Psych Nursing Mental Health Assessment of Children and Adolescents PrepU
The parents of an autistic child ask the nurse, "Will my child ever be normal?" Which would be the most appropriate response by the nurse? "You seem worried about your child's future." "Autistic children can fully recover with the right treatment and education." "Your child should outgrow autistic traits by adolescence." "Your child will probably always have some autistic traits."
"Your child will probably always have some autistic traits."
A nurse is discussing a client's condition with the client's family. A family member states that the client has a long history of mental retardation. The nurse corrects the family member by explaining that which is the correct term for this condition? mental delay intellectual disability mental incapacity intellectual retardation
intellectual disability
A nursing student has learned about attachment and how this emotional bond between infant and parent helps create the groundwork for future relationships. What statement made by this student indicates a need for further clarification from the instructor? "A secure attachment is based on the caretaker's consistent and appropriate response to the infant's attachment behaviors." "The need for touch appears to be biologically driven." "Children who have developed a secure attachment will protest when their parents leave them, beginning at 6 to 8 months." "Mother-child separation for 1 week or more within the first 2 years of life has been related to self-reliance on the child's part in later years."
"Mother-child separation for 1 week or more within the first 2 years of life has been related to self-reliance on the child's part in later years."
A nurse is assessing language development of a 2-year-old. What is a normal language pattern for a 2-year-old? "Go" "Mama" "Apple pie" "Want eat"
"Want eat"
Which is a question that helps to identify a teen's misconception about the nurse working with the teen? "Why do you think you are here?" "What is the best way to describe what is happening to you?" "Do you think you want to hurt yourself?" "How do you feel right now?"
"Why do you think you are here?"
The nurse is assessing a child's fine motor skills. By which age should a child be able to dress himself with minimal assistance? 5 6 7 8
5
A nurse completes a Global Assessment of Functioning (GAF) scale on an adolescent during an assessment. The nurse calculates a 55. What is the analysis of the score? A high level of impairment A moderate level of impairment A low level of impairment No impairment
A moderate level of impairment
Which age group is dependent on the rapport established by the nurse? Pre-school age client School-age client Adolescent Young adult
Adolescent
A nurse working on a unit for children with mental health issues understands the importance of assessing self-concept, even in young children. Some ways to do this when working with young children are which of the following? Select all that apply. Asking them what they would wish for Getting them to draw Asking them what they want to do when they grow up Getting them to fill out a survey on self-esteem Comparing them to others of the same age
Asking them what they would wish for Getting them to draw Asking them what they want to do when they grow up
Which phenomenon may contribute to the genetic transmission of psychiatric disorders? Maturation Egocentricism Attachment Assortative mating
Assortative mating
The nurse is assisting a child with attention deficit hyperactivity disorder (ADHD) to complete the child's activities of daily living. Which is the best approach for nurse to use with this child? Break tasks into small steps. Let the child complete tasks at the child's own pace. Offer rewards when all tasks are completed. Set a time limit to complete all tasks.
Break tasks into small steps.
A nurse is conducting a developmental assessment of a child. When conducting the neurologic screening, which information would be important to gather? Child's Apgar score Concentration Excitability Responses to discipline
Child's Apgar score
For which reasons is it more difficult to diagnose psychiatric disorders in children than in adults? Select all that apply. Children usually lack the abstract cognitive abilities and verbal skills to describe what is happening. Because they are constantly changing and developing, children are unable to discriminate unusual or unwanted symptoms from normal feelings and sensations. Behaviors that are appropriate for a child of one developmental level may be inappropriate for a child of a different developmental level. Sometimes, children "outgrow" psychiatric disorders. Children and adolescents experience some of the same mental health problems as adults and are diagnosed using the same criteria as for adults.
Children usually lack the abstract cognitive abilities and verbal skills to describe what is happening. Because they are constantly changing and developing, children are unable to discriminate unusual or unwanted symptoms from normal feelings and sensations. Behaviors that are appropriate for a child of one developmental level may be inappropriate for a child of a different developmental level.
Preschoolers with disorganized attachment will display ... Appropriate behavior Contradictory behavior Self-serving behavior Cooperative behavior
Contradictory behavior
In the biopsychosocial psychiatric nursing assessment of children, assessment of the psychological domain includes assessing the child's temperament. Which type of temperament is characterized by a negative response to new stimuli and high emotional intensity? Difficult Easy Slow to warm up Challenging
Difficult
Which would be important circumstances to gather assessment data for a child with attention deficit hyperactivity disorder (ADHD)? Select all that apply. Directly observing the child Reviewing the client's record Interviewing the client's parents Interviewing the client's teachers Assessing the client in a group of peers
Directly observing the child Interviewing the client's parents Interviewing the client's teachers Assessing the client in a group of peers
Which temperament can serve as a protective factor against the development of psychopathology? Attachment disorganization temperament Difficult temperament Easy temperament Slow-to-warm-up temperament
Easy temperament
A nurse is assessing a preschooler and uses play to develop rapport with the child. The nurse uses play based on the understanding that it helps in which area? Measures the level of attachment. Serves as a reminder of their abilities. Encourages verbalizations. Helps assess the child's cognition.
Encourages verbalizations.
The nurse caring for a child with a mental health disorder knows the importance of assessing for psychosocial development as well assessing the biologic and psychological domains. Which model is the most commonly used to assess the psychosocial development of a child? Freud's Erikson's Baker Miller's Piaget's
Erikson's
Functional status is evaluated in children and adolescents using which of the following? Beck Depression Inventory SAD Person Scale DSM-IV-TR Axis II GAF scale
GAF scale
A Global Assessment of Functioning (GAF) score of 80 would indicate which of the following? Moderate impairment Severely homicidal tendencies Healthy functioning Suicidal tendencies
Healthy functioning
A nurse is talking to a 7-year-old. The child describes in detail a family pet who recently died. Which response by the nurse is appropriate? I am sad for your loss. I need to interview another client. When are you going to get another dog? How long did you have the dog?
I am sad for your loss.
During a mental status examination of a child, the nurse observes the child's sentence structure and vocabulary for a general sense of ... Intellectual functioning Ability to focus on the conversation Ability to respond accurately to questions asked Listening skills without interrupting
Intellectual functioning
A nurse is providing education to a group of parents who have children with attention deficit hyperactivity disorder (ADHD). Which statement would be accurate and should be included in the education? Select all that apply. Medication alone will adequately treat children with ADHD. It is important for parents of children with ADHD to learn how to rebuild their child's self-esteem. Because raising a child with ADHD can be frustrating and exhausting, it often helps parents to attend support groups that can provide information and encouragement from other parents with the same problems. ADHD is not the fault of the parents or the child and techniques and school programs are available to help. Children with ADHD do not qualify for special school services under the Individuals With Disabilities Education Act.
It is important for parents of children with ADHD to learn how to rebuild their child's self-esteem. Because raising a child with ADHD can be frustrating and exhausting, it often helps parents to attend support groups that can provide information and encouragement from other parents with the same problems. ADHD is not the fault of the parents or the child and techniques and school programs are available to help.
A nurse is preparing to assess a school-aged child. Which method would be most effective for the nurse to use to establish rapport with this child? Playing with dolls Playing cards Wearing dress-up clothes Painting a picture
Playing cards
When performing a spiritual assessment on a child, the nurse and child discuss church attendance and practices that are most important to the child. Which domain is the nurse addressing when doing this assessment? Biologic Psychological Social All of the above
Social
A nurse assessing for suicide and violent thoughts of children should ask ... Indirect questions about how they feel Questions about suicide and telling them before asking that this information will be shared with others if anyone is in danger Straightforward questions about suicide and violence Avoid assessing children at the age of 7 as it is not applicable
Straightforward questions about suicide and violence
The nurse is working with a child with a mental health problem and the family must be included in the care. Which is one of the best ways the nurse can advocate for the child? Support transferring the child to a healthy living environment. Teach the parents age-appropriate expectations of the child. Reinforce the parents' expectations of the child's behavior. Interpret the child's thoughts and feelings to the parent.
Teach the parents age-appropriate expectations of the child.
Which of the following is accurate regarding the completion of a mental health assessment of a child? Select all that apply. The nurse should use simple phrasing with children The nurse should corroborate information offered by the child with other sources Children can sequence events well Children have a more developed memory than adults Children have a less specific sense of time than adults
The nurse should use simple phrasing with children The nurse should corroborate information offered by the child with other sources Children have a less specific sense of time than adults
A nurse working on a mental health unit with a newly admitted 8-year-old wants to better understand what this child is thinking as well as how the child is feeling. What is the best method for the nurse to use to accomplish these goals? Play therapy Drawings Fairy tales Thinking-feeling-doing game
Thinking-feeling-doing game
The nurse has been working with the family of a small child with a psychiatric disorder. The nurse is feeling very frustrated because the parents refuse to implement effective parenting skills that the nurse has taught. What is the best action for the nurse at this time? Review effective disciplinary practices with the parents again. Refer the parents to a family therapist. Try to remember that the parents are trying to the best of their ability to carry out the suggestions. Explore alternative living arrangements for the child.
Try to remember that the parents are trying to the best of their ability to carry out the suggestions.
A nurse is talking with a school-age child who tells the nure about a time when a family member attacked the child. The child describes the events in detail. What is important for the nurse to consider when documenting and discussing the incident with other health care providers? Use the language and vocabulary of the child to describe the incident. Summarize the reported details in 4 or 5 sentences. Use leading questions to describe the incident. Use professional language in the documentation.
Use the language and vocabulary of the child to describe the incident.
When interviewing a 12-year-old child in an outpatient psychiatric setting, the nurse can establish a high degree of credibility by ... asking the child to describe his or her parents. asking about things that are important to the child. giving the child a transitional object to hold. providing advice to the child about his or her parents.
asking about things that are important to the child.
To establish rapport with a 10-year-old child who is hospitalized in a psychiatric setting, the nurse should ... analyze a fairy tale. use the DECA tool. use sports to bond with the child. play a competitive board game.
play a competitive board game.
The nurse is preparing to interview a 6-year-old child and her mother in an outpatient psychiatric setting. To establish a treatment alliance with the child, the nurse should ... act in a professional manner. sit in a chair next to the child. recognize the child's individuality. ask the parent if the child can be interviewed alone.
recognize the child's individuality.