Quiz 10: Management of neurological, nutritional and skin symptoms

Please choose the one, most correct answer to each question or statement.

  1. What are common signs of anxiety in a child?
    • A skin rash and itch
    • Weight loss and vomiting
    • Change in sleeping patterns and nightmares
    • Bradycardia and hypotension
  2. What is an important cause for anxiety?
    • Over exertion
    • Pain
    • Malnutrition
    • Anaemia
  3. Younger children’s anxiety can be relieved by:
    • Distraction methods such as playing
    • Anti-depressants only
    • Changing their diet
    • Encouraging them to sleep more
  4. What are common signs of depression in a child?
    • Poor coordination and slow movements
    • Not being willing to share their toys
    • Withdrawal, sadness and lack of energy
    • Defiance and tantrums
  5. How can you best assess if a young child is depressed?
    • Ask them if they are depressed
    • Ask their parents if they think their child is depressed
    • Observe them for signs of depression
    • Use a pain chart to assess their behaviour
  6. Fatigue is described by children as:
    • Being sad
    • Being tired and having no energy
    • Being lonely
    • Having a headache
  7. How is fatigue managed?
    • Using oral corticosteroids
    • Adding extra protein to their diet
    • Encouraging them to participate in very physical activities
    • Providing psychosocial and emotional support
  8. What is anorexia?
    • Rapid weight gain
    • Loss of appetite
    • Abdominal distension after meals
    • Profound loss of weight
  9. What is cachexia?
    • A skin rash with blisters
    • Severe wasting
    • A form of severe depression
    • A common type of cancer
  10. What is a cause of pruritis (itchy skin)?
    • Eating too many sweets
    • Fever
    • Dry skin
    • Candidiasus
  11. Pruritus that is caused by opioid use can be relieved by:
    • Oral antihistamines
    • Topical anti-pruritic cream
    • Opioid switching
    • A skin moisturiser
  12. Children who are at risk of developing pressure sores include:
    • Children who play a lot of sport
    • Adolescents who do no exercise
    • Children with Down syndrome
    • Children who are immobile and bedridden
  13. Where are pressure sores likely to develop on a baby’s body?
    • Heels
    • Back
    • Sacrum
    • Back of the head (occiput)
  14. Pressure sores can be prevented by:
    • Turning the immobile child regularly
    • Effective pain management
    • Massaging the pressure areas
    • Referring the child to a wound specialist
  15. To control bacterial growth in septic wounds
    • Use dressings that contain adrenaline 1:1000
    • Use Bactigras dressings
    • Use silver sulphadiazine cream or silver dressings
    • Use maggots
  16. Malodour in wounds is caused by
    • Anaerobic bacteria in the dead tissue
    • Not cleaning and dressing the wounds three times a day
    • Overuse of antibiotics
    • Dressings that are not absorbent
  17. Metronidazole gel applied to a fungating tumour is used to:
    • Control the exudate
    • Control the necrosis
    • Control the odour
    • Control the infection from spreading
  18. What environmental measures can be used to control odour?
    • Toilet sprays and perfumes
    • Disinfectants
    • Keeping the doors closed to prevent odour entering passages and other rooms
    • Peppermint or vanilla oils placed in the room
  19. What can malodourous fungating wounds cause?
    • A child to be put in an isolation ward
    • Feelings of disgust, embarrassment and guilt
    • Septicaemia
    • Feelings of euphoria
  20. When treating a malodorous wound, a healthcare worker needs to be very aware of:
    • Their own body language and facial expressions
    • The time it takes to do the dressings
    • Becoming infected herself
    • The costs involved when changing dressings often  
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