Child and Adolescent disorders

Which behavior with the nurse observe in a child with oppositional defiant disorder? a) has excessive anxiety b) destroys property c) violates the rights of others d) deliberately annoys others

Deliberately annoys others

Which finding would the nurse observe and a child with autism spectrum disorder? a) interest in music b) outgoing behavior c) attachment to friends d) responsiveness to the parents

a

For a child with ADHD, which behaviors are expected? select all that apply a) impulsiveness b) excessive talking c) spitefulness and vindictiveness d) deliberate annoyance of others e) playing video games for hours on end f) failure to follow thru or finish taks

a,b,e,f

Which action by the school nurse would be most important when monitoring an adolescent who has just returned to high school after a suicide attempt? a) observe the adolescent interacting with friends b) request that teachers and friends report any changes in the client's behavior c) speak with the adolescent regarding feelings about returning to school d) tell the teachers what happened and ask them whether there are any problems

c

Which action would the nurse take for a six year old child who recently started school but has been refusing to go for the past three weeks? a) explain that school is a place to have fun b) delay the return to school for several months c) enroll the child in a special education program d) develop a behavior modification program with the child

d

A school age child is brought to the clinic by the parent, who states, "something is wrong. My child never seems happy and refuses to play." When assessing this child for depressed behavior, with which response with the nurse initially begin? a) "Tell me about yourself" b) "Let's talk about what you do after school" c) "Can you tell me what's making you so unhappy" d) "Why does your mother think that you're unhappy?"

b

Based upon the information in the chart, which action with the nurse take next after the primary healthcare provider determined no physical problems? a) transfer the client to the adolescent psychiatric unit b) remain with the client until the symptoms subside c) arrange for the client to be admitted to a 2-bed medical unit d) assign a staff member to continuously monitor the client for suicide

b

When assessing the mental status of a young school-age child, which action would be important for the nurse to do? a) listen to the parents' description of the child's behavior b) compare the child's function from one occasion to another c) engage the parents in a discussion about the child's feelings d) determine the child's mental status with the use of direct questions

b

Which action would be priority for three year old client with autism who has been admitted to the pediatric unit for dehydration and whose parents provide all the care? a) provide a structured routine for the child to follow while in the hospital b) involve the parents in the plan of care while encouraging them to be with the child as much as possible c) place the child in a semiprivate room near the nurses' station where activities can be seen and heard d) assign different personnel to the child until it is determined which staff members the child related to best

b

Which action would the nurse take for a six year old child with autism who is nonverbal and makes limited eye contact? a) encourage the child to sing songs with the nurse b) engage in parallel play while sitting next to the child c) provide opportunities for the child to play with other children d) use therapeutic holding when the child does not respond to verbal interactions

b

Which behavior modification technique with a nurse used when a young, hyperactive child begins to kick other children under the table and call them names when the child begins to lose a game they're playing? a) ignore the child's behavior b) place the child in a time-out c) take the child's daily allotment of tokens away d) engage the child in a conversation about good sportsmanship

b

In preparation for discharge, which action would be important for the nurse to take for a hyper active, self-destructive child? a) establish, maintain, and enforce limits on behavior b) meet with the child's teacher to review the child's needs c) schedule a team conference with the child and the parents d) help the child begin to terminate relationships with the nursing team

c

Which assertive intervention with the nurse implement after learning from one of the adolescents that another adolescent client broke the windows in the recreation room? a) confront the adolescent openly in the group, using a controlled voice and maintaining direct eye contact b) knock on the door of the adolescent's room and ask whether the adolescent would come out to talk about the situation c) approach the adolescent when the client is alone and, after making direct eye contact, inquire about the involvement in these incidents d) use a trusting approach toward the adolescent and imply that the staff doubts the adolescent's involvement but requests a denial for the record

c

Which initial action with the nurse take when a male toddler with autism spectrum disorder suddenly runs to the wall and starts banging his head on it? a) allow the toddler to act out feelings b) ask the toddler to stop his behavior c) restrain the toddler to prevent head injury d) tell the toddler that the behavior is unacceptable

c

Which instructions with the nurse include in parent teaching for the six year old child with autism who exhibits frequent spinning and hand flapping behaviors? a) hold the child b) place the child in time-out c) use another activity to distract the child d) determine the reason for the child's behavior

c

Which behaviors indicate that the interventions used to help a six year old boy with ADHD have been effective? select all that apply a) is not inhibited by rules or routines b) has fun playing with toys by himself c) waits for other to finish speaking d) has an increased attention span in school e) takes a turn during games with other

c,d,e

Which intervention would be most appropriate in an attempt to promote socialization for a child with autism spectrum disorder? a) encouraging participation in group activities b) providing minimal environmental stimulation c) holding and cuddling the child for short periods d) imitating and participating in the child's activities

d

Which long-term outcome with the nurse use for a child who has conduct disorder? a) avoids verbally aggressive behavior for 4 months b) verbalized 10 alternative methods to address anger c) is sent to the principal's office 5 times in 5 weeks d) has no physically aggressive episodes for 3 months

d

Which response with a nurse make to parents of an adolescent with schizophrenia who tells the nurse that they are concerned about how to respond "if our child starts to act crazy"? a) telling the parents how to respond to their child's bizarre behavior b) assuring the parents that they are capable of controlling their child's behavior c) referring the parents to a self-help group of parents with schizophrenic children d) having the parents discuss mutual concerns with their child before the discharge date

d

Which response with the nurse make to an overweight pre-adolescent who says, "I hate school. The other kids tease me about my way. I'm always last when they pick teams in gym"? a) "That hurts a lot when you want to be liked" b) "Not everybody's a great athlete; you have other strengths" c) "You should try letting them know how that makes you feel" d) "It will be great when you lose weight; then you can do better in gym"

a