Mental Health Chapter 11

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 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 nurses 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 tics because they come and go." Which response by the nurse is accurate? ***

"Tics often change frequency or severity. That does not mean they are not real."

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

ADHD

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

ADHD

A nurse works with a child who is sad an 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

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

CNS stimulants

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 project." The nurse can assess that the child...

Displays resiliency

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

Encourage the victimized child to share feelings about the experience

A child diagnosed with ADHD nursing diagnosis: impaired social interaction related to excessive neuronal activity as evidence 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

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

Impaired social interaction related to difficulty maintaining relationships

A child diagnosed with 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

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 will prepare teaching materials for the parents of a child newly diagnosed with ADHD. Information will focus on which medication likely to be prescribed? ***

Methylphenidate

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

What is the nurse's priority focusing for side effects in a child taking methylphenidate for ADHD? ***

Sleep disturbances and weight loss

Soon after parents announce 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 wouldn't have problems" Which nursing diagnosis has the highest priority? ***

Social isolation

A desired outcome for a 12 year old diagnosed with 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 child diagnosed with ADHD bounces out of a chair and runs over and slaps another child, what is the nurses best action?

Take the aggressive child to another room

Which child demonstrates behaviors indicative of a neurodevelopmental disorder? ***

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

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

holds the parents hand while walking

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

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 recurring major depressive disorder