FNP Family Nurse Practitioner Exam Prep

Category - FNP Practice Questions

Your family practice patient, Michael, is a 16-year-old boy with Down syndrome. His mother would like him to be independent with dressing in the morning. But she says she must still help him zip his coat and get his shoes on. Sometimes, she even has to help him snap his jeans after using the bathroom. What do you tell her?

  1. “Michael and I will work harder on fine motor skills. I will ask OT to revise his goals.”
  2. “Michael still has a hard time with fine motor skills, even though we’ve been working on them for a long time. We might want to consider adapting those tasks for him, so he can be independent.”
  3. “Michael is lazy. He is a teenage boy, and he does not want to work on OT anymore. All he wants to do is talk about are trucks and girls.”
  4. “You shouldn’t help Michael so much. Let him struggle with these tasks, so he will learn that he has to do them himself.”
Explanation

Answer: B. “Michael still has a hard time with fine motor skills, even though we’ve been working on them for a long time. We might want to consider adapting those tasks for him, so he can be independent.”

Even after working on them, Michael still has difficulty with fine motor skills. Those tasks may need to be adapted for him to be independent. People with Down syndrome have impairments in delicate motor prehension patterns that impact their ability to manipulate small objects. Since this student is 16 years old and has not learned these tasks after years of therapy, it is likely that his fine motor skills are not adequate to perform these tasks without adaptations.

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