PREP U CHPT 22

"Do you ever get scolded at school for not sitting still?

The mental health nurse assesses for the most common mental health disorder found in children when asking which question?

The child has difficulty forming complete sentences.

The nurse expects the child with expressive language disorder is likely to present with which nursing assessment finding?

the child has difficulty forming sentences

The nurse expects the child with expressive language disorder is likely to present with which nursing assessment finding?

Risperidone

Which is the drug of choice for a tic disorder?

Palilalia

is the repeating of one's own words or sounds.

Echolalia

is the repeating of the last heard sound, word, or phrase.

Coprolalia

is the use of socially unacceptable words, which are frequently obscene.

the child is not paying attention to the nurses questions

A nurse is assessing a child with attention deficit hyperactivity disorder (ADHD). For every question asked by the nurse, the child answers, "I don't know." What is the most likely reason for the child to respond in this way?

Overactivity Impulsiveness

A nurse is assessing a child with attention deficit hyperactivity disorder. Which assessment finding is the nurse likely to see in this child?

conduct disorder

A nurse is assessing a child who had an episode of passing feces in the classroom. The child has no other disabilities. The nurse concludes that the child had intentional encopresis. Which other condition is the child likely to have?

Teach the client's classmates that the tics are not something that the client can control.

A 7-year-old client experiences tics, which have become increasingly frequent in recent months. How should the nurse educate the client's teacher to respond to the tics?

"The client may have some side effects, like insomnia, loss of appetite, or weight loss, but they are rare."

A 9-year-old client with attention deficit hyperactivity disorder (ADHD) has been placed on the stimulant methylphenidate. The nurse knows that the teaching has been effective when the client's parents state what?

growth delay

A child is taking methylphenidate for treatment of attention deficit hyperactivity disorder (ADHD). Which side effect must be monitored in this child?

Selective serotonin and norepinephrine reuptake inhibitor (SSNRI)

A child with an existing diagnosis of attention deficit hyperactivity disorder shows signs and symptoms of depression. Which would most likely be prescribed?

Insomnia Weight loss Appetite suppression

A child with attention deficit hyperactivity disorder (ADHD) has been prescribed dextroamphetamine. For what effects should the nurse tell the parents to monitor the child? Select all that apply.

The child avoids eye contact. The child does not relate to parents. The child becomes upset with minor changes in routine.

A nurse is assessing a 2-year-old child diagnosed with autism spectrum disorder. Which findings does the nurse expect to find on assessment?

"Please don't tell my mom anything we've talked about."

A nurse is assessing a 7-year-old child in a school. The nurse suspects that the child has an insecure relationship with the parents. Which statement said by the child would have led the nurse to this conclusion?

Conduct disorder

A nurse is assessing a child who had an episode of passing feces in the classroom. The child has no other disabilities. The nurse concludes that the child had intentional encopresis. Which other condition is the child likely to have?

Developmental coordination disorder

A nurse is assessing an 8-year-old child. The child is unable to dress the self and is not able to manipulate toys, such as building blocks. The child stutters while talking. The child does not have impaired motor coordination. What is the most likely diagnosis of the child?

The child is able to complete assignments or tasks with assistance.

A nurse is caring for a child with attention deficit hyperactivity disorder (ADHD). The child is given medication and behavioral modification therapy to treat the condition. Which outcome achieved within 3 days would indicate successful therapy?

To help the child self-express

A nurse is caring for a child with attention deficit hyperactivity disorder. The nurse asks the child to draw pictures of the child and family members. What is the most likely rationale for this intervention?

Imipramine

A nurse is caring for a child with enuresis. The child does not have any abnormalities associated with development or behavior. Which drug would the child be prescribed to treat the condition?

The child should remain free of injury. The child should follow directions. The child should be able to complete tasks.

A nurse is preparing a treatment plan for a child with attention deficit hyperactivity disorder (ADHD). What should be the treatment goals for the child?

"Your child has trouble following the teacher's directions."

A nurse is speaking to the parents of a child with attention deficit hyperactivity disorder (ADHD). The parents ask the nurse about the reason for the child's underachievement in academics. What explanation given by the nurse is most appropriate?

The child constantly interrupts while playing. The child doesn't follow the rules of the game. The child is not cooperative while playing

A nurse is speaking to the peers of a child with attention deficit hyperactivity disorder (ADHD). The nurse finds that these children do not like the child and do not want to include the child during play. What are the likely reasons for the children feeling this way?

frontal lobe

A nurse is studying the brain images of children with attention deficit hyperactivity disorder (ADHD). In these images, the nurse would find abnormalities related to which area of the brain?

"Swearing is not allowed here on the unit." "You will lose television privileges for 24 hours if you ignore a unit rule." "When you feel like swearing come and talk to me."

A nurse is using limit setting with a child hospitalized for a psychiatric disorder. Which statement made by the nurse would reflect appropriate limit setting?

The child cannot sit through meals.

A nurse is working with a child undergoing behavioral modification therapy for attention deficit hyperactivity disorder (ADHD). The nurse finds that the child is thin. What could be the most likely reason for this observation?

both interviews provide unique and meaningful information

A nurse tells the child and caregiver that the nurse will interview each of them separately. The caregiver questions why this needs to occur. What is the nurse's best response?

substance abuse disorder

A nursing student is aware that which accounts for more deaths, illnesses, and disabilities across the life span than any other preventable condition?

language difficulty

After educating a group of students on attention deficit hyperactivity disorder (ADHD), the instructor determines that additional education is required when the group identifies which as a typical characteristic?

self care

After teaching a group of nurses about assessing a child with autism spectrum disorders, the group leader determines that additional education is needed when the group identifies which as a critical assessment area in the psychosocial domain?

Genetic syndromes

After teaching a group of nursing students about intellectual disability, the instructor determines that the teaching was successful when the students identify which as the most common etiology?

Atomoxetine

After teaching a group of nursing students about pharmacotherapy and attention deficit hyperactivity disorder (ADHD), the instructor determines that the education was successful when they identify which agent as the first line choice?

Atomoxetine (Strattera)

After teaching a group of nursing students about pharmacotherapy and attention deficit hyperactivity disorder (ADHD), the instructor determines that the education was successful when they identify which agent as the first line choice?

Let the client choose another reward that would be more fun.

An adolescent client says the client has become bored with the video game that has been used as a reward for positive behavior. Which is the most effective intervention for this client?

Rocking Hand flapping Head banging

Assessment of a child with autism spectrum disorder reveals stereotypic behavior. Which behavior would the nurse most likely document being demonstrated by the child?

Develop self-awareness of issues that remind them of their own childhood and adolescence.

Nurses who work in a pediatric psychiatric-mental health facility should do what?

The client spends time alone with little interest in making friends.

The client is 6-year-old who has been diagnosed with autism spectrum disorder. Which symptom would the client display?

brain

The nurse is assessing a child diagnosed with expressive language disorder. During the assessment, the parents tell the nurse the child had normal speech development until around 3 years of age when the child was involved in a serious car accident. Which part of the body may be affected in the child?

Flapping hands repeatedly

The nurse is assessing a child with autism spectrum disorder. After reading the medical history, the nurse finds that the child engages in stereotypical motor behavior. Which observation of the child made by the nurse might be indicative of stereotypical motor behavior?

The child continuously repeats socially unacceptable words.

The nurse is assessing a child with tic disorder. The nurse documents in the assessment sheet that the child exhibits coprolalia. What might be be interpreted from this?

Onset before child is 2.5 years old

The nurse is counseling a family whose child has autism. When describing this condition, which would the nurse most likely include?

early in the afternoon

The nurse is developing a care plan for a client diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse teaches the client to take the last dose of dextroamphetamine when?

Physical stress and fatigue can increase symptoms in tic disorder.

The nurse is teaching a client's parents about managing the child's tic disorder. The nurse explains that it is extremely important for the child to get plenty of rest. What is the primary reason for the nurse to provide this education?

The child should use pads with a warning bell.

The nurse is teaching the parents of a child with involuntary enuresis about methods to manage the condition. Which intervention does the nurse recommend to the parents?

"At this child's age, these behaviors are expected."

The parents of a 2-year-old child complain to the nurse that their child is always dismantling toys, scribbling on the walls, and running all around the place and that it is very difficult to control the child's behavior. What is the most appropriate response from the nurse?

genetic factors

The parents of a toddler are distraught that the toddler has been diagnosed with autism spectrum disorder. When providing care for the child and the parents, the nurse understands that autism spectrum disorder is thought to be caused by what?

Tourette's syndrome

When a client repeatedly vocalizes an obscene phrase and imitates the motions of a staff member, the nurse documents that the client is most likely exhibiting symptoms of what disorder?

Highly distractible, excitable, impulsive, and excessively active

When attention deficit hyperactivity disorder (ADHD) is present, the child will most likely exhibit which core symptoms?

70

When describing intellectual disability to a group of parents, a nurse would identify which intelligent quotient (or less) as the usual threshold?

soxial

When performing a spiritual assessment on a child, the nurse and child discuss church attendance and practices that are most important to the child. Which domain is the nurse addressing when doing this assessment?

Safety Self-esteem

When providing care for children with psychiatric disorders, which are the priorities for care?

Building on the child's strength

When working with children with neurodevelopmental disorders, which would be appropriate?

Use appropriate vocabulary Use reflective comments

Which are nursing actions that support active listening?

effects on siblings

Which aspect of managing a child with attention deficit hyperactivity disorder (ADHD) may often be overlooked in the treatment plan?

Tourette syndrome

Which condition is characterized by multiple motor tics and one or more vocal tics many times throughout the day for 1 year or more?

Stuttering

Which is a disturbance of the normal fluency and time patterning of speech?

Atomoxetine

Which is an antidepressant used to treat attention deficit hyperactivity disorder (ADHD)?

Methylphenidate

Which medication is effective in 70% to 80% of children with attention deficit hyperactivity disorder (ADHD)?

methylfenidate (Ritalin)

Which medication is effective in 70% to 80% of children with attention deficit hyperactivity disorder (ADHD)?

social skills training

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

enuresis

bed wetting