MH Quiz #10
A 6-year-old child with autism is nonverbal and has limited eye contact. What should a nurse do initially to promote social interaction?
Engage in parallel play while sitting next to the child
When planning activities for a child with autism, the nurse considers that autistic children respond best to:
their own self-stimulating acts
A 4-year-old child is diagnosed with attention deficit hyperactivity disorder (ADHD). What information about the child's behavior should the nurse expect when obtaining a health history from the parents? Select all that apply
1. Is impulsive 2. Talks excessively 5. Plays videos games for hours 6. Does not follow through or finish tasks
A nurse is planning care for a group of hospitalized children. Which age group does the nurse anticipate will have the most problem with separation anxiety?
6-30 months
A 10-year-old child who was diagnosed with autism at the age of 3 attends a school for developmentally disabled children and lives with the parents. The child has frequent episodes of self-biting behavior, hanging the head, and needing help with feeding and toileting. The priority nursing goal for this child is "The child will:
remain safe for self-inflicted injury."
The parent of a child with a tentative diagnosis of attention deficit hyperactivity disorder (ADHD) arrives at the pediatric clinic insisting on receiving a prescription for medication that will control the child's behavior. What is the nurse's best response?
"It must be frustrating to deal with your child's behavior."
A nurse is assessing a child suspected of having autism. At what age does the nurse determine that the signs of autism initially may be evident?
2 years of age
A 3-yeard-old child is diagnosed with autism. Which behaviors should the nurse expect when assessing this child? Select all that apply
3. Avoids eye to eye contact 5. Performs repetitive activities
A child with attention deficit hyperactivity disorder (ADHD) often becomes frustrated and loses control. A nurse uses a variety of graduated techniques to manage disruptive behaviors. List the following interventions in order from the least invasive to the most invasive technique.
4, 2, 3, 5, 1
A nurse works with school-age children who have a conduct disorder, childhood-onset type. The nurse considered that these children are at risk for progressing to an additional disorder during adolescence. For signs of which disorder should the nurse assess their present behavior?
Antisocial personality
An 8-year-old child is diagnosed with oppositional defiant disorder. What behavior should the nurse identify that supports this diagnosis?
Argues with adults
An adolescent with a conduct disorder is receiving behavioral therapy to attempt to limit activities that violate societal norms. A specific outcome criterion unique for adolescents with this problem is "The client will:
Demonstrate respect for the rights of others."
A nurse anticipates that children with attention deficit hyperactivity disorder (ADHD) may be learning-disabled. This means that these children:
Experience perceptual difficulties that interfere with learning
A nurse considers that autism is a form of a pervasive developmental disorder (PDD). Which factor unique to autism differentiates it from other forms of PDD?
Has an early onset before 36 months of age
A nurse uses behavior modification to foster toilet training efforts in a cognitively impaired child. What reward should the nurse provide to reinforce appropriate use of the toilet?
Hug with praise
A nurse is teaching the parents of a child with attention deficit hyperactivity disorder (ADHD) about the prescribed medication methylphenidate (Ritalin). What time should the daily dose be administered?
Just after breakfast
For which clinical indication should a nurse observe a child suspected of being autistic?
Lack of eye contact
A nurse is teaching parents of a child with attention deficit hyperactivity disorder (ADHD). What should the nurse include as the most frequently prescribed medication for this disorder?
Methylphenidate (Ritalin)
A nurse is interviewing a child with attention deficit disorder. For which major characteristic should the nurse assess this child?
Overreaction to stimuli
A nurse is caring for a preschool-age child with a history of physical and sexual abuse. What is the most advantageous therapy for this child?
Play
An adolescent with the diagnosis of conduct disorder since the age of 9 is placed in a residential facility. The adolescent has a history of fighting, stealing, vandalizing property, and running away from home. The adolescent is aggressive, has not friends, and has been suspended from school repeatedly. What is the nurse's priority when developing a plan of care?
Preventing violence
A nurse is counseling the family of a child with school phobia. What should the parents be taught to do?
Return the child to school immediately
A child is diagnosed with attention deficit hyperactivity disorder (ADHD). What is a strategy that the nurse should teach the parents to assist in coping with this disorder?
Reward appropriate conduct
What childhood problem has legal as well as emotional aspects and cannot be ignored?
School phobias
For what most common characteristic of autism should a nurse assess a child suspected of having this disorder?
Seems unresponsive to the environment
A hyperactive 9-year-old child with a history of attention deficit hyperactivity disorder (ADHD) is admitted for observation after a motor vehicle collision. What should be the focus of nursing actions when teaching about personal safety?
Talking with the child about the importance of using a seat belt
What is the prognosis for a normal productive life for a child diagnosed with autism?
Unlikely because of interference with so many parameters of functioning