MH Ch. 22 Prep U

The mental health nurse assesses for the most common mental health disorder found in children when asking which question? A. "Do you ever get scolded at school for not sitting still? B. "Are you sad often?" C. "What makes you afraid or nervous?" D. "Do you ever hear voices in your head telling you what to do?"

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

Which are nursing actions that support active listening? Select all that apply. A. Use appropriate vocabulary B. Interrupt conversations to ask more questions C. Sit with arms and legs crossed D. Use reflective comments E. Use a computer to write out observations

A. Use appropriate vocabulary D. Use reflective comments

A nurse is working with a pediatric client who appears shy but then warms up to the interaction and becomes engaged. How would the nurse best describe the client's temperament? A. slow-to-warm-up and appropriate B. difficult, yet expected C. consistent with age D. easy with a developmental lag

A. slow-to-warm-up and appropriate

The client is 6-year-old who has been diagnosed with autism spectrum disorder. Which symptom would the client display? A. The client has multiple motor tics and several vocal tics. B. The client has an irresistible urge to pull out the client's own hair. C. The client spends time alone with little interest in making friends. D. The client becomes overly attached to those around the client.

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

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? A. "Your child has impaired cognitive abilities." B. "Your child has difficulty with reading and writing." C. "Your child does not attend classes." D. "Your child has trouble following the teacher's directions."

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

Assessment of an 8-year-old client reveals communication difficulties and an inability to manage age-appropriate tasks. The child undergoes standardized testing. An intelligent quotient (IQ) of which would support a diagnosis of intellectual disability? A. 85 B. 75 C. 95 D. 65

D. 65

A child with an existing diagnosis of attention deficit hyperactivity disorder shows signs and symptoms of depression. Which would most likely be prescribed? A. Tricylic antidepressant B. Mood stabilizer C. Monoamine oxidase inhibitor D. Selective serotonin and norepinephrine reuptake inhibitor (SSNRI)

D. Selective serotonin and norepinephrine reuptake inhibitor (SSNRI)

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? A. Flexibility B. Communication C. Behaviors D. Self-care

D. Self-care

A nurse in the Emergency Department (ED) suspects that a child has been abused. Which action should the nurse take immediately? A. Have the caregiver/parent held by hospital security. B. Do not allow any visitors. C. Ask the child if they feel safe. D. Start the process of contacting authorities.

D. Start the process of contacting authorities.

A client tells the nurse that their significant other acts using non-supportive behavior, which is the same way that their parent, who also had a mental health issue, acted. How would the nurse best categorize this relationship? A. realistic partnership B. potentially insignificant C. mutually beneficial D. assortative mating

D. assortative mating

When assessing a child with encopresis, impairments will depend upon all of the following conditions except for what? A. Parental reaction B. Intolerance to sedentary activity C. Interactions with peers D. Impact on self-esteem

B. Intolerance to sedentary activity

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? A. Hyperactivity B. Language difficulty C. Inattention D. Impulsiveness

B. Language difficulty

After educating the parents of a child diagnosed with attention deficit hyperactivity disorder (ADHD) on the disorder and its treatment, the nurse determines that the education has been effective when the parents make which statement? A. "We need to remember that our child is not a bad kid but just has difficulty with impulse control and attention." B. "We should set up regular routines, but not worry if our child violates the limits once in a while." C. "We should stop the medication after two months to see how effective it is in really controlling symptoms." D. "We need to be careful so our child doesn't develop a substance abuse problem."

A. "We need to remember that our child is not a bad kid but just has difficulty with impulse control and attention."

The nurse provides care to a school-age child whose sibling passed away after a motor vehicle accident. The child's parents ask what they should expect from their child because of the loss. Which response by the nurse is accurate? A. "Your child may exhibit behavioral issues as a way of expressing grief." B. "Your child may become fascinated with morbid movies or books." C. "Your child may be reluctant to share feelings for fear of being viewed as childish." D. "Your child may assume a parental role within the family as a method of coping.

A. "Your child may exhibit behavioral issues as a way of expressing grief."

Approximately what percentage of children diagnosed with attention deficit hyperactivity disorder (ADHD) will continue to experience symptoms into adulthood? A. 60% B. 50% C. 24% D. 30%

A. 60%

The nurse working with pediatric clients knows the importance of checking for developmental delays, which not only slow the child's progress but also are often associated with what? A. Development of poor self-esteem B. Resilience C. Normalization D. Bullying

A. Development of poor self-esteem

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. A. Insomnia B. Weight loss C. Appetite suppression D. Hypotension E. Weight gain

A. Insomnia B. Weight loss C. Appetite suppression

The nurse is counseling a family whose child has autism. When describing this condition, which would the nurse most likely include? A. Onset before child is 2.5 years old B. Connection to ineffective parental practices C. Detection after the child enters school D. Girls are more frequently affected than boys

A. Onset before child is 2.5 years old

Which type of intervention may be helpful for children who are bullies? A. Social skills training B. Bibliotherapy C. Art therapy D. Play therapy

A. Social skills training

A nurse is assessing a 2-year-old child diagnosed with autism spectrum disorder. Which findings does the nurse expect to find on assessment? Select all that apply. A. The child becomes upset with minor changes in routine. B. The child does not relate to parents. C. The child becomes frightened when left alone. D. The child is extremely playful. E. The child avoids eye contact.

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

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? A. The child cannot sit through meals. B. The child finds food distasteful. C. The child is genetically predisposed to being thin. D. The child has decreased appetite.

A. The child cannot sit through meals.

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? A. The child is able to complete assignments or tasks with assistance. B. The child is able to interact and to develop successful peer relationships. C. The child is able to demonstrate successful interaction with family members over a long period of time. D. The child is able to express positive statements about the self.

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

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? A. The child should use pads with a warning bell. B. The child should begin therapeutic play. C. The child's dietary patterns should be changed. D. The child needs to be taught special exercises.

A. The child should use pads with a warning bell

Which medication is effective in 70% to 80% of children with attention deficit hyperactivity disorder (ADHD)? A. Pemoline B. Methylphenidate C. Dextroamphetamine D. Amphetamine

B. Methylphenidate

A nurse is developing the plan of care for a 6-year-old child diagnosed with attention deficit hyperactive disorder (ADHD). The nurse identifies interventions to address which behavior issues? Select all that apply. A. Throws a temper tantrum when asked to clean up toys B. Has a habit of not waiting for a turn C. Does not acknowledge others' right to select group activities D. Frequently acts out during class "quiet time" E. Gently asks a peer to share a particular toy

A. Throws a temper tantrum when asked to clean up toys B. Has a habit of not waiting for a turn C. Does not acknowledge others' right to select group activities D. Frequently acts out during class "quiet time"

Which term describes the use of socially unacceptable words, which are frequently obscene? A. Palilalia B. None of the above C. Coprolalia D. Echolalia

C. Coprolalia

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? A. "By interviewing separately I can validate all the information." B. "Both interviews provide unique and meaningful information." C. "Research shows that information validates the child's feeling." D. "Parents know best and I will determine this during the interview."

B. "Both interviews provide unique and meaningful information."

The nurse provides care to a child whose parents recently separated and are planning to divorce. The child's parents ask the nurse how they can help their child deal with the situation. Which response by the nurse is appropriate? A. "Your child will benefit from the introduction of new routines." B. "It is important that you help your child by not speaking negatively about the other." C. "It is best for your child to spend the majority of time with the custodial parent." D. "Your child will likely require pharmacologic intervention."

B. "It is important that you help your child by not speaking negatively about the other."

A child with attention deficit hyperactivity disorder (ADHD) is prescribed methylphenidate. The parent reports that the child is having trouble sleeping. When assessing this report, which question would be most appropriate for the nurse to ask? A. "Are you crushing the sustained release tablet?" B. "When does the child take the last dose of medication?" C. "Is the child having any other complaints?" D. "Is the child taking any over-the-counter medications?"

B. "When does the child take the last dose of medication?"

Which is an antidepressant used to treat attention deficit hyperactivity disorder (ADHD)? A. Dextreamphetamine B. Atomoxetine C. Pemoline D. Amphetamine

B. Atomoxetine

A nurse is evaluating a child's attention span. Which finding indicates that the child's attention span is decreased? A. Child is engaged in a conversation. B. Child is rocking in the chair continuously. C. Child is able to count back from 100 by 7s. D. Child reads a book while in the waiting room.

B. Child is rocking in the chair continuously.

Nurses who work in a pediatric psychiatric-mental health facility should do what? A. Use self-disclosure of personal struggles with problems of childhood and adolescence with clients. B. Develop self-awareness of issues that remind them of their own childhood and adolescence. C. Ensure that their own physical and mental health needs are placed above those of the clients. D. Ensure that their professional life is a higher priority than their personal life.

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

A nurse is assessing an 8-year-old child. The child is unable to dress without assistance and is not able to manipulate toys, such as building blocks. The child stutters while talking. The difficulty with motor coordination was first noted after the child started to attend school, and it is not an aspect of a general underlying medical condition. What is the most likely diagnosis of the child? A. Learning disorder B. Developmental coordination disorder C. Tic disorder D. Cerebral palsy

B. Developmental coordination disorder

Which aspect of managing a child with attention deficit hyperactivity disorder (ADHD) may often be overlooked in the treatment plan? A. Effects on the marriage B. Effects on siblings C. Effects on school performance D. Effects on parents' coping styles

B. Effects on siblings

Assessment of a child with autism spectrum disorder reveals stereotypic behavior. Which behavior would the nurse most likely document being demonstrated by the child? Select all that apply. A. Word repetition B. Head banging C. Hand flapping D. Rocking E. Pronoun reversal

B. Head banging C. Hand flapping D. Rocking

A nurse is assessing a child with attention deficit hyperactivity disorder. Which assessment finding is the nurse likely to see in this child? Select all that apply. A. Stereotypical movements B. Impulsiveness C. Stuttering D. Attentiveness E. Overactivity

B. Impulsiveness E. Overactivity

The nurse is assessing an adolescent client who was diagnosed with autism spectrum disorder as a child. On current assessment the nurse finds that the client's behavior has deteriorated. What may be the possible causes of this change? Select all that apply. A. Administration of MMR vaccine B. Inability to perform well in school C. Need for more social interaction D. Increased parental and peer pressure E. Hormonal changes

B. Inability to perform well in school D. Increased parental and peer pressure E. Hormonal changes

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? Choose the best answer. A. Repetitive motor movements cause fatigue, and the child needs rest. B. Physical stress and fatigue can increase symptoms in tic disorder. C. Good sleep may normalize the transmission of dopamine. D. Mental stress from the disorder could make the child depressed.

B. Physical stress and fatigue can increase symptoms in tic disorder.

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? A. Biologic B. Social C. Psychological D. All of the above

B. Social

A nursing student is aware that which accounts for more deaths, illnesses, and disabilities across the life span than any other preventable condition? A. Mood disorders B. Substance abuse disorders C. Motor vehicle accidents D. Falls

B. Substance abuse disorders

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? Select all that apply. A. The child cannot move or play as quickly as the other children. B. The child constantly interrupts while playing. C. The child is not cooperative while playing. D. The child doesn't follow the rules of the game. E. The child abuses other children.

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

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? A. The child continuously repeats the last heard phrase. B. The child continuously repeats socially unacceptable words. C. The child grunts repeatedly. D. The child repeatedly shrugs the shoulders.

B. The child continuously repeats socially unacceptable words.

The nurse expects the child with expressive language disorder is likely to present with which nursing assessment finding? A. The child is mute. B. The child has difficulty forming complete sentences. C. The child has difficulty understanding the meaning of words. D. The child stutters while speaking.

B. The child has difficulty forming complete sentences.

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? A. The child is not able to understand what the nurse is asking. B. The child is not paying attention to the nurse's questions. C. The child is not willing to answer the nurse. D. The child does not like talking to the nurse.

B. The child is not paying attention to the nurse's questions.

A 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior? A. The client becomes overly attached to those around the client. B. The client spends time alone and shows little interest in making friends. C. The client has an irresistible urge to pull out the client's own hair. D. The client has multiple motor tics and several vocal tics.

B. The client spends time alone and shows little interest in making friends.

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? A. To reward the child for adaptive behavior B. To help the child self-express C. To reduce hyperactivity in the child D. To release excessive energy

B. To help the child self-express

A nurse is performing a health assessment for an adolescent who is undergoing counseling for psychological issues. Which part of the health assessment should the nurse identify as a priority? A. visual screening B. spirituality C. vital signs D. body mass index

B. spirituality

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 make which statement? A. "We'll bring our child in every week to get blood levels drawn." B. "Our child knows to take this medication once every 12 hours." C. "Our child may have some side effects, like insomnia, loss of appetite, or weight loss." D. "Our child will have an effect from this drug in about 2 weeks."

C. "Our child may have some side effects, like insomnia, loss of appetite, or weight loss."

The parent of an 8-year-old client was concerned that the child may have an intellectual disability. The parent reports that the child has difficulty communicating. Which finding would confirm a diagnosis of intellectual disability? A. Communication difficulty developed at age 21 years B. Communication difficulties and vision problems C. An intelligence quotient (IQ) of 70 or below D. An IQ of approximately 100 or above

C. An intelligence quotient (IQ) of 70 or below

Which medication classification is used in the treatment of tic disorders? A. Anxiolytics B. Antimanics C. Antipsychotics D. Antidepressants

C. Antipsychotics

A child is taking methylphenidate for treatment of attention deficit hyperactivity disorder (ADHD). Which side effect must be monitored in this child? A. Increased appetite B. Weight gain C. Growth delays D. Polyuria

C. Growth delays

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? A. Dextroamphetamine B. Risperidone C. Imipramine D. Atomoxetine

C. Imipramine

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? A. Reinforce to the client that the client selected the video game and the client needs to stick with it. B. Tell the client that the client has to use this video game to ensure understanding of value. C. Let the client choose another reward that would be more fun. D. Tell the client that the client no longer has to clean the client's room in order to play.

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

A nurse observes a preschool-aged child refusing the efforts of the parents to provide comfort during a physical examination. The preschool-aged child displays aggressive behavior and begins to hit and flail. The parents just turn their back on the child, which only serves to make things worse. Based on this presentation, what is the best nursing response? A. Refer the family and child for counseling. B. Ask the child to explain their behavior. C. Provide a safe environment. D. Assess for child abuse.

C. Provide a safe environment.

The parents of a child with attention deficit hyperactivity disorder (ADHD) bring the child for a follow-up visit. During the visit, they tell the nurse that the child receives the first dose of methylphenidate at about 7:30 a.m. every morning before leaving for school. The teacher and school nurse have noticed a return in the child's overactivity and distractibility just before lunch. The child's second dose is scheduled for about 12 p.m. Which might the nurse suggest as a possible solution to control the child's symptoms a bit more effectively? A. Give the second dose at 1 p.m. or later. B. Switch to another class of medication. C. Switch to a longer-acting preparation. D. Split the early morning dose in half.

C. Switch to a longer-acting preparation.

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? A. Autism spectrum disorder B. Phonological disorder C. Tourette's syndrome D. Mixed receptive-expressive language disorder

C. Tourette's syndrome

Which child has the greatest risk for exhibiting bullying behaviors? A. an adolescent female who exhibits low self-esteem and relationship difficulties B. a school-age male whose mother recently remarried C. a school-age male who has divorced parents and a history of physical abuse D. an adolescent female whose parents are divorced

C. a school-age male who has divorced parents and a history of physical abuse

The nurse asks a child to have a seat on the examining table. The child responds to the nurse stating they cannot understand what the nurse is saying. The nurse has provided simple instructions to the child relative to having a seat on the examining table. What type of problem does the nurse identify? A. the dominant language is a second language B. defense mechanism C. receptive language D. problem with authority

C. receptive language

Below average intellectual functioning is initially diagnosed when an intelligence quotient (IQ) is below which level? A. 50 B. 35 C. 20 D. 70

D. 70

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? A. Tourette's disorder B. Expressive language disorder C. Rett's disorder D. Conduct disorder

D. Conduct disorder

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? A. Not being able to engage in play activities B. Using limited gestures to communicate C. Unusual reactions to sounds, smells, and other sensory experiences D. Flapping hands repeatedly

D. Flapping hands repeatedly

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? A. Impaired attachment in infancy B. Immunizations containing mercury C. Perinatal hypoxia D. Genetic factors

D. Genetic factors

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? A. Exposure to hazardous chemicals B. Environment C. Perinatal complications D. Genetic syndromes

D. Genetic syndromes

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? A. Inattention B. Hyperactivity C. Impulsiveness D. Language difficulty

D. Language difficulty

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? A. At 9 p.m. B. At 6 p.m. C. Midnight D. Noon

D. Noon

Which is the drug of choice for a tic disorder? A. Lithium carbonate B. Haloperidol C. Fluoxetione D. Risperidone

D. Risperidone

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? A. Set firm limits about where, when, and how the client exhibits the tics. B. Provide rewards when the client goes long periods without having any tics. C. Place the client in a private, low-stimulation environment whenever possible to prevent the client's tics. D. Teach the client's classmates that the tics are not something that the client can control.

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