Mod 12 - Pediatrics Practice Assessment

Which child would be best characterized as having a separation-anxiety disorder? An 8-month-old who cries when he is left with strangers An 8-year-old who will not stay overnight at a friend's house A 10-year-old who says he has a headache if he has a test in school A 7-year-old who withdraws from contact with all strangers

An 8-year-old who will not stay overnight at a friend's house A separation-anxiety disorder suggests a child is unwilling to be separated from a parent; this is normal in an 8-month-old but not in older children.

A child with ADHD is placed on methylphenidate (Ritalin) therapy. What symptom may children on Ritalin develop? Sleepiness Hypotension Anorexia Rapid increase in height

Anorexia Ritalin typically causes a loss of appetite. Weighing the child periodically to detect whether this has led to a loss of weight is important.

The nurse is caring for a 12-month-old with autism spectrum disorder (ASD). What description would you expect to elicit from his mother on history-taking? He sleeps at least 12 out of every 24 hours. He already speaks in complete sentences. He responds warmly to his father but not to his mother. He stares at a rotating wheel on his crib mobile.

He stares at a rotating wheel on his crib mobile. Children with ASD seem fascinated by whirling or spinning toys or objects. They are nonverbal and have difficulty forming close relationships.

When teaching the parents of a 6-month-old born with Down syndrome who is moderately cognitively challenge, which of the following would you include in the teaching plan? With good schooling, the child will achieve at an average level. He will probably benefit from an early education program. The child will thrive best within the confines of an institution. Exposing the child to normal children in school should be avoided.

He will probably benefit from an early education program. Children with cognitive impairment often benefit from early learning programs so they can learn slowly but consistently.

You have been working with an adolescent with an eating disorder for several days. What is an indication that she is developing trust in you? Her telling you that she is still inducing vomiting after each meal Her saying to you that she trusts you more than anyone else Her telling you that she is now ready to eat again Her saying to you that she'll follow your orders but not those of the nurse on the next shift

Her telling you that she is still inducing vomiting after each meal An adolescent needs to trust an adult before she will disclose personal information pertaining to her health concerns.

The mother of a school-age child is distraught over the ongoing oppositional behavior demonstrated by the child at home and at school. Which nursing diagnosis should the nurse select as appropriate for the child and family? Impaired social interaction related to short attention span and distractibility Interrupted family processes related to inability of child to follow instructions Situational low self-esteem related to lack of successful coping strategies Risk for self-directed violence related to impulsivity

Interrupted family processes related to inability of child to follow instructions Oppositional defiant disorders consist of long-term hostile, negativistic, or defiant behaviors that result in disturbed functioning in academic and social domains. Children typically have difficulty controlling their temper; such anger is often directed at an authority figure. The disorder develops most frequently in late preschool or early school age. The diagnosis most appropriate for this child and parent is interrupted family processes. There is no evidence to suggest that the child is at risk for self-directed violence, low self-esteem, or impaired social interaction.

Rumination disorder is a poorly understood condition of young children. This refers to: excessive worrying about friendships. a habit of eating nonfood substances. fear of moving objects. rechewing undigested food.

rechewing undigested food. Rumination is the rechewing of undigested food. It occurs primarily in infants.

Which statement by an adolescent with anorexia nervosa would be most typical of an adolescent with this disorder? "I feel chubby no matter what I wear." "I'd like to gain weight but just can't." "I'm afraid that someone is poisoning my food." "I'd like to grow up to be a model."

"I feel chubby no matter what I wear." Children with eating disorders tend to think of themselves as overweight. This distorted body image leads them to diet excessively.

Which behavior demonstrated by a boy with ADHD is most indicative of the syndrome? A lack of affection for others Unrealistic fears A lack of concentration Persistent disobedience

A lack of concentration As the name implies, children with ADHD are unable to concentrate on an activity for the usual length of time.

A 6-year-old is seen in a mental health clinic for possible hyperactivity. His mother reports that he is just "all boy." He has always been active and does not like to sit still for more than a minute. Which data would be most important to assess to help evaluate his behavior? Medical history for communicable diseases A review of the boy's typical day Family medical history for circulatory illnesses Whether he was breastfed or bottle-fed as an infant

A review of the boy's typical day Evaluating whether children are hyperactive requires a careful history documenting attention span and activities.