Question 1

A person with disability is able to use a wheelchair independently. What classification of activity limitation does this person belong to in terms of level of assistance?&#10;A) Profound&#10;B) Severe&#10;C) Moderate&#10;D) Mild

Accepted Answer

Being able to use a wheelchair independently indicates a mild level of activity limitation, as the person can perform tasks and participate in activities with minimal or no assistance.

Question 2

A person with severe communication impairment is presented to ED. He appears very distressed. He is groaning and facial grimace is evident. What essential skill should a nurse possess to be able to best address the situation?

A) Communication skill
B) Leadership skill
C) Clinical assessment skill
D) Health teaching skill

Clinical assessment skill

Accepted Answer

Clinical assessment skill&#10;

Question 3

The DisDAT, or Disability Distress Assessment Tool, is a method that could assist in assessing distress in people with ID. Which among the following IS NOT included among the components being measured in this tool?

A) Complete vital signs
B) Appearance
C) Vocal signs
D) Posture

Complete vital signs

Accepted Answer

The DisDAT focuses on non-verbal indicators of distress such as appearance, vocal signs, and posture, but does not include measuring complete vital signs as part of its assessment components.

Question 4

The following statement refers to DisDAT tool, EXCEPT:&#10;A) It is intended to help identify distress&#10;B) It is designed to describe an individual's usual content cues&#10;C) It is a scoring tool for pain&#10;D) It is meant to help carers and the individual affected with ID

Accepted Answer

The DisDAT tool is a method to assess distress for people with severe communication difficulties and does not score pain. Instead, it describes the context of distress and possible cause of distress.

Question 5

During the physical examination of a patient with intellectual disability, the nurse should:&#10;A) Do the examination in a room alone with the patient to decrease environmental stimulus&#10;B) Ask for the patient's consent to perform the examination&#10;C) Provide a detailed and comprehensive explanation of what is going to be done in the physical examination&#10;D) Focus on collecting a detailed history from the patient

Accepted Answer

People with intellectual disability, especially those with mild cognitive impairment, may still be able to understand and is able to provide consent.

Question 6

What is the most important part of the physical assessment for a person with an intellectual disability?&#10;A) Inspection&#10;B) Palpation&#10;C) Percussion&#10;D) Auscultation

Accepted Answer

A person affected with ID is most likely hostile to being touched as this may increase their anxiety.

Question 7

A person with Down syndrome who developed a seizure activity was given phenytoin to manage the seizure. What can be expected after this intervention?&#10;A) Recurrence of seizure will be minimised&#10;B) Seizure activity will not subside and may get worse&#10;C) Patient will have an improved neurological function&#10;D) Patient will have a decline in intellectual function

Accepted Answer

Phenytoin and phenobarbitone drugs should be avoided in people with ID as these drugs may cause CNS injury. Midazolam is the usual drug recommendation to manage seizure in patients with ID.

Question 8

An intrathecal baclofen pump is being administered via infusion pump to a patient with cerebral palsy to manage generalised hypertonia. After an hour, the patient is noted to have a decreased respiratory rate. What should a nurse do?

A) Decrease the titration rate of the pump
B) Increase the titration rate of the pump
C) Nothing should be done as this is a normal side effect
D) Stop the infusion immediately

Accepted Answer

Signs of respiratory depression and coma are indications of baclofen overdosage and should definitely be stopped immediately.

Question 9

A ventriculoperitoneal shunt procedure is being rendered to a hydrocephallic child. Halfway through the procedure the child shows signs of irritability, changes in respirations, bulging fontanelle, and is vomiting. What do these signs indicate?

A) Decreased intracranial pressure
B) Increased intracranial pressure
C) Sepsis
D) Shock

Accepted Answer

These signs indicate increased intracranial pressure. Irritability, changes in respirations, bulging fontanelle, and vomiting are classic symptoms of increased pressure within the skull, which is a concern in hydrocephalus and during procedures to alleviate this condition.

Question 10

Gastrostomy tubes are usually used to improve nutritional intake among people with ID who suffer from swallowing difficulty. What is the best way to confirm the proper position of inserted PEG tube to avoid aspiration?

A) X-ray
B) Magnetic Resonance Imaging (MRI)
C) Aspirate the tube to check for the presence of gastric juice
D) Introduce air to the tube and listen for the entry of the sound to the stomach by using a stethoscope

Accepted Answer

X-ray is the most reliable method to confirm the proper placement of a percutaneous endoscopic gastrostomy (PEG) tube to ensure it is in the stomach and to avoid complications such as aspiration.

Deck 37: People With Disabilities