WEEK 9 [ADN 220] "DEVELOPMENT, AUTISM, CP, FTT"

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The nurse is observing a 17-year-old client with attention-deficit/hyperactivity disorder (ADHD) at home. Which observation indicates to the nurse that client outcomes have been met? The client folds half a basket of laundry and leaves the rest to read a magazine. The client receives several text messages from friends and does not respond until after asking permission to do so. The client receives poor grades on homework for not completing assignments as requested. The client talks​ incessantly, jumping from one topic to another.

client receives several text messages from friends and does not respond until after asking permission to do so

A community health nurse is educating pregnant clients about the prenatal causes and risk factors associated with the development of​ attention-deficit/hyperactivity disorder​ (ADHD). Which statement will the nurse​ include? ​"ADHD has been linked to childhood exposure to​ folate." ​"ADHD has not been linked to prenatal exposure or​ disease." ​"ADHD has been linked to prenatal exposure to cigarette​ smoke." ​"ADHD has been linked to a specific​ gene, and genetic testing may help to diagnose​ this."

​"ADHD has been linked to prenatal exposure to cigarette​ smoke."

The nurse is discussing a 13-year-old female client's recent diagnosis of attention-deficit/hyperactivity disorder (ADHD) with her parents. The client's mother states, "Our daughter has a male cousin who also has ADHD, but he doesn't act anything like her." How would the nurse best explain this difference to the client's parents? ​"Girls are usually younger than boys at the time of​ diagnosis." ​"Girls with ADHD tend to show less impulsiveness than boys with​ ADHD." ​"Girls with ADHD tend to show fewer language problems than boys with​ ADHD." ​"Girls with ADHD tend to show more aggression than boys with​ ADHD."

​"Girls with ADHD tend to show less impulsiveness than boys with​ ADHD."

The nurse is caring for a family with four children whose third child has been diagnosed with ADHD. After completing an​ assessment, which statement made by the mother leads the nurse to a diagnosis of compromised family​ coping? ​"I don't know how to tell the rest of the family or how we will manage the other​ children." ​"Will he have to be put in an​ institution?" ​"We need to alert the teachers at school so they will know how to give the​ medication." ​"I'm not sure if we should let my child act in the school​ play."

​"I don't know how to tell the rest of the family or how we will manage the other​ children."

The nurse is caring for a​ 6-year-old child who was recently diagnosed with​ attention-deficit/hyperactivity disorder​ (ADHD). Which statement by the​ child's mother indicates to the nurse that teaching goals have not been​ achieved? ​"I will give him his ADHD medication with his​ meals." ​"I will take my child to the physician every 3 months for a weight and height​ check." ​"I will let him do his homework while he is watching his favorite television​ show." ​"I will stick to the same routine each day after​ school."

​"I will let him do his homework while he is watching his favorite television​ show."

The parents of a toddler are concerned that their daughter sits quietly to play, but does not actively interact with her playmates who are sitting nearby. What should the nurse explain to the parents? ​"It is typical for toddlers to engage in solitary​ play." ​"It is typical for toddlers to engage in parallel​ play." ​"It is typical for toddlers to engage in cooperative​ play." ​"It is typical for toddlers to engage in dramatic​ play."

​"It is typical for toddlers to engage in parallel​ play."

Kara arrives for her​ follow-up visit, and you call her back to the examination room. You begin the client history and interview. What information provided by​ Kara's father might indicate that​ Kara's condition has​ worsened? ​"When Kara wears a​ t-shirt, one side hangs lower than the other​ side." ​"Kara needs to have the hem on all her dresses​ adjusted." ​"Kara only wears her shirts tucked in​ now." ​"Kara has to roll up her jeans as they all appear too​ long."

​"When Kara wears a​ t-shirt, one side hangs lower than the other​ side

A nurse is caring for a child who has been diagnosed with​ attention-deficit/hyperactivity disorder​ (ADHD). The​ client's healthcare provider has prescribed​ amphetamine-dextroamphetamine (Adderall) to treat the​ child's disorder. What statement will the nurse make to the​ child's parent regarding this​ medication? ​"This medication may increase the risk of​ psychosis." ​"Your child's liver function should be monitored with this​ medication." ​"Your child's growth may be delayed with this​ medication." ​"This medication has less abuse tendency because it is not a​ stimulant."

​"Your child's growth may be delayed with this​ medication."

Thirteen-year-old Kara Justice arrives at the health care​ provider's office after being screened for scoliosis by the school nurse. You call Kara back to the exam room for a complete assessment. Kara is accompanied by her​ father. You carefully assess​ Kara's back and extremities. While she stands with her back to​ you, you notice that her hips and shoulders are uneven. You have her perform the Adams test​ (forward-bending test), which reveals a curve requiring further evaluation. Upon further​ question, Kara admits to occasional back​ pain. You report your findings to the health care​ provider, who orders radiology testing. Kara and her father are instructed to go to the radiology department for​ x-rays that will determine the degree of her spinal curvature. The radiologist reads the​ x-rays, which reveal a curve of​ 10°. You call​ Kara's father and inform him that no treatment is required at this​ time, but that Kara should be seen in the office in 6 months for a​ follow-up. You review​ Kara's medical record and note that Kara has both a brother and a sister at home. What information should you provide to​ Kara's father regarding his other​ children? ​"Your other daughter will need to be screened for scoliosis. Boys are not at risk for developing the​ disease." ​"Your other children should undergo genetic testing to determine if they are at risk for developing​ scoliosis." ​"We will make an appointment for your other children to begin physical therapy to avoid developing​ scoliosis." ​"Your other children should also be screened for​ scoliosis."

​"Your other children should also be screened for​ scoliosis."

The community health nurse is working with a group of women from another country who smoke. The nurse is encouraging them to stop smoking before and during pregnancy. The nurse knows that her teaching has been effective when the women state that the reason to stop smoking is to lessen the chance that their children could develop which health​ problem? Unhappy memories ​Attention-deficit/hyperactivity disorder​ (ADHD) A personality disorder Benzodiazepine withdrawal

​Attention-deficit/hyperactivity disorder​ (ADHD)

The nurse is caring for a client who has cerebral palsy. Which independent intervention is appropriate for the nurse to provide? Mood stabilizers should be prescribed to control seizures. Muscle relaxants should be prescribed to control spasms. ​Range-of-motion (ROM) exercises should be used to promote flexibility and prevent contracture formation. Speech therapy should be provided to promote communication.T

​Range-of-motion (ROM) exercises should be used to promote flexibility and prevent contracture formation

The mother of​ 8-month-old Hannah Morgan is concerned that her​ daughter, who weighed 8 pounds at​ birth, is now overweight at 18 pounds. How should the nurse respond to the​ mother? ​"At this​ stage, a child requires a more limited food​ intake, so​ Hannah's weight gain should​ stabilize." ​"You are correct. Hannah is at risk for​ obesity, and you should consult with a​ nutritionist." ​"Hannah's growth is on target as a​ baby's birth weight triples in the first​ year." ​"Hannah may be slightly under​ weight, and you should consult with a​ nutritionist."

"Hannah's growth is on target as a​ baby's birth weight triples in the first​ year."

Lainey​ Fuller, a​ 10-year-old girl with​ attention-deficit/hyperactivity disorder​ (ADHD), has been taking atomoxetine​ (Strattera) for the past 4 months. It has not improved her​ symptoms, so her healthcare provider is changing her prescription to methylphenidate​ (Ritalin). Lainey's mother​ asks, "Isn't Ritalin a​ stimulant? That​ doesn't make any sense. How is a stimulant going to help Lainey get​ better?" What is the​ nurse's best​ response? ​"Stimulants like Ritalin will cause side effects like​ headache, increased heart​ rate, loss of​ appetite, and insomnia even when they are successful in treating​ ADHD." ​"It does seem like the opposite of what should​ happen, but stimulants help improve focus and attention in children with ADHD and do not increase​ hyperactivity." ​"Side effects with Strattera are less serious than with​ stimulants, but there is an increased risk of suicide in children taking​ Strattera, which is why we are making the​ switch." ​"We will have to watch​ Lainey's growth carefully when she is taking Ritalin because stimulants can decrease the amount of height and weight she​ gains."

"It does seem like the opposite of what should​ happen, but stimulants help improve focus and attention in children with ADHD and do not increase​ hyperactivity

A​ 6-year-old child with cerebral palsy who is new to the school district is experiencing severe rigidity and spasticity. Which recommendation would the school nurse make to the child​'s ​parents? ​"Make an appointment with a physical​ therapist." ​"Look into special schools for the​ handicapped." ​"Discourage the use of a​ computer." ​"Offer only​ low-carbohydrate, low-calorie foods to the​ child."

"Make an appointment with a physical​ therapist."

A nurse is caring for a client who has been diagnosed with autism spectrum disorder. His parents cannot understand how their son developed this disorder since there is no family history of it and the client was not subjected to harmful substances. Which response by the nurse is the most appropriate? ​"Sometimes the specific cause of ASD cannot be​ determined." ​"ASD is caused by poor nutritional​ intake." ​"ASD is caused by low birth​ weight." ​"Factors such as radiation​ exposure, parental​ age, or parental disease states can cause chromosomal​ disorders."

"Sometimes the specific cause of ASD cannot be​ determined."

Kara asks you how many hours she will need to wear the brace each day. You respond by telling​ her: ​"You will need to wear the brace 23 hours a​ day." ​"You will need to wear the brace 8 hours each day while you​ sleep." ​"You will need to wear the brace at least 12 hours each​ day." ​"You only need to wear the brace while you play​ sports."

"You will need to wear the brace 23 hours a​ day."

Mr. Justice is concerned that Kara will have to wear a brace. You educate him that scoliosis does not require bracing until the curve​ reaches: 25 to 30 degrees 20 to 25 degrees 15 to 20 degrees 30 to 35 degrees

25 to 30 degrees

The nurse is providing care to a group of pediatric clients seen for​ well-child check-ups. Which client may require a more​ in-depth developmental assessment from the​ nurse? A newborn born at 39 weeks gestation A toddler receiving age appropriate vaccinations A preschooler who was recently adopted from China An adolescent who is traveling to Europe over summer vacation

A preschooler who was recently adopted from China

Which surgical intervention is not used to treat cerebral palsy​ (CP)? Achilles tendon shortening Dorsal rhizotomy Surgically implanted intrathecal pump Releasing the hamstrings

Achilles tendon shortening

Jason is a​ 5-year-old boy with autism spectrum disorder​ (ASD). He is at the office for his annual physical. Upon entering the room the nurse notices that he is sitting on his​ mother's lap playing with his teddy bear. He does not respond to the​ nurse's greeting. Which approach is most appropriate for the nurse to use with​ Jason? Allow Jason to stay on his​ mother's lap, keep his teddy​ bear, and speak to him calmly and concisely. Explain that this is not at all unusual and that there is not much that can be done as this is the normal progression of the disorder. Engage as little as possible with Jason so as not to upset him more and keep to the task at hand

Allow Jason to stay on his​ mother's lap, keep his teddy​ bear, and speak to him calmly and concisely.

An​ 8-year-old boy with​ attention-deficit/hyperactivity disorder​ (ADHD) arrives at the clinic for a well visit with his parents. The​ client's parents appear fatigued and argue with each other when answering questions about the​ client's home and school routine. The client talks happily about school and new friends he has made this year. The client has been taking methylphenidate​ (Ritalin) for the past​ year, and his parents verbalize proper administration and management of the medication. Which is the priority nursing diagnosis for this​ client? Increased risk for injury Alterations in family processes Impaired socialization Potential for enhanced​ self-esteem

Alterations in family processes

The nurse is caring for a client recently diagnosed with autism spectrum disorder​ (ASD). The client​'s mother asks the nurse about medications that may be prescribed for ASD. Which medication will not be included in the teaching​ session? Mood stabilizers Selective serotonin reuptake inhibitors​ (SSRIs) Stimulant agents Antipyretic agents

Antipyretic agents

Which medication is often prescribed for a client with cerebral​ palsy? Antipsychotics Stimulants Antidepressants Antispasmotics

Antispasmotics

During an​ assessment, the nurse suspects that an​ 11-month-old infant is demonstrating manifestations of cerebral palsy. Which assessment finding would bring the nurse to this​ conclusion? ​(Select all that​ apply.) Asymmetric crawling Head lag Arched back Thumb sucking Poor trunk control

Asymmetric crawling Head lag Arched back Poor trunk control

The nurse is educating a​ 27-year-old client with​ attention-deficit/hyperactivity disorder​ (ADHD) who is taking ADHD medications. About which medication would the nurse most likely educate the​ client? Methylphenidate​ (Ritalin) Dextroamphetamine​ (Adderall) Atomoxetine​ (Strattera) Guanfacine​ (Intuniv)

Atomoxetine​ (Strattera)

The mother of​ 10-year-old Michael Donahue is concerned because her son fidgets and talks a​ lot, loses​ things, and​ doesn't like school work. The nurse should consider that Michael may have which developmental​ disorder? Cerebral palsy ​Attention-deficit/hyperactivity disorder Autism spectrum disorder Failure to thrive

Attention-deficit/hyperactivity disorder

Kara was sent for​ x-rays prior to her​ follow-up appointment.​ Kara's x-ray results indicate a curvature of 30 degrees. Based on this diagnostic​ finding, you teach Kara and her family that she will require which treatment​ option? Boston brace Occupational therapy Surgery Halo brace

Boston brace

Stacy Capers is a term female newborn diagnosed with an infection contracted in utero. The healthcare provider advises the parents that the newborn may have spastic cerebral palsy​ (CP) because of a brain insult related to the infection. When talking with the​ parents, which area of the brain will the nurse indicate is affected by the​ insult? Multiple areas Cerebellum Cerebral cortex Basal ganglia

Cerebral cortex

During a routine​ exam, the nurse notices that Emma​ Adams, a​ 2-year-old girl, shows signs of inadequate coordination and muscle stiffness. This may indicate that Emma may be suffering from which developmental​ disorder? Cerebral palsy Autism spectrum disorder ​Attention-deficit/hyperactivity disorder Failure to thrive

Cerebral palsy

A nurse is caring for a toddler client whose parent suspects the child may have​ attention-deficit/hyperactivity disorder​ (ADHD). Which statements should the nurse recognize as true regarding the diagnostic criteria for​ ADHD? Select all that apply. Diagnostic criteria for ADHD are nonspecific and vary with every child. Children must have 6 or more symptoms that have persisted for 6 or more months with negative impacts. Children must have a physical examination prior to the diagnosis of ADHD to rule out other diseases. Children must have 3 or more symptoms that have persisted for 3 or more months with negative impacts. Children with learning disabilities are often misdiagnosed as having ADHD.

Children must have 6 or more symptoms that have persisted for 6 or more months with negative impacts. Children must have a physical examination prior to the diagnosis of ADHD to rule out other diseases. Children with learning disabilities are often misdiagnosed as having ADHD.

The nurse is assessing a​ 3-year-old child for symptoms of autism spectrum disorder​ (ASD). Which assessment finding does not support the diagnosis of​ ASD? Inability to react accordingly to social clues Displays​ self-destructive behavior Comprehends language well beyond the complexity of age Engages in repetitive behaviors

Comprehends language well beyond the complexity of age

The parents of Tyler​ Thomas, a​ 5-year-old client with mixed cerebral​ palsy, ask why a baclofen pump is scheduled to be surgically implanted in the child. Which explanation would the nurse give about the purpose of this medication​ pump? Prevents infections Allows​ flat-footed walking Increases ankle range of motion Controls muscle spasms

Controls muscle spasms

The nurse is teaching the family of a child who has been prescribed amphetamine mixed salts​ (Adderall) for​ attention-deficit/hyperactivity disorder​ (ADHD). At which time should the nurse instruct the family to provide the​ medication? Before lunch At bedtime Early in the morning With the evening meal

Early in the morning

In collaboration with a medical​ team, the nurse is caring for Jason​ Cox, a​ 3-month-old infant being treated for failure to thrive. Which type of care should the nurse provide for Jason and his​ caregivers? Physical therapy Behavioral therapy Psychological testing Education on home safety

Education on home safety

The school nurse is talking to a child with​ attention-deficit/hyperactivity disorder​ (ADHD) who wants to play soccer. Which action is the most appropriate for the school nurse to​ take? Ask the​ child's mother to get permission from the​ child's physician to play soccer. Recommend that the child become active in an individual​ sport, rather than a team sport. Encourage the child to play soccer. Discourage the child from playing a team sport like soccer.

Encourage the child to play soccer.

The nurse assessing a​ 25-month-old toddler client notices that she is not communicating with words. Which comment by the mother supports the diagnosis of autism spectrum disorder​ (ASD)? Responds to conversations in the room Enjoys cuddling Likes to play with his siblings Engages in mostly solitary activity

Engages in mostly solitary activity

Which specific types of independent interventions should a nurse provide to a client or client​'s family who has growth and development​ alterations? ​(Select all that​ apply.) Ensure that the client is properly fitted with orthotic​ devices, if prescribed Provide speech therapy Prescribe medication for treatment Facilitate connections with support groups and financial aid services Provide instruction on the creation of a safe home environment

Ensure that the client is properly fitted with orthotic​ devices, if prescribed Facilitate connections with support groups and financial aid services Provide instruction on the creation of a safe home environment

The nurse is educating the parents of a child recently diagnosed with autism spectrum disorder​ (ASD). The parents ask the nurse how this could have happened. Which etiologies will the nurse include in the response to the client​'s parents? Select all that apply. Immunologic factors ​Mercury-containing vaccinations Environmental factors Genetics Neurotransmitters

Environmental factors Genetics Neurotransmitters

The nurse is assessing an adult client with suspected attention-deficit/hyperactivity disorder (ADHD). Which finding would the nurse most likely observe? Excessive talking Stands up​ mid-interview Squirming in chair Fidgeting with hands or feet

Excessive talking

The nurse is addressing a group of​ high-risk teen mothers. Which risk factors that can lead to​ attention-deficit/hyperactivity disorder​ (ADHD) in children would the nurse describe to the teen​ mothers? Select all that apply. Exposure to high levels of lead in childhood Poor nutrition Drinking alcohol during pregnancy Lack of proper parenting

Exposure to high levels of lead in childhood Poor nutrition Drinking alcohol during pregnancy Lack of proper parenting

You are providing care to​ Trevor, a​ 6-year-old client who is diagnosed with autism spectrum disorder​ (ASD). As you review the medical​record, which item in the health history may have caused Trevor to develop​ ASD? Appropriate adaptation to new environments Fetal alcohol syndrome Childhood vaccinations Cystic fibrosis

Fetal alcohol syndrome

A nurse is caring for a​ 10-year-old client who is scheduled to have a tonsillectomy the next day. The nurse has planned a preoperative teaching session for the​ child, who has a history of​ attention-deficit/hyperactivity disorder​ (ADHD). Which teaching technique should the nurse use for this​ client? Ask other children who have had this procedure to talk to the child. Give instructions verbally and use a picture​ pamphlet, repeating points more than once. Allow the child to lead the session to gain a sense of control. Play a television show in the background.

Give instructions verbally and use a picture​ pamphlet, repeating points more than once.

The family of a client diagnosed with autism spectrum disorder​ (ASD) has opted to begin a​ gluten-free and​ casein-free diet. Which food choices indicate appropriate understanding of this​ diet? Select all that apply. Grilled salmon Soy milk Cornmeal Yogurt Cheese

Grilled salmon

Which assessment findings are specific to the infant stage of growth and​ development? ​(Select all that​ apply.) Jaw proportions change. Growth is associated with body type and quality of feeding. Height increases by about 1 foot. The child requires a more limited food intake. Most growth takes place in long bones.

Growth is associated with body type and quality of feeding. Height increases by about 1 foot.

A 34-year-old client recently diagnosed with attention-deficit/hyperactivity disorder (ADHD) asks the nurse about treatment options. Which treatment options should the nurse describe? Select all that apply. Having an orderly work area Prescribing nonstimulant medication atomoxetine​ (Strattera) Prescribing stimulant medications such as dexmethylphenidate​ (Focalin) Allowing for a flexible schedule Maintaining a quiet environment

Having an orderly work area Prescribing non-stimulant medication atomoxetine​ (Strattera) Maintaining a quiet environment

A team approach is being used to help a​ middle-age client with autism spectrum disorder​ (ASD) achieve his full potential. A community center has been engaged to help find a position for him. Which strategy will allow this client to have the best opportunity for​ success? Those with ASD generally cannot work as the disorder is too debilitating to allow for them to be productive community members. Help the client find a position that will allow him to use his strongest talents. Make sure the job is an easy one. Partner the client with someone else at work so that they can keep an eye on him at all times.

Help the client find a position that will allow him to use his strongest talents..

A​ 9-month-old child has been diagnosed with ataxic cerebral palsy​ (CP). Which clinical manifestation would the nurse expect to assess in this​ client? Hypertonia and persistence primitive reflexes Hemiplegia and hypertonia Hypotonia and muscle instability Tremors and exaggerated posturing

Hypotonia and muscle instability

As compared with​ boys, girls with​ attention-deficit/hyperactivity disorder​ (ADHD) typically show less of which​ characteristic? Impulsiveness Mood swings Cognitive problems Anxiety

Impulsiveness

A parents group asks the nurse what they would look for if they suspected their child has​ attention-deficit/hyperactivity disorder​ (ADHD). Which observations would the nurse have the parents report for further​ assessment? Select all that apply. Inability to stay on an assigned task to completion Limited attention span when speaking with parent Having difficulty with learning at school Deliberately destroys other people​'s property Excessive motor activity

Inability to stay on an assigned task to completion Limited attention span when speaking with parent Having difficulty with learning at school Excessive motor activity

The nurse is providing care to a hospitalized child who is diagnosed with autism spectrum disorder. Which intervention is appropriate for this​ child? Enforcing strict visitation policies Communicating with the child in the same manner as communicating with the parents Encouraging frequent hand washing Incorporating rituals used at home in the hospital environment

Incorporating rituals used at home in the hospital environment

Which factor cause cerebral palsy before or during​ birth? ​(Select all that​ apply.) Neonatal sepsis Injury to periventricular white matter Hyperbilirubinemia Fetal viral infection Premature birth

Injury to periventricular white matter Fetal viral infection Premature birth

Which is a side effect of stimulants used as medication for children with​ ADHD? Stomach pain Irritability Constipation Insomnia

Insomnia

​Kara's father asks you why there is a need for​ follow-up when the curvature does not need treatment. What is your best response to Mr.​ Justice's question? Kara requires follow up because curves generally worsen during growth spurts. Would you like to see a different provider in 6​ months? The​ follow-up visit is only a​ recommendation; because Kara is done​ growing, it is not required. We can conduct a phone interview to determine if the curvature has gotten worse.

Kara requires follow up because curves generally worsen during growth spurts.

Mr. Justice asks you if Kara will have any activity restrictions after surgery. What is your best response to Mr.​ Justice's question? Kara should not bend or twist at the waist. Kara should not climb steps following surgery. Kara should be encouraged to ride her bicycle. Kara will no longer be able to go swimming.

Kara should not bend or twist at the waist.

A nurse is assessing an adult client with autism spectrum disorder​ (ASD). Which characteristic of autism spectrum disorder​ (ASD) is not likely to be problematic for this​client? Comprehending nonverbal clues Flexibility of thought Social interaction Language skills and sentence formation

Language skills and sentence formation

Which is a characteristic of​ attention-deficit/hyperactivity disorder​ (ADHD)? Select all that apply. Impulsivity is a persistent characteristic in adults Some children have a deficit in acetylcholine in the brain Linked to exposure to excess lead Linked to heredity Often persists into adulthood

Linked to exposure to excess lead Linked to heredity Often persists into adulthood

Which foods should be avoided when a child with autism spectrum disorder​ (ASD) is being treated with a​ gluten- and​ casein-free diet? Select all that apply. Milk Beef Cheese Grain Corn

Milk Cheese Grain

Which are characteristics of cerebral​ palsy? ​ (Select all that​ apply.) Muscle stiffness Uncontrolled movements Excessive fidgeting Avoiding eye contact Inadequate balance

Muscle stiffness Uncontrolled movements Inadequate balance

A​ 1-year-old child is being evaluated for cerebral palsy. When assessing the​ child, which finding is the nurse least likely to​ observe? Strabismus Developmental delay Arching of the back Normal muscle tone in all extremities

Normal muscle tone in all extremities

Which are ways in which culture​ and/or ethnicity can influence growth and​ development? ​(Select all that​ apply.) Identity establishment Nutritional practices Social interaction patterns Temperamental characteristics Genetic variations

Nutritional practices Social interaction patterns Genetic variations

The nurse is providing care to a client diagnosed with failure to thrive (FTT). Which option does the nurse anticipate will be prescribed to treat FTT in this client? Formula feedings by gastric tube Nutritional supplements Proton pump inhibitors ​Beta-blockers

Nutritional supplements

During an​ exam, the nurse begins to suspect that a client has cerebral palsy. Upon what does the nurse make this​ assessment? Observation of uncontrolled movements Observation of inattention and impulsivity Questionnaire about impaired social interaction Screening of weight below the fifth percentile

Observation of uncontrolled movements

The nurse is visiting Gerry​ James, a​ 17-year-old adolescent with cerebral palsy​ (CP). Which would the nurse recommend to assist this client with physical mobility in his planning to begin college in a few​ months? Use adaptive utensils Obtain a customized wheelchair Receive therapeutic massages every week Learn American sign language

Obtain a customized wheelchair

Which nonpharmacologic therapies are used in the care of a client with cerebral palsy​ (CP)? ​(Select all that​ apply.) Occupational therapy Speech therapy Massage therapy Physical therapy Special education

Occupational therapy Speech therapy Physical therapy Special education

The parents of a 6-year-old client with attention-deficit/hyperactivity disorder (ADHD) are receiving education about the disorder from the nurse. Which statement made by the parents indicates a need for further teaching? ​"The parts of our​ child's brain that control​ self-regulation are slow to​ develop." ​"Our child will grow out of the​ ADHD, so we only have to deal with it a few more​ years." ​"Our child is at risk for antisocial behavior and substance abuse if the ADHD is not​ treated." ​"Stimuli affect our child more than other​ children, which causes​ hyperactivity."

Our child will grow out of the​ ADHD, so we only have to deal with it a few more​ years."

During a check-up, the nurse notes that the client has reached physical growth milestones but has not achieved cognitive developmental milestones. Other than developmental disorders, what else should the nurse consider? Cerebral palsy Parental interaction Child temperament Genetic abnormalities

Parental interaction

During a routine​ examination, Paola​ Chiappe, a​ 41-year-old woman, mentions that she has always had difficulty concentrating at work and asks whether there are any strategies to help her focus. While taking Ms.​ Chiappe's health​ history, the nurse suspects that the client has previously undiagnosed​ attention-deficit/hyperactivity disorder​ (ADHD). Which finding would the nurse most likely assess in Ms.​ Chiappe? Good listening skills Quiet demeanor Participation in​ high-risk activities Highly accomplished at work

Participation in​ high-risk activities

The nurse is preparing to complete a physical examination for a pediatric client diagnosed with autism spectrum disorder​ (ASD). Which assessment is appropriate for this​client? Asking about eating patterns Determining hearing acuity Performing a developmental screening Assessing history of injury

Performing a developmental screening

Which interventions should the nurse teach to the parents of a school-age child with attention-deficit/hyperactivity disorder (ADHD)? Select all that apply. Giving​ time-outs only for the worst negative behaviors Praising all positive behaviors Not asking the healthcare provider to provide​ "drug holidays" Turning off the television when client is doing homework Maintaining a consistent bedtime routine and time

Praising all positive behaviors Turning off the television when client is doing homework Maintaining a consistent bedtime routine and time

Kara returns for another​ follow-up appointment.​ X-rays indicate the curve of her spine is now 45 degrees. The health care provider tells Kara and her father that surgery is recommended.​ Kara's surgery is​ scheduled, and you begin education regarding postoperative care. Which information is appropriate to​ include? Select all that apply. Proper positioning Donating own blood prior to surgery Pain management techniques The importance of deep breathing following surgery Exercises that will decrease the severity of spinal curvature

Proper positioning Donating own blood prior to surgery Pain management techniques The importance of deep breathing following surgery

​ Kara begins to cry when she learns that she will have to wear a brace to treat her scoliosis. She​ states, "All my friends are going to make fun of​ me!" What type of emotional support can you provide to​ Kara? Select all that apply.​ Provide Kara with a phone number for a support group of other teenagers with scoliosis. Educate Kara to ignore her friends. Teach Kara how long treatment will be necessary. Educate Kara about why she needs to wear the brace. Teach Kara how to wear the brace.

Provide Kara with a phone number for a support group of other teenagers with scoliosis. Teach Kara how long treatment will be necessary. Educate Kara about why she needs to wear the brace. Teach Kara how to wear the brace.

The nurse is caring for an older adult client who has been diagnosed with failure to thrive and has a caregiver present at the bedside. What role will the nurse assume in this process? Provide behavioral therapy to the client Provide nutritional education to the caregiver Prescribe medication for the treatment of FTT Refer client to genetic counseling

Provide nutritional education to the caregiver

Which is the best intervention for the nurse to implement when caring for a​ 16-year-old client with​ attention-deficit/hyperactivity disorder​ (ADHD)? Allow the client to study in a family room with the television on. Initiate negative consequences for low academic scores. Allow the parents to work out problems on their own. Provide opportunities to increase​ self-esteem.

Provide opportunities to increase​ self-esteem

The home care nurse is performing a visit to a child diagnosed with autism spectrum disorder​ (ASD). Which intervention is appropriate for the nurse to include in the treatment plan for this​ family? Recommending that the home be a "Therapy Free" zone Encouraging the family to "get over" negative feelings regarding the diagnoses Providing appropriate education regarding what to expect for the child

Providing appropriate education regarding what to expect for the child

The nurse suspects that a client may have attention deficit hyperactivity disorder (ADHD). Upon which assessment technique might the nurse have made this diagnosis? Screening of balance and coordination abilities Questionnaire about temper tantrums and aggression Screening of eye contact and facial expression Questionnaire about study and behavior habits at school and home

Questionnaire about study and behavior habits at school and home

Which diagnostic tools are used to assess developmental​ status? ​(select all that​ apply) Questionnaires Screening tests CT scans Observation MRI

Questionnaires Screening tests Observation

Which medication is not used to control seizures and muscle spasms in​ CP? Ranitidine Baclofen Botulinum toxin Dantrolene

Ranitdine

Which behavioral therapy can help improve quality of life for the client with​ ADHD? Increasing stimulation Setting consistent limits Loose classroom supervision Having a flexible routine

Setting consistent limits

Tina​ White, a​ 7-year-old African American girl with dyskinetic cerebral​ palsy, has used a stroller or wheelchair for mobility since birth. During every healthcare provider​ appointment, on which finding should the nurse focus when assessing this​ client? Height and weight Persistent newborn reflexes and swallowing Nutrition status and constipation Skin integrity and body alignment

Skin integrity and body alignment

While taking an assessment of Arthur​ Kim, a​ 12-year-old boy, Arthur tells the nurse that he is getting bad grades at​ school, and he repeatedly interrupts to talk about his favorite character from a new movie. The nurse suspects that Arthur might have​ attention-deficit/hyperactivity disorder​ (ADHD). Which other finding would the nurse expect when questioning the father about​ Arthur's behavior? Sleep disturbances High​ self-esteem Ease in completing tasks Strong friendships with other children

Sleep disturbances

The nurse is interviewing the mother of a child who is being evaluated for​ attention-deficit/hyperactivity disorder​ (ADHD). Which factor within the​ child's health history should the nurse recognize could be associated with the development of​ ADHD? The immune response of the child Young parental age at conception Smoking during pregnancy The​ measles, mumps, and rubella​ (MMR) vaccine

Smoking during pregnancy

Impairments in which areas are evident by the age of 3 in the child with autism spectrum disorder​ (ASD)? ​(Select all that​ apply.) Social interactions Social adaptability Ability to organize responses to situations Ability to engage in complex thought process Communication

Social interactions Social adaptability Ability to organize responses to situations Communication

Which theory of growth and development proposes that children learn​ attitudes, beliefs,​ customs, and values by modeling the behaviors of​ others? Social learning theory Resiliency theory Temperament theory Behaviorist theory

Social learning theory

The nurse is preparing to provide newly prescribed medication to a female client who has been diagnosed with​ attention-deficit hyperactivity disorder​ (ADHD). Which medication information should the nurse​ include? Anticholinergics Antidepressants Stimulants Antipsychotics

Stimulants

The nurse is preparing educational material for the parents of children with cerebral palsy. Which treatment would the nurse include in this teaching​ session? ​(Select all that​ apply.) Surgery Positioning devices Muscle relaxants Serial casting ​Low-calorie diet

Surgery Positioning devices Muscle relaxants Serial casting

Which resource will the healthcare provider use to diagnose autism spectrum disorder​ (ASD)? The American Psychiatric Association​'s Diagnostic and Statistical Manual of Mental Disorders The Autism Handbook Teaching Social Communication to Families with Autism The Mental Health Rights Manual

The American Psychiatric Association​'s Diagnostic and Statistical Manual of Mental Disorders

The school nurse is administering methylphenidate​ (Ritalin) to an adolescent male who has been diagnosed with​ attention-deficit/hyperactivity disorder​ (ADHD). Even though the drug helps the adolescent with focus and​ grades, he will not go to the​ nurse's office at noon for his medication. What should the school nurse suspect is the reason for this​ adolescent's behavior? The adolescent may fear that this drug may be a​ "gateway drug" that may lead to abusing other substances. The adolescent may be embarrassed about having to take medicine at school and fear a social stigma. An additional dose of methylphenidate​ (Ritalin) is not needed while at school. Alternative coping mechanisms to increase focus during classes have been developed.

The adolescent may be embarrassed about having to take medicine at school and fear a social stigma

The nurse is evaluating an adult client with​ attention-deficit/hyperactivity disorder​ (ADHD). Which observation indicates to the nurse that treatment has been​ successful? The client often finishes the​ nurse's sentences. The client confides that it is embarrassing to have a childish disease. The client reports fewer sleep disturbances. The client asks for a higher dosage of ADHD medication.

The client reports fewer sleep disturbances.

The nurse is planning care for an adult client diagnosed with​ attention-deficit/hyperactivity disorder​ (ADHD). The client has a strong social network and does not display much impulsivity but has problems with inattentiveness. Which goal is the priority for the nurse to include in the plan of​ care? Select all that apply. The client will demonstrate​ age-appropriate social interactions with peers and family. The client will demonstrate​ age-appropriate social interactions with peers and family. The client will respect the boundaries of others. The client will remain free of injury. The client will achieve work performance to maximum potential.

The client will achieve work performance to maximum potential. The client will demonstrate​ age-appropriate social interactions with peers and family.

Which goal is appropriate to include in the plan of care for a client with autism spectrum disorder​ (ASD) who is hospitalized for a​ tonsillectomy? The client will not socialize with other children in the same age group. The client will demonstrate behavior that is not​ self-destructive. The client will try new foods during hospitalization. The client will allow the nurse to perform all activities of daily living.

The client will demonstrate behavior that is not​ self-destructive.

The school nurse is helping to create an individualized education plan (IEP) for a 12-year-old client with attention-deficit/hyperactivity disorder (ADHD). Which behavioral goal is appropriate to include in the plan of care? The client will achieve school performance to minimum competency. The client will demonstrate a decrease in attentiveness. The client will respect the boundaries of others. The client will accurately manage medication administration.

The client will respect the boundaries of others.

A nurse is conducting a consultation with a client who has a developmental alteration. What should the nurse take into consideration when interacting with the​ client? ​(Select all that​ apply.) The client​'s literacy skills The client​'s preferred learning method The client​'s reliance on social services The client​'s family history The client​'s developmental level

The client​'s literacy skills The client​'s reliance on social services The client​'s family history

A nurse is conducting a consultation with a client who has a developmental alteration. What should the nurse take into consideration when interacting with the​ client? ​(Select all that​ apply.) The client​'s literacy skills The client​'s preferred learning method The client​'s reliance on social services The client​'s family history The client​'s developmental level

The client​'s literacy skills The client​'s preferred learning method The client​'s developmental level

You prepare Kara for a thorough assessment during her visit. You know that the health care provider will focus the assessment on which​ systems? Select all that​ apply. The gastrointestinal​ (GI) system The genitourinary​ (GU) system The neurologic system The respiratory system The cardiac system

The neurologic system The respiratory system The cardiac system

The nurse is preparing an educational seminar about early intervention programs to promote growth and development of the child with cerebral palsy​ (CP). Which information would the nurse include to assist the parents of these​ children? Explain that vocational training is not appropriate but that assisting with a general job is appropriate The use of adaptive devices to help the child communicate more independently The value of home schooling so that the child will not have to be exposed to children in the school setting The need to use terminology 1 year below the​ child's development level

The use of adaptive devices to help the child communicate more independently

A 22-year-old client with attention-deficit/hyperactivity disorder (ADHD) is currently taking atomoxetine (Strattera). The client states, "I don't want to be dependent on medication my entire life. I've heard that cutting out sugar from my diet and taking ginkgo biloba might help my ADHD symptoms." Which is the best response by the nurse about complementary and alternative therapies for ADHD? ​"These are popular alternative​ treatments, but scientific evidence does not consistently support their​ effectiveness." ​"Taking medication​ isn't really that​ bad, especially since it is the only effective way to control your symptoms and let you live a normal​ life." ​"You can replace your medication with these alternative treatments if you​ like, but be sure to tell your healthcare provider about​ them." ​"Why don't we ask your healthcare provider to prescribe a different medication instead of the one​ you're taking, if​ you're worried about​ it?"

These are popular alternative​ treatments, but scientific evidence does not consistently support their​ effectiveness

Which speech pattern anomalies are likely to appear in the young child with autism spectrum disorder​ (ASD)? Select all that apply. Stuttering Use of the word you to represent I Reiteration of questions as opposed to answering them Enchantment with​ rhythmic, repetition of verse or song Echolalia

Use of the word you to represent I Reiteration of questions as opposed to answering them Enchantment with​ rhythmic, repetition of verse or song Echolalia

The nurse suspects that a 6-month-old client may be suffering from failure to thrive (FTT). What aspects of culture should the nurse take into account when performing an assessment of the client? Social interaction patterns in ethnic groups Variances in childrearing practices in ethnic groups Variances in nutritional practices in ethnic groups Educational motivation among ethnic groups

Variances in nutritional practices in ethnic groups

The school nurse is arranging an appointment for a physical examination of an​ 11-year-old client recently diagnosed with​ attention-deficit/hyperactivity disorder​ (ADHD). The​ client's parent​ states, "Our child was evaluated at home and here at​ school, and now we have to make another appointment for a​ physical? Why?" Which is the best response by the​ nurse? ​"The healthcare provider will be able to give you better strategies for helping your child focus at home and at​ school." ​"We need to rule out neurological diseases and other health problems in your child that may affect treatment of​ ADHD." ​"The physical exam will find out whether your child has other mental health​ issues, such as​ depression, anxiety, learning​ disorder, or conduct​ disorder." ​"We need to see whether your child has the physical characteristics that go along with the behaviors of ADHD to correctly diagnose​ ADHD."

We need to rule out neurological diseases and other health problems in your child that may affect treatment of​ ADHD

During a routine​ examination, the mother of a young teen client mentions that her son is constantly eating and is rapidly growing out of many of his clothes. What should the nurse explain to the​ mother? ​(Select all that​ apply.) You can expect height and weight increases to last over the next few years. Nutritional needs increase with growth spurts. Most growth at this age takes place in long bones of the arms and legs. Growth in all children occurs in a cephalocaudal direction. Boys often experience a prepubescent growth spurt at this age.

You can expect height and weight increases to last over the next few years. Nutritional needs increase with growth spurts. Boys often experience a prepubescent growth spurt at this age.


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