CNM CNM Special Needs & Inclusive Care 3

Question 1

What does the Americans with Disabilities Act (ADA) mean for a nanny agency's hiring practices?

Accepted Answer

Agencies covered by the ADA cannot discriminate against qualified nanny candidates with disabilities and must provide reasonable accommodations

Answer

The ADA prohibits disability-based employment discrimination by covered employers including many nanny agencies, requiring reasonable accommodations for qualified candidates.

Question 2

A CNM notices a child in care is showing signs of regression (returning to earlier developmental behaviors) after a family crisis. The appropriate response is to:

Accepted Answer

Provide calm, consistent, non-judgmental support and inform the parents so they can engage appropriate professional help if needed

Answer

Developmental regression under stress is normal; supportive care and parent communication are the appropriate response, with professional referral as needed.

Question 3

What is the role of an occupational therapist (OT) in supporting a child with fine motor delays, and how should a CNM collaborate with them?

Accepted Answer

OTs assess and treat fine motor, sensory, and daily living skills; CNMs should implement recommended home strategies consistently to reinforce therapy gains

Answer

Home reinforcement of OT strategies by the CNM maximizes carryover of therapeutic gains into daily life, making the CNM a key member of the child's support team.

Question 4

A child in the CNM's care uses augmentative and alternative communication (AAC) devices. The CNM should:

Accepted Answer

Learn to use the device alongside the child, honor all communication attempts, and ensure the device is always accessible to the child

Answer

AAC devices are communication tools that must always be accessible; learning to use and model them is essential to supporting the child's expressive communication.

Question 5

Which of the following best describes a 'sensory diet' as recommended by occupational therapists?

Accepted Answer

A personalized schedule of sensory activities throughout the day that helps a child with sensory processing differences maintain an optimal state of arousal and regulation

Answer

A sensory diet provides proactive, scheduled sensory input to help children self-regulate rather than reacting to sensory needs after dysregulation occurs.

(CNM) Certified Nanny Manager Practice Test

(CNM) Certified Nanny Manager Practice Test

CNM CNM Special Needs & Inclusive Care 3