Child and Adolescent disorders

A school age child is brought to the clinic by the parent, who states, "something is wrong. My child never seems happy and refuses to play." When assessing this child for depressed behavior, with which response will the nurse initially begin?

"Let's talk about what you do after school"

Which response will the nurse make to an overweight pre-adolescent who says, "I hate school. The other kids tease me about my weight. I'm always last when they pick teams in gym"?

"That hurts a lot when you want to be liked"

Which assertive intervention will the nurse implement after learning from one of the adolescents that another adolescent client broke the windows in the recreation room?

Approach the adolescent when the client is alone and calm after making direct eye contact, inquire about the involvement in these incidents

When assessing the mental status of a young school-age child, which action would be important for the nurse to do?

Compare the child's function from one occasion to another

Which behavior will the nurse observe in a child with oppositional defiant disorder?

Deliberately annoys others

Which action would the nurse take for a six year old child who recently started school but has been refusing to go for the past three weeks?

Develop a behavior modification program with the child

Which action would the nurse take for a six year old child with autism who is nonverbal and makes limited eye contact?

Engage in parallel play while sitting next to the child

Which long-term outcome will the nurse use for a child who has conduct disorder?

Has no physically aggressive episodes for three months

Which response will a nurse make to parents of an adolescent with schizophrenia who tells the nurse that they are concerned about how to respond "if our child starts to act crazy"?

Having the parents discuss mutual concerns with their child before the discharge date

Which intervention would be most appropriate in an attempt to promote socialization for a child with autism spectrum disorder?

Imitating and participating in the child's activities

For a child with ADHD, which behaviors are expected?

Impulsiveness Excessive talking Playing video games for hours on end Failure to follow through or finish tasks

Which finding would the nurse observe in a child with autism spectrum disorder?

Interest in music

Which action would be priority for three year old client with autism who has been admitted to the pediatric unit for dehydration and whose parents provide all the care?

Involve the parents in the plan of care while encouraging them to be with the child as much as possible

Which behavior modification technique will a nurse use when a young, hyperactive child begins to kick other children under the table and call them names when the child begins to lose a game they're playing?

Place the child in a time out

Based upon the information in the chart, which action will the nurse take next after the primary healthcare provider determined no physical problems?

Remain with the client until the symptoms subside

Which initial action will the nurse take when a male toddler with autism spectrum disorder suddenly runs to the wall and starts banging his head on it?

Restrain the toddler to prevent head injury

In preparation for discharge, which action would be important for the nurse to take for a hyper active, self-destructive child?

Schedule a team conference with a child and their parents

Which action by the school nurse would be most important when monitoring an adolescent who has just returned to high school after a suicide attempt?

Speaks with an adolescent regarding feelings about returning to school

Which instructions will the nurse include in parent teaching for the six year old child with autism who exhibits frequent spinning and hand flapping behaviors?

Use another activity to distract the child

Which behaviors indicate that the interventions used to help a six year old boy with ADHD have been effective?

Waits for others to finish speaking Has an increased attention span in school Takes a turn during games with others