Test 3: Ch 54 Cognitive/Mental Health Disorders PrepU

An adolescent tells the school nurse when questioned about a recent respiratory tract infection that the adolescent "vapes" sometimes with friends. The adolescent tells the nurse that there is nothing wrong with vaping since there is no tobacco involved. What would be the nurse's response?

"Vaping can be as addictive as cigarette smoking with the gradual nicotine dependence of e-cigarettes."

The nurse is discussing the use of alcohol with a group of adolescents. One of the teens says that she heard your fine motor control could be affected at low levels of alcohol. Another teen was correct in saying that most states consider a person under the influence of alcohol if the blood alcohol level is which of the following?

0.08 %

The nurse recognizes in working with children that the child who has polyphagia will likely exhibit which of the following?

Compulsive overeating

An infant diagnosed with nonorganic failure to thrive (NFTT) is being treated in the hospital. Which intervention would the nurse implement for this child to provide increased nutritional intake?

Document all feedings and the infant's response to the feeding.

The mother of an 8-year-old boy is concerned that her son has attention-deficit/hyperactivity disorder. She describes the symptoms he demonstrates. Which behavior should the nurse recognize as an example of impulsiveness?

Jumping out of his seat in the middle of class and running to the bathroom without the teacher's permission

The health care provider has recently informed parents that their child has an intellectual disability. The parents express the need for information and help with the important decisions they need to make concerning care of their child. What is an appropriate nursing diagnosis for this situation?

Parental knowledge deficit related to health care needs for a child with an intellectual disability `

Which sign or symptom suggests that a 5-year-old boy who does not maintain eye contact or speak may have autism spectrum disorder (ASD)?

The child constantly pats his legs. Repetitive motor mannerisms such as the boy constantly patting his legs are a typical behavior pattern for ASD.

What finding would suggest that a 5-year-old boy might have a developmental disorder?

The child is not able to follow directions.

The nurse in the well-child clinic observes that a 5-year-old child in the waiting room is having trouble using a crayon to color. During the visit, the same child climbs off the table several times even after the nurse has asked him to stay on the table. Each time the nurse reminds him he says, "Oh, yeah," and happily climbs back up. The nurse suspects that the child has:

attention deficit hyperactive disorder (ADHD).

During adolescence, alcohol is connected to what problem frequently seen in this age group?

automobile accidents

What potential side effect of smoking crack should the nurse teach adolescents about to ensure their understanding of the drug's possible impact?

cardiac arrest

A mother is suspicious that her adolescent has bulimia because the child seems to be dependent upon laxatives and vomits frequently after eating a meal. What physical finding would be most suggestive of this diagnosis?

dental erosions and caries

A 7-year-old child is diagnosed with a learning disability involving reading, writing, and spelling. The nurse identifies this as:

dyslexia.

The football coach notices that one of the players has been more energetic and overly happy lately during practice. The player also got in fight with a teammate last week. The coach contacts the health care provider, concerned that the student is using anabolic steroids. What physical sign would the nurse advise the coach to be on the lookout for that would further validate the illicit drug use?

gynecomastia Anabolic steroid use can cause periods of euphoria and decreased fatigue, not more fatigue. Gynecomastia is a common side effect of prolonged steroid use, as well as liver damage, hypertension, psychotic episodes, and aggression

A parent brings a child to the pediatric clinic, stating that the child was diagnosed with attention deficit hyperactivity disorder (ADHD). Which symptom does the nurse anticipate finding with this child?

inattention, impulsive, and hyperactivity

Which approach to drug education would be most effective for a group of school-age children?

providing the children with strategies of how to refuse offers of drugs

The mother of a 10-year-old boy phones the school nurse. The child has attention deficit/hyperactivity disorder (ADHD) and must go to the office to take medication at lunchtime. The child informed the mother that kids have been making fun that he no longer wants to take the medication. Which is the nurse's best response?

"You can speak with your doctor about extended-release medications for treatment of ADHD."

A mother has presented with her 2 year old child. She states that the child was talking in earlier months but recently has "kind of withdrawn." The child does not interact with other children or adults much but does enjoy throwing a ball, retrieving it and throwing it again. The nurse realizes that the child needs further assessment for which disorder?

Autism

The nurse is educating a parent support group for teens with anorexia. Which of the following statements would the nurse suggest for the parents?

Avoid making comments about the teen's appearance.

The nurse is performing a physical assessment of 16-year-old girl who is cognitively challenged. This client attended her local public elementary school through fifth grade and has since been enrolled at a special education school where she has received social and vocational training. She plans on getting a job in the coming month and on living independently in a few years. The nurse recognizes this client's level of cognitive challenge as:

Mild

The nurse is collecting data from the caregiver of an 8-year-old child who recently started soiling his underwear each day rather than using the toilet to defecate. How would the nurse document this in the medical record?

The client has regressed to encopresis.

The nurse is educating the parents of an 8-year-old boy about his learning disorder. Which of the following facts would be included in the discussion?

The disorder is caused by a difference in brain development.

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

Language delay

With all the warnings on cigarette packages and media coverage of the side effects of tobacco use, why do school-age children and adolescents continue to smoke or chew tobacco?

School-age and adolescent children view the threats to their health as far in the future, and the child feels that he or she can stop at any time.

Parents of a 36-month-old child confide in the clinic nurse that their child does not speak and spends hours staring at their ceiling fan. They are worried that their child may have autism spectrum disorder. Which question would be important for the nurse to ask the parents?

"Does your child come and hug you or seek comfort from you?" Children with autism spectrum disorder lack communication and social skills. These children often will not seek comfort, make eye contact, or develop peer relationships