Chapter 22

When describing intellectual disability to a group of parents, a nurse would identify which intelligent quotient (or less) as the usual threshold? A. 70 B. 50 C. 60 D. 80

A. 70

After teaching a group of nursing students about pharmacotherapy and attention deficit hyperactivity disorder (ADHD), the instructor determines that the education was successful when they identify which agent as one of the first-line choices for treatment? A. Atomoxetine B. Clonidine C. Guanfacine D. Bupropion

A. Atomoxetine

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

A. Conduct disorder

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. Imipramine B. Atomoxetine C. Risperidone D. Dextroamphetamine

A. Imipramine

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. Hypotension C. Weight loss D. Appetite suppression E. Weight gain

A. Insomnia C. Weight loss D. Appetite suppression

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

A. Selective serotonin and norepinephrine reuptake inhibitor (SSNRI)

Which is a disturbance of the normal fluency and time patterning of speech? A. Stuttering B. Expressive language disorder C. Phonologic disorder D. Mixed receptive-expressive language disorder

A. Stuttering

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

A. Tourette's syndrome

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

A. Use appropriate vocabulary B. Use reflective comments

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

B. Coprolalia

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

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

B. Social skills training

During a comprehensive assessment of a child, which person does the nurse interview first? A. grandparents B. child C. parent D. caregiver

B. child

A variety of areas are assessed during the mental status examination. Which are sections of the mental status examination? Select all that apply. A. religious background B. cognition C. gross and fine motor movement D. academic interests E. intellectual functioning

B. cognition C. gross and fine motor movement E. intellectual functioning

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

C. Antipsychotics

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

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

Which is considered a hyperactive/impulsive behavior seen in attention deficit hyperactivity disorder (ADHD)? A. Frequent forgetfulness in daily activities B. Avoiding tasks requiring mental effort C. Inability to play quietly D. Making careless mistakes

C. Inability to play quietly

A nurse is assessing a child who is suspected of having attention deficit hyperactivity disorder. Which would the nurse identify as reflecting impulsiveness in the child? A. Restlessness B. Inability to wait the child's turn C. Risk-taking behavior D. Difficulty completing a task

C. Risk-taking behavior

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

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

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

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

The nurse is assessing a child diagnosed with expressive language disorder. During the assessment, the parents tell the nurse the child had normal speech development until around 3 years of age when the child was involved in a serious car accident. Which part of the body may be affected in the child? A. Tongue B. Vocal cords C. Auditory canal D. Brain

D. Brain

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

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

The nurse understands the importance of developing rapport with family members before the evaluation when caring for children with psychiatric disorders. The main reason for doing this is what? A. Reducing cost of stay B. Reducing fear of rejection C. Reducing length of stay D. Reducing anxiety

D. Reducing anxiety

Which condition is characterized by multiple motor tics and one or more vocal tics many times throughout the day for 1 year or more? A. Attention deficit hyperactivity disorder B. Asperger's syndrome C. Trichotillomania D. Tourette syndrome

D. Tourette syndrome