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A 4-year-old cries for 5 minutes when the parents leave the child at preschool. The parents ask the nurse, "What should we do?" Select the nurse's best response.

"Give your child a kiss before you leave the preschool program.

The parent of a child diagnosed with Tourette's disorder says to the nurse, "I think my child is faking the tics because they come and go." Which response by the nurse is accurate?

"Tics often change frequency or severity. That doesn't mean they aren't real."

Which child demonstrates behaviors indicative of a neurodevelopmental disorder?

A 3-year-old who is mute, passive toward adults, and twirls while walking

A nurse works with a child who is sad and irritable because the child's parents are divorcing. Why is establishing a therapeutic alliance with this child a priority?

Acceptance and trust convey feelings of security to the child.

At the time of a home visit, the nurse notices that each parent and child in a family has his or her own personal online communication device. Each member of the family is in a different area of the home. Which nursing actions are appropriate? Select all that apply.

Educate all members of the family about risks associated with cyberbullying. Talk with the parents about parental controls on the children's communication devices. Encourage the family to schedule daily time together without communication devices.

A nurse will prepare teaching materials for the parents of a child newly diagnosed with attention deficit hyperactivity disorder (ADHD). Which medication will the information focus on?

Methyphenidate (Ritalin)

What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for attention deficit hyperactivity disorder (ADHD)?

Sleep disturbances and weight loss

Soon after parents announced they were divorcing, a child stopped participating in sports, sat alone at lunch, and avoided former friends. The child told the school nurse, "If my parents loved me, they would work out their problems." Which nursing diagnosis has the highest priority?

Social isolation

A desired outcome for a 12-year-old diagnosed with attention deficit hyperactivity disorder (ADHD) is to improve relationships with other children. Which treatment modality should the nurse suggest for the plan of care?

Social skills group

When a 5-year-old diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair and runs over and slaps another child, what is the nurse's best action?

Take the aggressive child to another room.

Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?

The child has been raised by a parent with chronic major depression.

The child prescribed an antipsychotic medication to manage violent behavior is one most likely diagnosed with:

attention deficit hyperactivity disorder.

The parent of a 6-year-old says, "My child is in constant motion and talks all the time. My child isn't interested in toys but is out of bed every morning before me." The child's behavior is most consistent with diagnostic criteria for:

attention deficit hyperactivity disorder.

Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective? The child:

holds the parent's hand while walking.

Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others' conversations. How should the nurse document these behaviors?

impulsivity

A nurse prepares the plan of care for a 15-year-old diagnosed with moderate intellectual developmental disorder. What are the highest outcomes that are realistic for this patient? Within 5 years, the patient will: (select all that apply)

independently perform own personal hygiene. obtain employment in a local sheltered workshop. correctly use public buses to travel in the community

Which factor presents the highest risk for a child to develop a psychiatric disorder?

living with an alcoholic parent

When group therapy is prescribed as a treatment modality, the nurse would suggest placement of a 9-year-old in a group that uses:

play and talk about a play activity.

A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, inattentive to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse plans interventions designed to:

reduce loneliness and increase self-esteem.

When a 5-year-old is disruptive, the nurse says, "You must take a time-out." The expectation is that the child will:

sit on the edge of the activity until able to regain self-control.

A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is most associated with the child's disorder? The child:

continuously rocks in place for 30 minutes.

A nurse prepares to lead a discussion at a community health center regarding children's health problems. The nurse wants to use current terminology when discussing these issues. Which terms are appropriate for the nurse to use? Select all that apply.

Bullying Autism spectrum disorder Intellectual development disorder

A child diagnosed with attention deficit hyperactivity disorder will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications?

Central nervous system stimulants

A child reports to the school nurse of being verbally bullied by an aggressive classmate. What is the nurse's best first action?

Encourage the victimized child to share feelings about the experience.

Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders?

Impaired social interaction related to difficulty relating to others

A child diagnosed with attention deficit hyperactivity disorder (ADHD) shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior?

Improved abilities to participate in cooperative play with other children

A parent diagnosed with schizophrenia and 13-year-old child live in a homeless shelter. The child formed a trusting relationship with a shelter volunteer. The child says, "My three friends and I got an A on our school science project." The nurse can assess that the child:

displays resiliency.

A child diagnosed with attention deficit hyperactivity disorder had this nursing diagnosis: impaired social interaction related to excessive neuronal activity as evidenced by aggression and demanding behavior with others. Which finding indicates the plan of care was effective? The child:

engages in cooperative play with other children.