PEDS Ch 50 Behavior/ Development

A school nurse is working with the parents of an 8-year-old who has Tourette syndrome on how best to accommodate the child. What advice would be most helpful? Select all that apply.

A) Allowing for breaks when tics occur C) Using a tape recorder to take notes

The nurse is preparing an educational program on behavioral management techniques used in children to help alter negative behavior. What information should the nurse include? Select all that apply.

A) Set limits and hold the child responsible for their behavior. B) Do not argue, bargain or negotiate about the limits once established.

The nurse is caring for a 7-year-old with Tourette syndrome. The nurse would be alert for which comorbid condition?

C) Attention deficit/hyperactivity disorder

A nurse is caring for a 10-year-old boy with a nursing diagnosis of ineffective coping related to an inability to deal with stressors secondary to anxiety. What action should the nurse to take first?

C) Encourage a discussion of the child's thoughts and feelings

When assessing the adolescent with anorexia, what would the nurse expect to find?

D) Sparse body hair

The nurse is caring for a 13-year-old boy with a history of inappropriate behavior. Which statement by the mother would lead the nurse to suspect oppositional defiant disorder rather than conduct disorder?

A) "He has frequent temper tantrums."

The nurse is caring for a child who takes dextroamphetamine for treatment of ADHD. Which comments by the patient or family would concern the nurse? Select all that apply.

A) "I take my sustained released capsule at night before I go to bed." B) "We have noticed that our child shows very little emotion over the last few weeks."

The nurse is caring for a child with bipolar disorder. The child is taking lithium as ordered. The parents inquire about the potential side effects. Which response by the nurse would be most appropriate?

A) "You might see excessive urination and thirst, tremor, nausea, weight gain, and diarrhea."

A child is receiving therapy in which he is learning to replace automatic negative thought patterns with alternative ones. The nurse interprets this as which type of therapy?

A) Cognitive therapy

A nurse is preparing a program for a parent group about various techniques that can be used to manage behavior. What would the nurse be least likely to include?

A) Focus the child's attention on the negative behavior.

A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD). When explaining this disorder to the parents, what would the nurse include as being involved? Select all that apply.

A) Impulsivity B) Inattention C) Distractibility D) Hyperactivity

A school-age child diagnosed with depression is receiving antidepressant therapy. What behavior would the nurse instruct the parents to watch for and to notify the physician immediately if the child demonstrates it?

A) Loss of interest

The nurse identifies a nursing diagnosis of impaired social interaction related to altered social skills as evidenced by impulsivity and intrusive behavior. The nurse plans to identify factors that aggravate the child's behavior for which reason?

A) Minimize stimuli that exacerbate the child's undesired behaviors.

The nurse is teaching the mother of a 12-year-old boy about the risk factors associated with drug and alcohol abuse. Which response by the mother indicates a need for further teaching?

B) "Just because his friends are experimenting does not mean that he will."

What would lead the nurse to suspect that an adolescent has bulimia?

B) Calluses on back of knuckles

The nurse is caring for an adolescent girl with anorexia nervosa. What findings would indicate to the nurse that the girl requires hospitalization?

B) Food refusal

A nurse is conducting a screening program for autism in infants and children. What would the nurse identify as a warning sign?

B) Inability to say a single word by 16 months

A nurse is reviewing the medical record of an 11-year-old child with a conduct disorder. What would the nurse identify as characteristics of this disorder? Select all answers that apply.

B) Initiator of physical fights D) Truancy E) Arrest for arson

The nurse working in a pediatric mental health clinic is assessing a 4-year-old child who has suffered from physical abuse. Which type of therapy does the nurse anticipate will be most helpful in developing a trusting relationship as well as assisting in determining the patient's current emotional state?

B) Play therapy

The nurse is caring for a 5-year-old. The child's mother reports that he is extremely sensitive to sounds that most people do not notice and that he prefers complete silence. She explains that the boy is resisting going to school due to the noise and commotion. Additionally, the mother states that he will only wear 100% cotton clothing with all of the tags cut out. The nurse interprets these findings as indicating which disorder or condition?

B) Sensory processing disorder

A nurse is caring for a 5-year-old girl with depression. The girl is having difficulty coping with her feelings of sadness and fear, which stem from her parents' separation and recent divorce. The girl has been prescribed antidepressant medication but the mother thinks the girl would benefit from therapy. The nurse anticipates a referral to a therapist that specializes in:

B) play therapy.

The nurse is caring for a 3-year-old boy. The parents are concerned that he is exhibiting signs of cognitive delays. Which statement by the parents would lead the nurse to suspect autism spectrum disorder rather than possible learning disability?

C) "He seems to be speaking words less and less frequently."

The nurse is speaking with a parent regarding their child's recent diagnosis of oppositional defiant disorder. Which statement by the parent would cause the nurse to question the diagnosis?

C) "I feel so bad that my daughter intentionally hurt the neighbor's cat."

After teaching the parents of a child with attention deficit/hyperactivity disorder about ways to control the child's behavior, the nurse determines a need for additional teaching when the parents state:

C) "If he misbehaves, we need to punish him instead of reward him."

A child with depression is prescribed fluoxetine. The nurse identifies this as belonging to which class of drugs?

C) Selective serotonin reuptake inhibitor

The nurse is reviewing the medical record of a child who has dyspraxia. This child will experience difficulty with:

C) manual dexterity and coordination.

A child with attention deficit/hyperactivity disorder is prescribed long-acting methylphenidate. What information would the nurse include when teaching the child and his parents about this drug?

D) "Take this drug every day in the morning when you wake up."

When reviewing the medical record of a child, what would the nurse interpret as the most sensitive indicator of intellectual disability?

D) Language delay

A child is prescribed trazodone. What would the nurse be least likely to include in the plan of care related to this drug?

D) Monitoring for tardive dyskinesia

The nurse is caring for an adolescent girl with a suspected anxiety disorder. The girl states that she is constantly double-checking that she has unplugged her curling iron and must make sure that everything is in perfect order in her room before she leaves the house. The nurse interprets these findings as indicating which disorder?

D) Obsessive-compulsive disorder