Assignment 5- Ch 21 and 11

A 10-year-old diagnosed with childhood-onset conduct disorder gave a snack with a hidden peanut ingredient to a classmate with a known allergy to peanuts. The classmate suffered a severe allergic reaction. When the nurse counsels the child about this harmful behavior, which comment is most likely?

"He should have helped me cheat on a test when I asked him."

A 3-year-old boy recently has been diagnosed with autism spectrum disorder. His mom is tearful and states "The doctor said we need to start therapy right away. I just don't understand how helpful it will be—he's so young!" What is the nurse's response?

"Starting him on treatment now gives your child a much greater chance for a productive life."

The parent of a child diagnosed with Tourette's syndrome says to the nurse, "I think my child is faking the tics because they occur in different places at different times." Select the correct response by the nurse.

"The movements are real. Tics can occur anywhere in the body and can change in frequency and severity."

What should the nurse ask a three-year-old child while assessing the child's relationship with his or her parents?

"Would you draw me a picture of your family?"

Which of the following would not be considered a predisposing factor for conduct disorder?

Being an only child

A social behavior that is often a result of a child having been abused is

Bullying others

The primary health care provider has administered a Botulinum Toxin Type A (Botox) injection to a child with tic disorder. How will this drug benefit the child?

By relaxing the muscles associated with tics

During an assessment, the nurse finds that a patient says "wabbit" for "rabbit" and omits most of the sounds. Which neurodevelopmental disorder is the patient likely to have?

Communication disorder

When a child demonstrates a temperament that prompts the mother to say, "She is just so different from me; I just can't seem to connect with her," the nurse will

Counsel mother on better ways to bond with child

A nurse is assessing a patient with conduct disorder. Which assessment findings would indicate suicidal risk in the patient? Select all that apply

Feelings of despair Impulsive behavior Past suicide attempts

A nurse has to prepare a treatment plan for a patient with reduced nonverbal communication, and reduced social relatedness. Which appropriate strategy should the nurse include in the treatment plan?

Give a star to the patient when he or she learns a new skill.

Which impairment is the characteristic feature of a child with autism?

Impaired social interaction

While reviewing a patient's medical report, the nurse finds out that there is an increase in gray matter in left temporal area of the patient's brain. Which behavioral symptoms does the nurse correlate with this report? Select all that apply.

Impulsivity Antisocial personality Aggression

The nurse instructs the parent of a child with attention deficit hyperactivity disorder to administer methylphenidate (Ritalin) before 4 p.m. Which side effect is the nurse addressing by giving this instruction?

Insomnia

A nurse is caring for a child who has callousness as a type of conduct disorder. Which behaviors does the nurse identify as features of this disorder? Select all that apply.

Lack of empathy Indifference to family commitments Unconcerned about other's emotions

Staff working on an inpatient adolescent mental health unit desire to maintain safety and a calm milieu. Which technique should staff use most for interactions with patients?

Low expressed emotion

The nurse is caring for a toddler with a mental disorder. The nurse identifies that the toddler finds it difficult to communicate with the staff. What action does the nurse take next during the assessment?

Make use of play therapy

Which part of the nursing assessment includes assessing sensory functions?

Neurological assessment

A nurse observed that during play therapy, a patient is unable to follow the rules of the game and has conflict with peers. Which of these drugs would you anticipate would be administered to the patient?

Methylphenidate (Ritalin)

Which medication would the nurse most likely include when educating the parents of a child diagnosed with attention deficit hyperactivity disorder?

Methylphenidate (Ritalin)

A nurse is assessing a group of children with oppositional defiant disorder. Which predisposing factors does the nurse identify with this disorder? Select all that apply.

Parental rejection Harsh discipline at home Attention deficit hyperactivity disorder

An adult patient is being treated for conduct disorder. The nurse observes that the patient becomes violent and starts to hurt himself and others. What management technique is used as a last resort?

Physical restraint

A nurse assesses a 15-year-old who stole and wrecked a neighbor's classic antique car. Two years ago, this adolescent self-inflicted stab wounds. Which nursing diagnosis has priority?

Risk for suicide

The primary health care provider has prescribed that the nurse administer an injectable drug to a five-year-old child. How does the nurse administer the drug if the child is uncooperative?

The nurse demonstrates injection administration on dolls or toys.

A workshop was conducted by the American Psychiatric Nurses Association (APNA). The nurses explained different psychoanalytical therapeutic tools to the teachers to analyze a child's behavior. Which method followed by the teacher in the class shows effective learning?

The teacher should encourage the child to theme- draw.

A nurse counsels the parents of a five-year-old child diagnosed with severe autism spectrum disorder (ASD). When suggesting activities, which activity is most likely to engage this child?

assembling and disassembling a small toy, alone