Peds Behaviors
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?"
A family includes a parent and 9-year-old child. The nurse suspects that the child has medical child abuse (formerly Munchausen syndrome by proxy). Which nursing intervention is best when assessing the child and parent in the pediatrician's office?
Ask to speak to the child separate from the family.
The nurse is completing the physical assessment of a 12-year-old child who has a series of bruises in various stages of healing. When asked about the bruises, the child appears frightened and offers inconsistent accounts about how they got the bruises. The nurse suspects abuse. Which initial action by the nurse is appropriate?
Document the bruises and any statements made by the child relating to them.
Which observation would demonstrate that the adolescent client suffers from attention deficit hyperactivity disorder (ADHD)?
Forgets to turn in homework, does not follow directions, cannot stay in the assigned seat in class and is always talking excessively and inappropriatelyA nurse is examining a 4-year-old child with various injuries in multiple places. Which site of injury would introduce suspicion of abuse?
A 9-year-old boy was in a car accident. The child is suffering from posttraumatic stress disorder. Which would be the best approach for treatment?
Individual psychotherapy sessions
Which behavior typical of children with autism spectrum disorder (ASD) requires the nurse to maintain special care to keep them safe?
Insensitivity to pain
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
The nurse is caring for a 12-month-old child diagnosed with an autism spectrum disorder. What information from the parent during the health history should the nurse recognize as being consistent with the disorder?
The child constantly stares at a rotating wheel on the crib mobile.
To feed lunch to a child with autism spectrum disorder (ASD), which action would be most important for the nurse to take?
Use a repetitive series of movements.
Parents of a school-age child have begun a program of therapy that includes giving the child a token each time the child follows directions. Which theoretical framework provides the background for such a program?
behavioral theory
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 nurse is teaching a group of parents about risks for mental health disorders in children. Which factors does the nurse include in this teaching session?
trauma, poverty, neglect
