Psych Quiz 2 Practice Questions

Which behavior indicates that the treatment plan for a child diagnosed with autism spectrum disorder was effective? 1. Plays with one toy for 90 minutes. 2. Repeats words spoken by a parent. 3. Holds the parent's hand while walking. 4. Spins around and claps hands while walking.

3. Holds the parent's hand while walking.

A child diagnosed with attention-deficit/hyperactivity disorder (ADHD) is going to begin medication therapy. The nurse should plan to teach the family about which classification of medications? 1. Central nervous system stimulants and nonstimulants 2. Monoamine oxidase inhibitors (MAOIs) 3. Antipsychotic medications 4. Anxiolytic medications

1. Central nervous system stimulants and nonstimulants

The nurse is planning care for an 11-year-old child with attention deficit hyperactivity disorder who is hospitalized for surgical treatment of a fractured femur. What is the priority nursing action? 1. Create a structured and consistent environment with a daily schedule 2. Give the child a written schedule of activities. 3. Provide a verbal explanation of what to expect during hospitalization 4. Restrict visitors while the child is hospitalized

1. Create a structured and consistent environment with a daily schedule

The nurse is planning care of an 8-year old client with autism spectrum disorder. Which of the following interventions should the nurse include in the clients plan of care? SATA 1. Establish a consistent schedule for providing care 2. Encourage the parents to be present when providing care 3. Assign the same staff members to care for the client when possible 4. Place the client in a private room with familiar belongings 5. Use therapeutic touch to comfort the client

1. Establish a consistent schedule for providing care 2. Encourage the parents to be present when providing care 3. Assign the same staff members to care for the client when possible 4. Place the client in a private room with familiar belongings

Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders? 1. Impaired social interaction related to difficulty maintaining relationships 2. Chronic low self-esteem related to excessive negative feedback 3. Deficient fluid volume related to abnormal eating habits 4. Anxiety related to nightmares and repetitive activities

1. Impaired social interaction related to difficulty maintaining relationships

Which is a diagnostic criterion for the diagnosis of ADHD? 1. Inattention. 2. Recurrent and persistent thoughts. 3. Physical aggression. 4. Anxiety and panic attacks.

1. Inattention.

Which of the following stimulant medications are prescribed in the treatment of ADHD? Select all that apply. 1. Methylphenidate (Concerta). 2. Guanfacine (Intuniv). 3. Lisdexamfetamine (Vyvanse). 4. Amphetamine/dextroamphetamine (Adderall). 5. Clonidine (Catapres).

1. Methylphenidate (Concerta). 3. Lisdexamfetamine (Vyvanse). 4.Amphetamine/dextroamphetamine (Adderall).

Which is a description of the etiology of autism spectrum disorder from a genetic perspective? 1. Parents who have one child diagnosed with autism spectrum disorder are at higher risk for having other children with the disorder. 2. Amygdala abnormality in the anterior portion of the temporal lobe is associated with the diagnosis of autism spectrum disorder. 3. Decreased levels of serotonin have been found in individuals diagnosed with autism spectrum disorder. 4. Congenital rubella has been implicated in the predisposition leading to autism spectrum disorder.

1. Parents who have one child diagnosed with autism spectrum disorder are at higher risk for having other children with the disorder.

Which is a predisposing factor in the diagnosis of autism spectrum disorder? 1. Having a sibling diagnosed with intellectual developmental disorder (IDD) 2. Congenital rubella. 3. Dysfunctional family systems. 4. Inadequate ego development.

2. Congenital rubella.

When assessing a 2-year-old diagnosed with autism spectrum disorder, what should a nurse expects? 1. Hyperactivity and attention deficits 2. Failure to develop interpersonal social skills 3. History of disobedience and destructive acts 4. High levels of anxiety when separated from a parent

2. Failure to develop interpersonal social skills

The health care provider prescribes medication for a child diagnosed with attention-deficit/hyperactivity disorder (ADHD). What is the desired behavior for which the nurse should monitor? 1. Increased expressiveness in communicating with others. 2. Improved ability for cooperative play with other children. 3. Ability to identify anxiety and implement self-control strategies. 4. Improved socialization skills with other children and authority figures.

2. Improved ability for cooperative play with other children.

Which factors does Mahler attribute to the etiology of attention deficit-hyperactivity disorder (ADHD)? 1. Genetic factors. 2. Psychodynamic factors. 3. Neurochemical factors. 4. Family dynamic factors.

2. Psychodynamic factors.

A child diagnosed with autism spectrum disorder has a nursing diagnosis of impaired social interaction. The child is currently making eye contact and allowing physical touch. Which statement addresses the evaluation of this child's behavior? 1. The nurse is unable to evaluate this child's ability to interact socially based on the observed behaviors. 2. The child is experiencing improved social interaction as evidenced by making eye contact and allowing physical touch. 3. The nurse is unable to evaluate this child's ability to interact socially because the child has not experienced these behaviors for an extended period. 4. The child making eye contact and allowing physical touch are indications of improved personal identity, not improved social interaction.

2. The child is experiencing improved social interaction as evidenced by making eye contact and allowing physical touch.

A child diagnosed with autism spectrum disorder withdraws into self and, when spoken to, makes inappropriate nonverbal expressions. The nursing diagnosis of impaired verbal communication is documented. Which intervention would address this problem? 1. Assist the child in recognizing separateness during self-care activities. 2. Use a face-to-face and eye-to-eye approach when communicating. 3. Provide the child with a familiar toy or blanket to increase feelings of security. 4. Offer self to the child during times of increasing anxiety.

2. Use a face-to-face and eye-to-eye approach when communicating.

The nurse is teaching the parent of a 7-year-old client with newly diagnosed attention deficit hyperactivity disorder. Which statement by the parent would require follow up? 1. "I should offer only two options when my child is choosing things like clothing or meals" 2. "I will need to advocate for an individual educational plan for my child 3. "My child will outgrow this condition and be fully recovered by adulthood" 4." When I am talking with my child, I should not be multitasking"

3. "My child will outgrow this condition and be fully recovered by adulthood"

A nurse prepares to lead a discussion at a community health center regarding children's health. The nurse wants to use current terminology when teaching about these issues. Which terms are appropriate for the nurse to use? (Select all that apply.) 1. Mental retardation 2. Asperger's disorder 3. Autism spectrum disorder 4. Pervasive developmental disorder 5. Intellectual development disorder

3. Autism spectrum disorder 5. Intellectual development disorder

The school nurse is called to the classroom to assist with a 7-year old child with attention deficit hyperactivity disorder who is throwing books and attempting to hit the other children. What is the best initial action for the nurse to take? 1. Administer a PRN dose of methylphenidate 2. Ask the child to blow up a ballon 3. Place the child in a quiet room with supervision 4. Reinforce the consequences of disruptive behaviors

3. Place the child in a quiet room with supervision

A client diagnosed with ADHD and juvenile diabetes is prescribed methylphenidate (Ritalin). Which nursing intervention related to both diagnoses takes priority? 1. Teach the client and family that methylphenidate should be taken in the morning because it can affect sleep. 2. Teach the client and family to report restlessness, insomnia, and dry mouth. 3. Teach the client and family to monitor fasting blood sugar levels daily at various times during treatment. 4. Teach the client and family that methylphenidate should be taken exactly as prescribed.

3. Teach the client and family to monitor fasting blood sugar levels daily at various times during treatment

Which short-term outcome would be considered a priority for a hospitalized child diagnosed with autism spectrum disorder who bites self when care is attempted? 1. The child will initiate social interactions with one caregiver by discharge 2. The child will demonstrate trust in one caregiver by day 3. The child will not inflict harm on self during the next 24-hour period. 4. The child will establish a means of communicating needs by discharge.

3. The child will not inflict harm on self during the next 24-hour period.

The nurse on an in-patient pediatric psychiatric unit is admitting a client diagnosed with autism spectrum disorder. Which would the nurse expect to assess? 1. A strong connection with siblings. 2. An active imagination. 3. Abnormalities in physical appearance. 4. Absence of language.

4. Absence of language.

A 5-year-old child moves and talks constantly. The child awakens before the parents every morning. The child attends kindergarten, but the teacher reports difficulty handling the behavior. What is this child's most likely problem? 1. Tic disorder 2. Oppositional defiant disorder (ODD) 3. Intellectual development disorder (IDD) 4. Attention-deficit/hyperactivity disorder (ADHD)

4. Attention-deficit/hyperactivity disorder (ADHD)

A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child's disorder? 1. Has occasional toileting accidents. 2. Is unable to read children's books. 3. Cries when separated from a parent. 4. Continuously rocks in place for 30 minutes.

4. Continuously rocks in place for 30 minutes.

A 5-year-old child diagnosed with attention-deficit/hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse's best action? 1. Call for emergency assistance from another staff member. 2. Instruct the parents to take the child home immediately. 3. Direct this child to stop, and then comfort the other child. 4. Take the child into another room with toys to act out feelings.

4. Take the child into another room with toys to act out feelings.

A 7 year-old client has been prescribed atomoxetine (Strattera). An appropriate nursing diagnosis is imbalanced nutrition: less than body requirements R/T a side effect of anorexia. Which short-term correctly written outcome is appropriate? 1. The client will eat meals in the dining area while socializing. 2. The client will maintain expected parameters of growth over the next 6 months. 3. The client will verbalize the importance of eating 100% of all meals. 4. The client will eat 80% of all three meals throughout the hospital stay.

4. The client will eat 80% of all three meals throughout the hospital stay.

The nurse is caring for a client receiving prescribed atomoxetine (Strattera) for attention deficit hyperactivity disorder (ADHD). Which clinical data should the nurse monitor while the client receives this medication? A. liver function tests B. complete blood count C. urine analysis D. fasting blood glucose

A. liver function tests Rationale: Atomoxetine is a non-stimulant treatment option for ADHD. This medication may adversely cause hepatic injury, and the nurse should monitor the client's liver function tests as they receive this medication. Atomoxetine is an attractive option for ADHD as it may not cause the nervousness, weight loss, and tics associated with stimulants.

The nurse is developing a care plan for a hospitalized toddler who has autism. What information regarding the child is most important to obtain from the parents? A. Height and weight B. Bedtime routine C. Vaccine history D. Developmental stage

B. Bedtime routine Rationale: Autism often involves a strong preference for routines and predictability. Disruptions in routines, especially bedtime routines, can cause distress and anxiety in children with autism. Obtaining information about the bedtime routine allows the healthcare team to create a more comfortable and supportive hospital environment. Hospitalization may be a challenging experience for a toddler, and adding autism to the clinical picture requires home routines and rituals to be continued during hospitalization. Another strategy for a hospitalized individual is to provide a low-stimulus environment with consistent caregivers.

A nurse is providing teaching to an adolescent client who is to begin taking atomoxetine for ADHD. The nurse should instruct the client to monitor for which of the following adverse effects? (Select all that apply.) A. Somnolence B. Yellowing skin C. Increased appetite D. Fever E. Malaise

B. Yellowing skin D. Fever E. Malaise

The nurse is performing a follow-up visit on an adolescent recently prescribed guanfacine (intuniv). Which of the following assessments indicates a therapeutic response to the medication? A. Euthymic mood B. Less social anxiety C. Improved academic performance D. No suicidal ideations

C. Improved academic performance Rationale: Guanfacine is an alpha2A-adrenergic receptor agonist and is approved to treat symptoms of attention deficit hyperactivity disorder (ADHD). The medication comes in an extended-release form to lessen the common side-effect of sedation. Guanfacine is efficacious for individuals with ADHD, especially if they possess motor hyperactivity and impaired concentration. The client reporting improving academic performance indicates that the client is receiving the therapeutic benefit of the medication, as individuals with ADHD usually have decreased work and scholastic performance.

The nurse is caring for a client diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse should anticipate a prescription for which medication? A. Citalopram (Celexa) B. Risperidone (Risperdal) C. Methylphenidate (Ritalin) D. Carbamazepine (Tegretol)

C. Methylphenidate (Ritalin) Rationale: ADHD may be treated by psychostimulants such as amphetamines or methylphenidate. These medications work by projecting dopamine and norepinephrine in the front of the brain to ameliorate the symptoms of inattention, impulsivity, and hyperactivity.

A nurse is caring for a school age child who has conduct disorder and a new prescription for methylphenidate transdermal patches. Which of the following information should the nurse provide about the medication? A. Apply the patch once daily at bedtime. B. Place the patch carefully in a trash can after removal. C. Apply the transdermal patch to the anterior waist area. D. Remove the patch each day after 9 hr.

D. Remove the patch each day after 9 hr.

A 5-year-old child suspected of having attention-deficit/hyperactivity disorder (ADHD) is brought to the pediatric clinic for an evaluation. Which behavior, if observed by the clinic nurse, would support the suspicion of ADHD? A. Lethargy B. Preoccupation with body parts C. Poor verbal skills D. Short attention span

D. Short attention span Rationale: Children with ADHD exhibit short attention spans due to a variety of factors. Inattention tends to appear when a child is involved in tasks that require vigilance, rapid reaction time, visual and perceptual search, and systematic and sustained listening.

A nurse will prepare teaching materials for the parents of a child newly diagnosed with attention deficit hyperactivity disorder (ADHD). Information will focus on which medication likely to be prescribed? a. Paroxetine b. Imipramine c. Methylphenidate d. Carbamazepine

c. Methylphenidate

What is the nurse's priority focused assessment for side effects in a child taking methylphenidate for attention deficit hyperactivity disorder (ADHD)? a. Dystonia, akinesia, and extrapyramidal symptoms b. Bradycardia and hypotensive episodes c. Sleep disturbances and weight loss d. Neuroleptic malignant syndrome

c. Sleep disturbances and weight loss

A desired outcome for a 12-year-old diagnosed with attention deficit hyperactivity disorder (ADHD) is to improve relationships with other children. Which treatment modality should the nurse suggest for the plan of care? a. Reality therapy b. Simple restitution c. Social skills group d. Insight-oriented group therapy

c. Social skills group

In the Autistic child important interventions inside all of the following except:

cuddling