improvement Act (TWWIIA)designed to address?

A)Employers trying to avoid hiring persons with disabilities
B)Employers resenting being forced to hire persons with disabilities
C)Persons with disabilities not being able to receive on-the-job training
D)Persons with disabilities not seeking employment for fear of losing their health care and other governmental supports

Question 18

Which statement regarding developmental disabilities is accurate?

A)Those with developmental disabilities exhibit limitations before 18 years of age
B)Those with developmental disabilities see improvement in their functional ability as they age
C)Developmental disabilities are diagnosed before 1 year of age
D)Developmental disabilities result in a physical handicap.

Question 19

Which insight is being stressed by advocacy groups regarding persons with disabilities today?

A)Disability results when physical and social barriers in the environment prevent a person from taking equal part in community life
B)Handicapped persons have as much right to social support as nonhandicapped persons
C)It is recognized that an individual may be limited by an environmental barrier in society
D)Impairment is a result of society's reaction more than mental or physical condition.

Question 20

A nurse is completing an assessment of a client who states that his chronic obstructive pulmonary disease (COPD)has worsened,and he is no longer able to do his own grocery shopping.Which stage of the NADP model is the client experiencing?

A)Pathology
B)Impairment
C)Functional limitation
D)Disability

Question 21

Which best describes why some advocacy groups have taken a strong stand against physician-assisted suicide?

A)Ethical belief that life is always preferable to death
B)Emphasis that there is always hope for a research breakthrough or discovery of a new treatment intervention
C)Fear that some persons may be "encouraged" to accept an early death merely because they are not valued by society for their contributions
D)Helping someone die is murder,plain,and simple

Question 22

A nurse is caring for an individual with intellectual and developmental disabilities (IDD).Which findings would be most concerning to the nurse? (Select all that apply.)

A)Poor skin turgor
B)Decreased appetite
C)Increased urination
D)No bowel movement for the past 3 days
E)Symptoms of choking after taking a sip of water
F)Recent seizure

Question 23

Which are strategies the nurse should practice to provide effective care for persons with disabilities? (Select all that apply.)

A)Apologize for slips of the tongue such as saying "Do you see?" to a blind person
B)Don't assume the client has a physical or cognitive deficit until you have validated it
C)Allocate additional time for care
D)Take hold of a blind person's arm to assist them in dangerous situations,such as crossing a busy street
E)Volunteer the most recent research findings related to the person's disability
F)Adopt the client's perspective as to what works best without bias.

Question 24

A nurse eagerly explained to a long-term disabled male client the most recent relevant research related to his care.The client,rather than express appreciation,said,"I prefer to have my care given this way." The nurse explained that research suggested an alternative approach was more clinically effective,but the client said,"I am more comfortable during the day if my care is given this way." Which action should be taken by the nurse?

A)Accept that the client knows what works best
B)Ask the nursing supervisor to review the research with the client
C)Give evidence-based care according to current research findings
D)Negotiate a compromise between patient preferences and research-based approach to care