N306_cognitive and mental health disorders

A 9-year-old boy with a developmental disorder demonstrates an impairment in adaptive functioning. Which finding would the nurse document to support this? The child is unable to properly bathe himself. The child copies a phone number incorrectly The child has difficulty reading although his vision is normal The child can write his name correctly.

The child is unable to properly bathe himself.

A nurse is examining a 4-year-old child with various injuries in multiple places. Which site of injury would introduce suspicion of abuse? abdomen soles of feet palms of hands ears

abdomen

The nurse working in a pediatric mental health clinic is assessing a 4-year-old child who has suffered from physical abuse. Which type of therapy does the nurse anticipate will be most helpful in developing a trusting relationship as well as assisting in determining the client's current emotional state? behavioral therapy play therapy cognitive behavioral therapy family therapy

play therapy

The mother of a 6-month-old child reports she has been hearing so much about autism. She questions if this is something that can be tested for. What response by the nurse is appropriate? "Unfortunately there are no reliable screening tools for autism available." "Autism is on the rise and I understand your concern but screening is only done for those children considered to be at an increased risk." "Screening is recommended between 18 and 24 months or when concerns are identified." "Your child is too young for screening at this time."

screening is recommended between 18 and 24 months or when concerns are identified."

To feed lunch to a child with autism spectrum disorder (ASD), which action would be most important for the nurse to take? Allow the child to ask questions about the procedure. Use an authoritarian manner to gain control. Do not allow the child to see the spoon approach the mouth. Use a repetitive series of movements.

use a repetitive series of movements

A school nurse is working with a group of adolescents. Which assessment findings might prompt the nurse to screen for eating disorders? Select all that apply. weight fluctuation erosion of teeth menstrual irregularity absence of hunger frequent nurse visits

weight fluctuation erosion of teeth menstrual irregularity

If the following data was collected on a group of children, which of the following would most likely be evaluated as possibly related to child abuse (child maltreatment)? Select all that apply. a child whose X-ray shows bone fractures in various stages of healing a child who has a spiral fracture in the femur a child whose CT scan shows an unexplained cerebral hemorrhage a child whose blood work shows evidence of anemia a child who has frequent nausea and diarrhea

a child whose X-ray shows bone fractures in various stages of healing a child who has a spiral fracture in the femur a child whose CT scan shows an unexplained cerebral hemorrhage

A school-age boy is on methylphenidate for ADHD. What negative side effect should the mother be advised to monitor for in the child? Headaches Appetite suppression Skin rash Nausea and vomiting

appetite suppression

A nurse is providing an in-service program on child abuse for a group of newly hired nurses. When evaluating the effectiveness of the teaching, the nurse determines a need for additional review when the group identifies which as an indicator of possible child abuse? consistent delays in seeking treatment for the child's injuries frequent changes in history information with visits injuries that are inconsistent with the reported traumatic event sexual behavior that correlates with the child's developmental age

sexual behavior that correlates with the child's developmental age

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 have siblings?" "Does your child come and hug you or seek comfort from you?" "Do you have trouble keeping child care providers for your child?" "Does your child already attend therapies such as speech therapy?"

"Does your child come and hug you or seek comfort from you?"

A parent expresses concern that the child has an autism spectrum disorder. The nurse obtains a health history of the symptoms to understand the parent's concern. Which question would the nurse ask first? "Does your child interact with you when playing?" "Does your child only eat the same food?" "Does your child respond to his or her name?" "Is your child happy when friends come to visit?"

"Does your child interact with you when playing?"

The nurse is providing teaching about medication management of attention deficit hyperactivity disorder (ADHD). Which response indicates a need for further teaching? "We should give it to him after he eats breakfast." "This may cause him to have difficulty sleeping." "If he takes this medicine he will no longer have ADHD." "We should see an improvement in his schoolwork."

"If he takes this medicine he will no longer have ADHD."

The nurse is discussing healthy eating with the parents of a school-age client. Which statement by the parents indicates additional teaching is needed? "It is more important for our child to get sleep than eat breakfast." "We will freeze fruits before putting them in our child's lunchbox." "We will limit our child's snacks to after school and bedtime." "Since our child does not like broccoli, we will not put it on our child's plate."

"It is more important for our child to get sleep than eat breakfast."

The nurse is providing a routine wellness examination for a 5-year-old child diagnosed with autism spectrum disorder (ASD). Which response by the client's parent will cause the nurse to intervene? "We have recently completed our child's individualized education plan." "We really like the treatment plan that has been created by our child's school." "We try to be flexible and change our child's routine from day to day." "We have a couple of babysitters who know how to handle our child's needs."

"We try to be flexible and change our child's routine from day to day.

An adolescent has been diagnosed with bulimia, and the parents are asking how to best deal with this problem. What suggestion should the nurse make to the parents to help care for the adolescent? Monitor the adolescent constantly to ensure that she is not binge eating. Administer antiemetics on a regular basis to reduce the urge to vomit after eating. Develop a contract with the adolescent, setting goals of behavior and her diet, as well as privileges gained by meeting the contracted goals. Minimize or ignore any comments made by the adolescent about body image distortion or being overweight and dieting.

Develop a contract with the adolescent, setting goals of behavior and her diet, as well as privileges gained by meeting the contracted goals.

A nursing student shows an understanding of developmental disorders when identifying that they are detected either early during a child's development or at which of the following times? In utero During the first years of formal education Immediately after birth During high school

During the first years of formal education

The nurse is caring for a young child whose parents have been charged with physical abuse. Which child reaction is noted as a result of the parental behavior? Despondent and does not respond to questions Fretful and shrinks away when approached Aggressive and kicks and fights during the assessment Cries frequently and stares at the nurse

Fretful and shrinks away when approached

The nurse is admitting a 15-year-old female with severe weight loss from anorexia nervosa. She also has a fluid and electrolyte imbalance. The nurse is preparing the care plan. Which nursing diagnosis will be the highest priority? Caregiver role strain Imbalanced nutrition, less than body requirements Ineffective individual coping Impaired social interaction

Imbalanced nutrition, less than body requirements

The nurse is caring for a 10-year-old recently diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse would expect to provide teaching regarding which medication? Methylphenidate Trazodone Buspirone Fluoxetine

Methylphenidate

Which symptoms does the nurse identify as potential clinical manifestations resulting from physical abuse in the home? Select all that apply. Poor attendance in school Feelings of guilt Behavioral issues High academic standards Bedwetting Outgoing personality traits

Poor attendance in school Feelings of guilt Behavioral issues Bedwetting

Which sign or symptom suggests that a 5-year-old child who does not maintain eye contact or speak may have autism spectrum disorder (ASD)? The child is highly active and inattentive. The child has a slight decrease in head circumference. The child constantly pats his or her legs. The child has a long face and prominent jaw.

The child constantly pats his or her legs.

When does the nurse identify that corporal punishment becomes child abuse? Select all that apply. When the punishment leaves marks on the child's body When physical contact occurs between an adult and child in anger When physical harm is threatened, leaving the child in fear When emotional harm has occurred due to the results of the punishment When an injury has occurred as a result of the punishment As long as it is corporal punishment, there is no abuse

When the punishment leaves marks on the child's body When physical harm is threatened, leaving the child in fear When emotional harm has occurred due to the results of the punishment When an injury has occurred as a result of the punishment

The nurse is discussing the treatment for a child with attention deficit hyperactivity disorder (ADHD) with a group of school nurses. What would be an appropriate learning setting for a child with ADHD? a classroom with a plan of study that is followed each day a classroom with windows facing a playground a classroom in which children self-select their activities a classroom with tables and chairs rather than individual desks

a classroom with a plan of study that is followed each day

a classroom with a plan of study that is followed each day a classroom with windows facing a playground a classroom in which children self-select their activities a classroom with tables and chairs rather than individual desks

a classroom with a plan of study that is followed each day

The nurse suspects that a child is demonstrating signs of attention deficit hyperactivity disorder (ADHD). What behavior did the nurse most likely assess in this child? Unrealistic fears A lack of concentration Persistent disobedience A lack of affection for others

a lack of concentration

An advance practice mental health nurse is preparing for an individual therapy session with a 7-year-old girl who has been the victim of sexual abuse. The girl has limited proficiency in the dominant language. Which approach will likely engage the girl? game therapy with the nurse talk therapy with the nurse art therapy with the nurse activity therapy with the nurse

art therapy with the nurse

A family includes a 9-year-old child. The nurse suspects that the family has caregiver-fabricated illness (formerly Munchausen syndrome by proxy). Which nursing intervention is best when assessing the child and family in the pediatrician's office? Ask to speak to the child separate from the family. Turn off the video surveillance in the room. Keep both parents in the room at all times. Ask the parents together how the child is doing.

ask to speak to the child separate from the family

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). autism spectrum disorder. failure to thrive. an addicted caregiver.

attention deficit hyperactive disorder (ADHD).

A parent brings a preschooler to the behavioral clinic for evaluation. Upon entering the room, the child appears not to notice the nurse's presence. The child screams upon the nurse's touch. What condition should the nurse suspect? Learning disability Autism Down syndrome Findings are normal for a preschooler

autism

A 9-year-old girl with an anxiety disorder is experiencing a panic attack in the waiting room of the pediatrician's office. Which of the following would the nurse do first? Calmly move the child to a quiet, comfortable area. Quickly find the pediatrician to administer medication. Calmly tell the child to relax. Quickly enlist the assistance of the child's parent.

calmly move the child to a quiet, comfortable area

The nurse is caring for a girl with anorexia who has been hospitalized with unstable vital signs and food refusal. The girl requires enteral nutrition. The nurse is alert for which complications that signal refeeding syndrome? cardiac arrhythmias, confusion, seizures orthostatic hypotension and hypothermia hypothermia and irregular pulse bradycardia with ectopy and seizures

cardiac arrhythmias, confusion, seizures

A 17-year-old child has been admitted with complications of anorexia nervosa. What diagnostic tests can be anticipated in the plan of care/treatment? Select all that apply. complete blood cell count MRI CT scan metabolic panel chest X-ray

complete blood cell count metabolic panel

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? weight below the 5th percentile on the growth chart dental erosions and caries recurrent strep throat callouses in the palms of her hands TAKE ANOTHER QUIZ

dental erosions and caries

The nurse is preparing a teaching plan for the parents of a 10-year-old boy with a learning disorder. Which of the following would the nurse most likely include? Encouraging parents to give the child personal space Telling parents to check on the child regularly Explaining the child's strengths and weaknesses Having parents learn the child's facial expressions

explaining the child's strengths and weaknesses

Which factors are possible causes of cognitive disorders? Select all that apply. head trauma chromosomal disorders cystic fibrosis anoxia at birth very low birth weight fetal alcohol spectrum disorder

head trauma chromosomal disorders anoxia at birth very low birth weight fetal alcohol spectrum disorder

A parent brings a child to the pediatric clinic, stating that the child was diagnosed with attention deficit hyperactivity disorder (ADHD). Which symptoms does the nurse anticipate finding with this child? inattention, impulsive, and hyperactivity hyperactivity, defiant, and disruptive excess motor activity, learning disability, and depression visual impairment, hyperactivity, oppositional defiant

inattention, impulsive, and hyperactivity

The nurse is assessing a child diagnosed with autism spectrum disorder (ASD). Which finding will the nurse expect to assess? Slow motor actions Frequently losing things Engaging in dangerous activities Indifferent attachment to a parent

indifferent attachment to a parent

Which behavior typical of children with autism spectrum disorder (ASD) requires the nurse to maintain special care to keep them safe? A fascination with bright colors Insensitivity to pain A craving for salt Loss of hearing for high frequencies

insensitivity to pain

A young parent brings the school-aged child to the office for a sports physical examination. During the appointment, the parent informs the nurse about being worried because the child does not like school and does not seem to be reading, writing, or spelling as well as others in the class. The parent adds that the child struggles to get organized and to manage time. What condition does the nurse suspect? autism spectrum disorder learning disorder Down syndrome Asperger syndrome

learning disorder

The nurse is caring for an adolescent diagnosed with anorexia nervosa. Which education will the nurse include in the client's discharge teaching? appropriate exercise routines methods for desensitization referrals to counseling services proper administration of phenelzine

referrals to counseling services

A child with intellectual disability engages in self-stimulation. Which of the following would the nurse identify as the priority for this child? Safety Consistent routines Normalizing experiences Respite services TAKE ANOTHER QUIZ

safety

A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority? discussing the situation with the teacher scheduling an immediate history and physical examination asking the school psychologist to do psychometric testing calling for an appointment with a psychologist

scheduling an immediate history and physical examination

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused? The child has a fractured bone. The child has bruises on the knees and elbows. The child is hyperactive and angry. The child has a burn that has not been treated.

the child has a burn that has not been treated

A 1-year-old is a victim of child abuse (child maltreatment). Which factor obtained on history is most apt to be associated with the risk of caregiver-fabricated illness (formerly Munchausen syndrome by proxy) abuse in children? The family has a low socioeconomic level. The mother was abused as a child. The parents are outgoing, gregarious people. The family is an extended one.

the mother was abused as a child