Mental Health Quiz #10

A 4-year-old child is diagnosed with ADHD. What information about the child's behavior should the nurse expect when obtaining a health history from the parents? SATA 1. Is impulsive 2. Talks excessively 3. Is spiteful and vindictive 4. Annoys others deliberately 5. Plays video games for hours 6. Does not follow through or finish tasks

1. Is impulsive 2. Talks excessively 5. Plays video games for hours 6. Does not follow through or finish tasks

A 10-year-old child who was diagnosed with autism at the age of 3 attends a school for developmentally disabled children and lives with the parents. The child has frequent episodes of self-biting behavior, banging the head, and needing help with feeding and toileting. The priority nursing goal for this child is "The child will: 1. control repetitive behaviors" 2. be able to feed independently" 3. remain safe from self-inflicted injury" 4. develop control of urinary elimination"

3. remain safe from self-inflicted injury"

A child with ADHD often becomes frustrated and loses control. A nurse uses a variety of graduated techniques to manage disruptive behaviors. List the following interventions in order from the least invasive to the most invasive technique, 1.___Placing the child in a time-out 2.___Monitoring behavior for cues of rising anxiety 3.___Using a signal to remind the child to use self-control 4.___Avoiding situations that usually precipitate frustration 5.___Refocusing on the child's behavior with a specific directive

4,2,3,5,1

The parent of a child with a tentative diagnosis of ADHD arrives at the pediatric clinic insisting on receiving a prescription for medication that will control the child's behavior. What is the nurse's best response? 1. "It must be frustrating to deal with your child's behavior" 2. "Have you considered any alternatives to using medication?" 3. "Perhaps you are looking for an easy solution to the problem" 4. "Let me teach you about the side effects of medication used for ADHD"

1. "It must be frustrating to deal with your child's behavior"

A nurse is assessing a child suspected of having autism. At what age does the nurse determine that the signs off autism initially may be evident? 1. 2 years of age 2. 6 years of age 3. 6 months of age 4. 1 to 3 months of age

1. 2 years of age

For which clinical indication should a nurse observe a child suspected of being autistic? 1. Lack of eye contact 2. Crying for attention 3. Catatonic-like rigidity 4. Engaging in parallel play

1. Lack of eye contact

A nurse is interviewing a child with attention deficit disorder. For which major characteristic should the nurse assess this child? 1. Overreaction to stimuli 2. Continued use of rituals 3. Delayed speech development 4. Inability to use abstract thought

1. Overreaction to stimuli

A nurse is caring for a preschool-age child with a history of physical and sexual abuse. What is the most advantageous therapy for this child? 1. Play 2. Group 3. Family 4. Psychodrama

1. Play

What childhood problem has legal as well as emotional aspects and cannot be ignored? 1. School phobias 2. Fear of animals 3. Fear of monsters 4. Sleep disturbances

1. School phobias

A nurse works with school-age children who have a conduct disorder, childhood-onset type. The nurse considers that these children are at risk for progressing to an additional disorder during adolescence. For signs of which disorder should the nurse assess their present behavior? 1. Oppositional defiant 2. Antisocial personality 3. Pervasive development 4. Attention deficit hyperactivity

2. Antisocial personality

An 8-year-old child is diagnosed with oppositional defiant disorder. What behavior should the nurse identify that supports this diagnosis? 1. Is easily distracted 2. Argues with adults 3. Lies to obtain favors 4. Initiates physical fights

2. Argues with adults

A 6 year-old child with autism is nonverbal and has limited eye contact. What should a nurse do initially to promote social interaction? 1. Encourage the child to sing songs with the nurse 2. Engage in parallel play while sitting next to the child 3. Provide opportunities for the child to play with other children 4. Use therapeutic holdings when the child does not respond to verbal interactions.

2. Engage in parallel play while sitting next to the child

A nurse considers that autism is a form of a pervasive developmental disorder (PDD). Which factor unique to autism differentiates it from other forms of PDD? 1. Has less severe linguistic handicaps 2. Has an early onset before 36 months 3. Is the only form that does not include seizures 4. Is the only form that does not include mental retardation

2. Has an early onset before 36 months

A nurse is teaching the parents of a child with ADHD about the prescribed medication methylphenidate (Ritalin). What time should the daily dose be administered? 1. Before breakfast 2. Just after breakfast 3. Immediately before lunch 4. As soon as the child awakens

2. Just after breakfast

A nurse is counseling the family of a child with school phobia. What should the parents be taught to do? 1. Accompany the child to the classroom 2. Return the child to school immediately 3. Instruct the child as to why school attendance is necessary 4. Allow the child to enter the classroom before the other children

2. Return the child to school immediately

A child is diagnosed with ADHD. What is a strategy that the nurse should teach the parents to assist in coping with the disorder? 1. Orient the child to reality 2. Reward appropriate conduct 3. Suppress feelings of frustration 4. Use restraints when behavior is out of control

2. Reward appropriate conduct

A 3 year-old child is diagnosed with autism. Which behaviors should the nurse expect when assessing this child? SATA 1. Imitates others 2. Seeks physical contact 3. Avoids eye-to-eye contact 4. Engages in cooperative play 5. Performs repetitive activities 6. Displays interest in children rather than adults

3. Avoids eye-to-eye contact 5. Performs repetitive activities

A nurse uses behavior modification to foster toilet training efforts in a cognitively impaired child. What reward should the nurse provide to reinforce appropriate use of the toilet? 1. Candy bar 2. Piece of fruit 3. Hug with praise 4. Choice of rewards

3. Hug with praise

A nurse is teaching parents of a child with ADHD. What should the nurse include as the most frequently prescribed medication for this disorder? 1. Lorazepam (Ativan) 2. Haloperidol (Haldol) 3. Methylphenidate (Ritalin) 4. Methocarbamol (Robaxin)

3. Methylphenidate (Ritalin)

A hyperactive 9-year-old child with a history of ADHD is admitted for observation after a motor vehicle collision. What should be the focus of nursing actions when teaching about personal safety? 1. Requesting that the child write at least three safety rules 2. Asking the child to verbalize as many safety rules as possible 3. Talking with the child about the importance of using a seat belt 4. Encouraging the child to talk with other children about their opinions of safety rules

3. Talking with the child about the importance of using a seat belt

An adolescent with a conduct disorder is receiving behavioral therapy to attempt to limit activities that violate societal norms. A specific outcome criterion unique for adolescents with this problem is "The client will: 1. exhibit increased impulse control." 2. identify two positive personal attributes." 3. demonstrate respect for the rights of others." 4. use age-appropriate play activities with at least one peer."

3. demonstrate respect for the rights of others."

What is the prognosis for a normal productive life for a child diagnosed with autism? 1. Dependent on an early diagnosis 2. Often related to the child's overall temperament 3. Ensured as long as the child attends a school tailored to meet needs 4. Unlikely because of interference with so many parameters of functioning

4. Unlikely because of interference with so many parameters of functioning

An adolescent with the diagnosis of conduct disorder sine the age of 9 is placed in a residential facility. The adolescent has a history of fighting, stealing, vandalizing property, and running away from home. The adolescent is aggressive, has no friends, and has been suspended from school repeatedly. What is the nurses priority when developing a plan of care? 1. Preventing violence 2. Encouraging insight 3. Supporting self-esteem 4. Promoting social interaction

1. Preventing violence

A nurse is planning care for a group of hospitalized children. Which age group does the nuse anticipate will have the most problem with separation anxiety? 1. 12 to 18 years 2. 5 to 11.5 years 3. 6 to 30 months 4. 36-59 months

3. 6 to 30 months

For what most common characteristic of autism should a nurse assess a child suspected of having this disorder? 1. Responds to any stimulus 2. Responds to physical contact 3. Seems unresponsive to the environment 4. Interacts with children rather than adults

3. Seems unresponsive to the environment

The nurse anticipates that children with ADHD may be learning-disabled. This means that these children: 1. will probably not be self-directed learners 2. have intellectual deficits that interfere with learning 3. experience perceptual difficulties that interfere with learning 4. are performing usually two grade levels below the age norm

3. experience perceptual difficulties that interfere with learning

When planning activities for a child with autism, the nurse considers that autistic children respond best to: 1. loud, cheerful music 2. large-group activities 3. individuals in small groups 4. their own self-stimulating acts

4. their own self-stimulating acts