week 7 prepU chapter 33

The nurse is providing a routine wellness examination for a 5-year-old child diagnosed with autism spectrum disorder (ASD). Which response by the client's parent will cause the nurse to intervene?

"We try to be flexible and change our child's routine from day to day."

A nurse is interacting in conversation with the parents of an 8-year-old child with intellectual disability who wants to join a scout club at school. The parents explain that they are uncertain if this would be a good experience for their child. Which would be the best response by the nurse?

"Your child has the same socialization needs as other children who don't have an intellectual disability."

To feed lunch to a child with autism spectrum disorder (ASD), which action would be most important for the nurse to take?

Use a repetitive series of movements.

A nurse is providing care to a 10-year-old child diagnosed with separation anxiety disorder (SAD). The child has been prescribed fluoxetine. What consideration is most important when administering this medication?

potential for development of suicidality

A nursing student is learning about developmental disorders. The nursing instructor realizes that further instruction is necessary when the student makes which statement?

"A definitive cause can be found for every developmental disorder."

Which statement by an adolescent with anorexia nervosa would be most typical of an adolescent with this disorder?

"I feel chubby no matter what I wear."

A 3-year-old child and parent are in the office for a well visit. Which statement by the parent will the nurse highlight for the health care provider?

"I have noticed my child does not look at people when talking to them."

A nurse taking a health history from an adolescent female would become concerned about anorexia if the adolescent made which statement?

"I've been really tired lately, but I'm afraid that if I rest I will get fatter than I am already."

A nurse is assessing a child who is brought to the clinic for a follow-up visit following suture placement, as noted in the diagram. What would be the most appropriate question for the nurse to ask the parent during this follow-up appointment?

"In what manner and how often are you providing care to the hand?"

An instructor realizes that a student needs clarification about learning disorders when the student states which of the following?

"Learning disorders can be cured if detected early."

The parents of a child with physical and developmental special needs state, "We wish our child could get some kind of educational experience." How should the nurse respond?

"This must be difficult for you. Let's talk with the social worker to see what programs are available for your child."

If the following data was collected on a group of children, which of the following would most likely be evaluated as possibly related to child abuse (child maltreatment)? Select all that apply.

1,2,3

The characteristics of the child with autism spectrum disorder fall into three categories. What are these three categories?

1,2,3

Physical neglect of children occurs in various ways. In which family below would you suspect neglect?

A father allows his child to stay home from school whenever she chooses.

The nurse suspects that a child is demonstrating signs of attention deficit hyperactivity disorder (ADHD). What behavior did the nurse most likely assess in this child?

A lack of concentration

A nurse has performed a medical history for the visit (above). Which action by the nurse will provide the best insight into the client's condition?

Ask the client about eating habits.

An adolescent has been diagnosed with bulimia, and the parents are asking how to best deal with this problem. What suggestion should the nurse make to the parents to help care for the adolescent?

Develop a contract with the adolescent, setting goals of behavior and her diet, as well as privileges gained by meeting the contracted goals.

A nurse is conducting a physical examination of an adolescent girl with suspected bulimia. Which assessment finding provides the best evidence of confirmation of the diagnosis?

Eroded dental enamel

The mother of an 8-year-old boy is concerned that her son has attention deficit hyperactivity disorder. She describes the symptoms he demonstrates. Which behavior should the nurse recognize as an example of impulsiveness?

Jumping out of his seat in the middle of class and running to the bathroom without the teacher's permission

When reviewing the medical record of a child, what would the nurse interpret as the most sensitive indicator of intellectual disability?

Language delay

Which sign or symptom suggests that a 5-year-old child who does not maintain eye contact or speak may have autism spectrum disorder (ASD)?

The child constantly pats his or her legs.

The nurse is collecting data on an 18-month-old child with a diagnosis of autism spectrum disorder (ASD). What clinical manifestation would likely have been noted in the child with this diagnosis?

The child does not make eye contact.

A 6-year-old client has been diagnosed with an autism spectrum disorder. Which symptom will the nurse expect the client to display?

The client spends time alone in repetitive play activities.

A 1-year-old is a victim of child abuse (child maltreatment). Which factor obtained on history is most apt to be associated with the risk of medical child abuse (formerly Munchausen syndrome by proxy) in children?

The mother was abused as a child.

A 4-year-old is brought to the emergency department by a grandparent who states, "His father beat him with a belt, and he has marks all over his back." What responsibility does the nurse have to report this incident?

The nurse has the responsibility to report the incident as suspected child abuse (child maltreatment).

A nurse is examining a 4-year-old child with various injuries in multiple places. Which site of injury would introduce suspicion of abuse?

abdomen

A school-age boy is on methylphenidate for ADHD. What negative side effect should the mother be advised to monitor for in the child?

appetite suppression

A parent brings a preschooler to the behavioral clinic for evaluation. Upon entering the room, the child appears not to notice the nurse's presence. The child screams upon the nurse's touch. What condition should the nurse suspect?

autism spectrum disorder

A mother is suspicious that her adolescent has bulimia because the child seems to be dependent upon laxatives and vomits frequently after eating a meal. What physical finding would be most suggestive of this diagnosis?

dental erosions and caries

A nursing student shows an understanding of developmental disorders when identifying that they are detected either early during a child's development or at which of the following times?

during the first years of formal education

A young parent brings the school-aged child to the office for a sports physical examination. During the appointment, the parent informs the nurse about being worried because the child does not like school and does not seem to be reading, writing, or spelling as well as others in the class. The parent adds that the child struggles to get organized and to manage time. What condition does the nurse suspect?

learning disorder

Which sign is consistent with autism spectrum disorder (ASD) in a 2-year-old boy?

performs repetitive activity with toys

The nurse working in a pediatric mental health clinic is assessing a 4-year-old child who has suffered from physical abuse. Which type of therapy does the nurse anticipate will be most helpful in developing a trusting relationship as well as assisting in determining the client's current emotional state?

play therapy

The nurse is assessing a school-aged child for clinical manifestations of abuse. Which finding requires further follow up by the nurse?

report of genital itchiness

An adolescent client has been diagnosed with bulimia nervosa. What does the nurse explain as the goal of treatment for this client?

restoring nutritional balance and a healthy self-image