Child and Adolescent Mental Health

A parent brings her daughter to the clinic due to issues with anxiety. The parent states to the nurse, "I have two children. One boy and one girl. My son didn't have these problems. Why does she?" What is the nurse's best response? "Girls have higher cortisol levels, creating a stronger stress response." "Your son probably had it, too, but hid his feelings better." "Anxiety can be increased in females due to hormones." "Most likely her anxiety is linked to being bullied."

"Anxiety can be increased in females due to hormones."

Your friend states, "I think my son is being bullied in school. He seems withdrawn and suddenly is sick when it is time to go to school. What should I do?" Which of the following is the best response? "Don't worry about it. He will bounce back." "Contact the school and talk to your son's teachers." "Maybe you should transfer him to a virtual school." "He probably isn't being bullied. Most children act that way at school."

"Contact the school and talk to your son's teachers."

A parent voices concern to the school nurse that she believes her daughter is being bullied. Which of the following data supports the parent's suspicion? She only has one good friend. Another student threw away her lunch. She has been repeated tripped in the hallway. Her daughter is excluded from games on the playground. Other students call her names.

Another student threw away her lunch. She has been repeated tripped in the hallway. Her daughter is excluded from games on the playground. Other students call her names.

A child with a known diagnosis of anxiety is receiving treatment for panic attacks. The goal of therapy will help the client think differently about situations and thus decrease panic attacks. Which type of therapy would be appropriate for the child? Social skills training Family therapy Behavioral therapy Medications

Behavioral therapy

Dalton is a 7-year-old boy who struggles with simple additions and telling time. What type of learning disability does Dalton have? Dyscalculia Dyspraxia Dysgraphia Dyslexia

Dyscalculia

A child is being assessed for a mental health disorder. Select the questions that will be asked to the parents during a pediatric mental health assessment. Select all that apply. How would you describe your child's relationship with friends?​ How would you describe your child's personality?​ Have you ever hurt your child during disciplining?​ Have there been any changes at home?​

How would you describe your child's relationship with friends?​ How would you describe your child's personality?​ Have there been any changes at home?​

The local clinic wants to work with the community to decrease youth violence in the area. What strategy would be the most effective? Place signs for after-school mentoring program in the clinic. Incorporate anti-violence education in pediatric visits. Announce to employees that the clinic is against youth violence. Donate money to the local school.

Incorporate anti-violence education in pediatric visits.

Amy is a nursing student studying for an exam on pediatric mental health. Help her by sorting the following disorders into the correct categories. Neurodevelopmental Disorders​ Disruptive Behavior Disorders Learning Disabilities​

Neurodevelopmental disorders include, but are not limited to, intellectual disability, autism spectrum disorder, motor disorders, and attention-deficit/hyperactivity disorder. Disruptive behavior disorders can be classified as oppositional defiant disorders and conduct disorders. Learning disabilities include dysphasia and auditory processing disorder. ​

Bradley is a 6-year-old boy being seen at the clinic for a well-child check. The parents report that Bradley is a very active boy, plays mainly outside, and loves to climb trees. However, you notice many marks on Bradley's body and he seems anxious with his parent in the room. Determine which marks are possible accidental injuries or possible signs of abuse.

Physical abuse includes unexplained fractures, internal injuries, injuries with patterns or on both sides of the body, or injuries to soft tissue in central areas (abdomen, inner arms and legs, groin, buttocks). In addition, there may be bald patches on the scalp and even bite marks on the child. ​ The bump on the head, abrasion on the knee, and bruises on the elbow and hip could all be explained by playing outside and climbing trees. Patterned bruising and bite and pinch marks are not caused by typical play and could be signs of abuse. The nurse should inquire about the cause of the injuries and report any suspicions to the provider. Documentation is key if protective services are notified.

The nurse is caring for a child and suspects abuse after physical assessment and talking with the parents. What is the nurse's next step? Report suspicions to protective services. Because abuse is only suspected, the nurse can only document the findings. Confront the parents about the abuse. Get another nurse to assess the child to confirm the findings.

Report suspicions to protective services.

A young client is diagnosed with conduct disorder. Which nursing diagnosis is priority based on the behavioral signs of this disorder? Impaired mobility Altered communication Self-care deficit Risk for violence

Risk for violence

A new student with auditory processing disorder is starting school next week. The principal asks the school nurse to explain the disorder to all the teachers. What would be the best description? The child will need special interventions for learning language. The child will need to be seated in the front of class to hear better. The child may exhibit violence toward others. The child may exhibit physical outbursts.

The child will need special interventions for learning language.

The nurse assesses a client suspected of having dyslexia. Which client symptom would confirm this diagnosis? The client has difficulty with reading because the words look different than how they are pronounced. The client has difficulty interpreting a map of the school. The client has difficulty organizing ideas in order to write a paragraph. The client has difficulty with understanding what people want because body language is confusing.

The client has difficulty with reading because the words look different than how they are pronounced.

A child has been diagnosed with having Tourette's syndrome. What sign would the nurse anticipate seeing during an assessment? Anger Tics Tremors Dystonia

Tics

A nurse is doing a presentation about Tourette syndrome to a group of pediatric nurses. Which of the following statements should be included in the presentation? The main symptom of Tourette syndrome is tremors. Tourette syndrome treatments include behavioral and physical therapies. Tourette syndrome can be cured with antipsychotic medications. Tics caused by Tourette syndrome improve by focusing on an activity.

Tics caused by Tourette syndrome improve by focusing on an activity.

Which of the following clients could suffer from separation anxiety disorder? Select all that apply. Haven is an 11-year-old who gets nervous and hyperventilates before quizzes. Tyler is a 5-year-old who has panic attacks every day before the bus comes. Ryder is a 2-year-old going to daycare for the first time. He clings to his mother. Ashton is an 8-year-old who repeatedly gets nightmares about leaving the house. She fears going to school. Eric is an 18-month-old staying at his grandparents' for the first time. He cries when his father leaves.

Tyler is a 5-year-old who has panic attacks every day before the bus comes. Ashton is an 8-year-old who repeatedly gets nightmares about leaving the house. She fears going to school.