Psych test

29. What is the normal BMI range?

20 to 24.9, overweight=25 to 29.9, obese >30

19. What is the difference between Asperger's disorder and other autistic behaviors?

Asperger's does not have pronounced cognitive or language delays nor do they have as severe symptoms

35. What are some characteristics that may be found in the purge binge cycles with a client with bulimia nervosa?

H-obsession with food, U-underweight, N-Needs for client met, G-gross distortion of body image, E- Exercise, laxatives R-Refusal to eat

15. What is the leading cause of death among teenagers?

MVA, unintentional injuries

30. Which medication is used most often in the treatment for anorexia and bulimia?

Prozac, SSRI

36. Know the different types of crisis situations: Situational, Maturational; Developmental etc.

Situational: acute response to an external situational stressor, Maturational: failed attempts to master developmental tasks a/w transitions in life cycle

6. When should medications for ADD or ADHD be given to a child?

after breakfast

10. In reference to a child with conduct disorder, list 5 specific behaviors/characteristics that relate to the diagnosis of this disorder.

aggression to people/animals, destruction of property,deceitfulness or theft, serious violations of rules, lacks feelings of guilt

23. What is the main reason for behavior modification programs are utilized in the treatment of eating disorders?

allow clients to maintain control

18. A child with Autism has impaired communication behaviors. What are some interventions that can be done to help with this issue?

assign same staff members as often as possible, provide consistent caregivers

20. A teen is diagnosed with Anorexia Nervosa. What kind of treatment modality will be initiated and why?

behavior modification, will provide client with control over behavior choices

14. What are some signs that indicate a teen is at risk for suicide?

changes in behavior, setting affairs in order, tough situations, alcohol/drug abuse, helplessness

5. A 3 year old is in constant motion and is unable to sit still during story time. How would a nurse evaluate this situation appropriately?

child must be evaluated according to developmental norms

3. A child is experiencing Separation Anxiety Disorder, what are some of the contributing factors that may be found when assessing a child for this disorder?

child's mother diagnosed with seperation anxiety disorder

2. An adolescent child who has conduct disorder at the age of 18 is placed in juvenile detention. What is the difference between adolescent onset conduct disorder and childhood conduct disorder?

childhood is more severe, and these individuals likely develop antisocial personality disorder in adulthood

1. After an adolescent begins Ritalin therapy for ADHD, what is the common side effect and the explanation for this symptom

decrease in appetite

22. A teen is admitted for Bulimia Nervosa to the adolescent unit. What major observation about this client might the nurse note and why?

dental deterioration, the emesis produced during purging is acidic and corrodes the tooth enamel

8. If a child has ADHD and is having difficulty completing the homework assignments, what would the nurse teach the parents to do?

divide hw into small steps and plan an activity break

21. What are some of the influences in the development of anorexia nervosa?

family dynamics, the home environment is overprotective and demands perfection

12. There are many therapies that can be initiated for treatment in adolescents and teenagers. Which treatment modality is especially helpful for this developmental group?

group therapy

7. How does Ritalin work on a child with ADHD?

it stimulates the parts of the brain to help the child focus and pay attention

25. When a home care nurse arrives at the home of a client experiencing Bulimia, the client is on the floor unconscious. There is an empty bottle of laxatives found on the floor. What is happening with this client?

metabolic acidosis

17. What are some of the manifestations that a child with Autism may exhibit?

no eye contact, impaired social interaction, impairment in communication, and imaginitive activity,restricted activities and interests

34. A client has less than 200 cal per day. What might you expect to find with this client?

no hunger sensations

33. What are the symptoms of hypocalcemia, and why might this happen to a client with bulimia nervosa? What are some comorbidities associated with eating disorders?

numbness, muscle cramps, muscle spasms, facial twitching, decreased HR, mood disorders, anxiety disorders, depression, OCD, vomiting

11. What is oppositional behavior and what characteristics are displayed?

persistent angry behavior and defiant behavior, usually starts by being defiant towards parents, then teachers and peers

16. A child has Autism Spectrum Disorder and mom is feeling responsible for this situation. What would the nurse reply to the parent?

poor parenting doesnt cause autism, research has shown that abnormalities in brain structure or function are to blame. this is beyond your control

13. What are some nursing interventions one would do if a child with conduct disorder or oppositional defiant disorder acts out?

recognize escalating aggressive behaviors and intervene before violence occurs, remove them from group therapy

39. What are some of the manifestations of PTSD?

reexperiencing traumatic events, dreams, high level of anxiety, depression, anger, must be present for a month to be diagnosed with PTSD

4. A child is diagnosed with disruptive behavior disorder. What behavioral approach would the nurse advocate in this situation?

reinforcing positive actions to encourage repetition of desirable behaviors

26. A nurse is working with clients that have anorexia or bulimia. What intervention is the most important to do during mealtimes?

remain with client for at least one hour after meal

38. What is a nurse's responsibility about child abuse?

report it, document, teach how to prevent it

9. What interventions should the nurse anticipate utilizing when planning care for a child with ADHD?

safety, focus on positive accomplishments, low stimulus environment, therapy

28. A client is admitted to the hospital after found to be underweight and a loss of more than 15% of her normal established weight. What interventions would you expect to find on this patient?

stay with client one hour after meals, interventions for anorexia nervosa

27. A client with a long history is seen in the ER for hallucinations, dry mucous membranes and is very restless. What do you suspect is going on with this client?

vomiting- dehydration-electrolyte imbalance

24. What is the major difference in the symptoms of anorexia and bulimia?

with bulimia, the client's weight may be within normal range . With anorexia, the client is <85%