personal checks

A male client with advanced heart failure was being cared for by his 15-year-old son and his family. The person recently died and the home health care nurse is making a home visit to the family to assess how the family is coping with the death. When interviewing the 15-year-old family member, which statement would the nurse most likely expect to hear?

"I've been getting support from my friends."

The mother of a 5-year-old child asks the nurse if the child should attend their grandfather's funeral. Which question should the nurse ask first to assist the mother in making this decision?

"Does the child have a basic understanding about death?"

A psychiatric-mental health nurse is conducting a presentation for a local community group on mental health promotion for children. The nurse is including information about the effects of poverty on this population. When describing this topic, the nurse integrates information about statistics related to povery. Which percentage of the U.S. population would the nurse most likely explain as living below the poverty level?

15%

At approximately what age do children understand the permanence of death?

7

A child comes to the clinic reporting an upset stomach. The child's mother says the child has started to refuse to go to school and cries and becomes argumentative when he is told he must go. The mother tells the nurse that up until recently her son loved to go to school. Recently, a new male student has joined the class. What should the nurse suspect is happening to this child?

Bullying

The child's response to divorce is similar to which of the following?

Death

A nurse is conducting a psychoeducational program for a family. When conducting this program, the nurse would focus on which concept?

Normalization

The nurse assesses a child and his mother following numerous outbursts of anger the child has been experiencing. The nurse informs the mother that anger is a natural part of grieving; the mother will be less likely to view it as abnormal and more likely to accept and cope with it constructively. This describes ...

Normalization

A pediatric nurse realizes that even though some children have an experience that predisposes them to a disorder, they have characteristics that can reduce the probability of it developing. These characteristics are referred to as which of the following?

Protective factors

Girls who bully are more likely to use which of the following?

Relational aggression

An only child who was hospitalized with a broken leg and arm after a fall when he was 5 years old is now 10 years old. While at the clinic for a yearly check-up, he tells the nurse that his parents will not let him play sports at all or outside with other children unless he is supervised by one of his parents. He says that he does not understand why his parents act this way. The nurse would suspect which situation?

Vulnerable child syndrome

The nurse is counseling a couple who have just gotten divorced. The wife has custody of the two children, ages 7 and 9 years. The nurse should instruct the couple that divorce can affect the children and that ...

a structured home and school environment can lessen the emotional problems.

Which age group may express their grief as somatic symptoms?

school-age children

A preschooler appears frightened after the death of his grandmother. Which of the following statements by the parent would be most helpful in reassuring the child at this time?

"Grandma has died and is not coming back, but we will always remember her."

The expression of grief through regression, or somatic complaints or withdrawal, describes the grief of ...

Children

When children view themselves as the center of their own universe, they are using what type of thought pattern?

Egocentric

The literature on children of parents with alcoholism has described several typical roles that children assume. Which role is described as problem children who divert attention away from the parent with alcoholism

scapegoat

Social skills training is suggested for a child who has engaged in bullying. The parent asks the nurse, "What exactly is involved with this training?" Which information would the nurse most likely include in the response?

"It involves instruction, feedback, support and practice to help the child interact with others."

A psychiatric-mental health nurse is interviewing an adolescent at the community mental health center. The adolescent was referred to the center because of behavioral problems. The adolescent is the older of two children. Which statement by the adolescent would the nurse interpret as a possible contributing factor?

"My brother can do no wrong in my parents' eyes, but me, that's another story."

A nurse is teaching a group of parents about how children respond to loss and death. Which statement by the nurse would be most appropriate when describing how to address the topic of death with preschoolers?

"Use words like sleep or heaven to explain the loss."

A parent and three children come to the community health center for an evaluation. The parent is pale and appears dehydrated. The parent who reports feeling tired, tells the nurse, "The kids have had colds for the past couple of weeks and now they've been coughing a lot." As the nurse continues to interview the parent, the parent says, "I lost my job and my house several months ago and we were living in my car. But that's gone now, so we've been living in a shelter for about a month." Which statement by the nurse would be most appropriate?

"We need to address what's most important to you right now."

A psychiatric-mental health nurse is conducting a program for young and middle-aged adults who are providing care to their aging parents who are receiving hospice care. One of the participants asks the nurse, "When my dad dies, how should we handle it with our 4-year-old?" Which response by the nurse would be most appropriate? Select all that apply.

"When the child sees you're upset, reassure them that you will be okay." "Allow the child to express how they are feeling through their play." "Be honest in your statements about the death and repeat them as necessary."

A psychiatric nurse who works with children is giving a talk to a local community group and explains that chronic childhood illnesses present a unique set of challenges. The nurse adds that many families can adjust to the stressors, but some children will experience psychiatric symptoms more often than their healthy peers. What percentage does the nurse identify as the increased risk for children dealing with chronic illnesses?

3 to 4 times more likely

A nursing instructor is teaching about how death affects children at different ages. At what age does the teacher tell students that most children can understand the permanence of death?

7 years

The nurse is planning to make a presentation about loss and grief to a group of parents. The nurse should plan to instruct the group that children begin to perceive death as permanent by the age of

7 years.

A nurse is providing care to several children with chronic physical illnesses. Which child would the nurse most likely identify as being at greatest risk for mental health problems?

A child with spinal cord trauma

A nursing instructor is teaching about death and how different age groups grieve. Which group would be most likely to ask for permission to grieve openly and then ask for acceptance of their sometimes extreme reactions?

Adolescents

A psychiatric-mental health nurse is presenting a program for a group of community leaders about mental health and children and adolescents. When describing the current status of out-of home placement, which group would the nurse most likely identify as accounting for the greatest percentage?

Adolescents

Unevenness in which area of the brain may contribute to difficulties with impulse control in adolescents?

Amygdala

A nurse is conducting a program at a local middle school about bullying. When describing this concept, which area would the nurse identify as a major component in the pattern?

An imbalance of strength

While assessing a four-year-old child about the reactions to his parents divorcing, the child states, "My mom and dad are getting a divorce."The nurse interprets this statement as reflecing the child's awareness of the reality. Which action would the nurse implement first to gain a clearer picture?

Ask questions to assess the child's level of understanding of the divorce.

A family of four children recently lost their father and require intervention because they are not handling the stress related to his death well. The nurse has instructed the children and mother to read several books about the death of a parent and how the family responded to the crisis. This is an example of which of the following?

Bibliotherapy

A nurse is working with a couple who is in the process of divorcing. After discussing the effect of divorce on children's mental health, the nurse determines that additional teaching is needed when the couple identify which factor as protecting the children's mental health?

Boundary-free home setting

A psychiatric-mental health nurse is conducting a teaching session for a group of families undergoing divorce. The nurse is explaining about the effects of divorce on children. Which factor would the nurse most likely include as influencing a child's response to the divorce? Select all that apply.

Child's temperament Parental interventions Level of stress, change, and conflict surrounding the divorce

A nurse is conducting an in-service education program for a group of nurses working in ambulatory care centers. The topic is child abuse. The nurse determines that the teaching was successful when the group identifies which finding as suggestive of possible physical abuse? Select all that apply.

Clusters of lacerations on the torso Bald spots interspersed with normal hair Fear of adults, especially parents

Psychoeducational programs for children are designed to provide which of the following?

Coping skills

A psychiatric-nurse is conducting an assessment of a child who has a physical illness. Which reaction would the nurse be alert for as a common reaction? Select all that apply.

Depression Somatic complaints Regression

A nurse is working at a community health center that serves a large adolescent population. When implementing activities to address the risk-taking behaviors of adolescents, which strategy would the nurse most likely employ? Select all that apply.

Discussion that encourages questions about risky behaviors Peer group social skills training Teens role modeling positive behaviors

A psychiatric-mental health nurse is making regular home visits to a family who is living in poverty. The family consists of a mother, father, and two children, ages 2 and 4. During the visits, the nurse is providing support and education to the family as well as connecting the family to the services they need. The nurse is engaged in which intervention?

Early intervention

Children whose parents divorce often blame themselves and think that they are the root of the problem. Which type of thinking may cause these thoughts?

Egocentric thinking

Abuse can have lifelong effects on development. What have children who have been maltreated more prone to do? Select all that apply.

Enter aggressive relationships Abuse drugs Develop eating disorders Become depressed

A psychiatric-mental health nurse is engaged in supporting and educating a family to assist with the attachment between the children and parents. The nurse is most likely engaged in which activity?

Family preservation

A nurse is assessing a child for possible child abuse and neglect. When reviewing the child's history, which factor would the nurse identify as increasing the child's risk? Select all that apply.

Family substance abuse Child history of medical problems Lack of social support for parents

A child comes to the emergency department. Possible physical abuse is suspected. The nurse would expect which signs of physical abuse? Select all that apply.

Fractures inconsistent with the child's history Old and new injuries at the same time Cigarette burns

Following the death of a parent, which of the following levels of the surviving parent is the best predictor of a child's adjustment to the loss?

Functional

Which of the following is the most restrictive type of mental health care for children and adolescents?

Group home

A nurse is conducting a program for community health leaders about out-of-home placement and factors contributing to this situation. The nurse determines that the program was successful when the group identifies which factor as contributing to out-of-home placement?

Growing population of families living in poverty

The mother of a 5-year-old girl who shows clinging behavior and gets anxious when not with either parent asks how to help the child relax enough to go to sleep without staying beside the child's bed. The nurse should recommend that the mother does which of the following?

Leave the door open so the child can hear the parents' voices while going to sleep.

The parents of a 12-year-old are hostile to each other, fight frequently, and plan to divorce. The child will move with the mother to another part of town. Which of the following factors will likely have the most negative effect on the child?

Observing the parental fights and wanting to be loyal to both parents

With regard to developmental stages, which of the following is true about older age?

Old age is a period of continued growth and development with its own tasks.

A psychiatric-mental health nurse is providing care to a family. The family is participating in an early intervention program. The nurse understands that this program is designed to achieve which outcome?

Parental empowerment

To avoid damaging the nurse-family relationship, experts recommend that nurses report abuse in the presence of which of the following?

Parents

A psychiatric-mental health clinical nurse specialist is conducting a program about siblings and sibling rivalry at the community center. The audience is parents who are expecting their second child. When information would the nurse most likely include in the program? Select all that apply.

Parents play a major role in helping each child develop a separate identity.

The nurse works with troubled teens promoting mental health. Which interventions are more likely to achieve success?

Peer counseling Training in problem-solving and social skills Parents and teachers setting positive examples Discussion approach encouraging questions and arguments

A nurse is preparing a program for adolescents to promote mental health. When developing the program, which intervention would the nurse address first?

Peer group education

A psychiatric-mental health nurse is reading a journal article describing research about sibling relationships. The nurse demonstrates understanding of the article by identifying that sibling relationships significantly influence which type of development?

Personality

A nurse is conducting a program for a local school district on bullying. When describing the types of activities involved, the nurse describes relational aggression. The nurse determines that additional teaching is needed when the group identifies which behavior as an example?

Physical aggression

A psychiatric-mental health nurse is conducting a program for a local community group about factors that help protect children from mental health problems. Which factor would the nurse most likely include? Select all that apply.

Presence of a caring adult or parent Feelings of being connected to school

A psychiatric-mental health nurse is conducting a class for couples who considering separation and divorce. When explaining the effects of these two events on children, which reaction would the nurse most likely include as typical? Select all that apply.

Regression Depression Confusion

A nurse is assessing a child and suspects that the child is being physically abused. The child's parents are present with the child. Which action would be most appropriate?

Report the abuse in the presence of the parents.

Assessment of a client at risk for psychopathology is able to attain good mental health, maintain hope, and achieve healthy outcomes. The nurse interprets this as demonstrating which of the following?

Resilience

The psychiatric nursing student identifies characteristics that increase the likelihood of developing a psychiatric disorder as:

Risk factors

A nurse is reviewing the history of a family in which a parent has a history of alcoholism. One of the children has been exhibiting behavior problems requiring a focus on interventions to address the child's problems. The nurse identifies this child as assuming which role in the family?

Scapegoat

Which of the following describes a child of a parent diagnosed with alcoholism who diverts attention away from the parent with alcoholism?

Scapegoat

A psychiatric-mental health nurse is engaged in activities to promote the mental health of children. Place the activities listed below in the proper sequence from least restrictive to more restrictive.

Smoking prevention programs Specialized community programs Outpatient family therapy Intensive home-based treatment Temporary foster care

Which type of intervention may be helpful for children who are bullies?

Social skills training

A nurse is assessing a child and suspects that the child is a victim of sexual abuse. Which assessment finding would support the nurse's suspicion?

Sore throats

A nurse in the community is working to promote the health of homeless families who are living in local shelters. When working with these families, which information would be most important for the nurse to keep in mind? Select all that apply.

The children of homeless families have a limited ability to speak for themselves. The living conditions can negatively affect the children's physical and mental health.

A psychiatric-mental health nurse is working with a couple who are getting a divorce. The couple has 2 children, ages 5 and 7 years. When discussing the effects of divorce on the children, which information would the nurse most likely include?

The most difficult time for the children is usually the first 2 to 3 years after the couple's breakup.

A nurse is conducting the interview of a girl who has been accused of bullying by spreading rumors online about two other children in the class. The nurse interprets this action as:

cyberbullying.

A child's parents are getting a divorce. Which type of thinking may cause the child to believe that he or she is the root of the parents' problems?

egocentric

According to Piaget, adolescents who have reached the final stage of cognitive development are in a stage termed

formal operations.

A psychiatric-mental health nurse is providing counseling to parents who have just lost a child to cancer. They have a school-aged child at home. When explaining the concept of grief for the surviving child, which reaction would the nurse explain as being most commonly experienced by surviving siblings?

guilt

A psychiatric-mental health nurse is assessing the children whose parents are dependent on alcohol. The assessment reveals that the children are living in an unpredictable family environment and are experiencing difficulties in coping with stress. The nurse integrates knowledge of this information, being alert to problems focusing primarily on the children's ability in which area?

perform in school

Preschool programs that target children's social and emotional competencies are an example of ...

primary prevention.

The adjustment to an out-of-home placement can be viewed through the conceptual framework of Bowlby's stages of coping with parental separation. According to Bowlby (1960), the child initially responds to separation from parents with:

protest.

A nurse is providing care to the parents of a newborn and is working with them to promote attachment between themselves and their child. The nurse encourages actions that promote attachment to help achieve which outcome for their child?

to test the world without fear of rejection