meds & ped 54
An extremely thin preadolescent is being assessed by the nurse. Which client statement will cause the nurse to suspect the client is experiencing anorexia nervosa?
"I feel chubby no matter what I wear."
The nurse is planning educational materials to help the parents care for an intellectually disabled child at home. What should the nurse include in this teaching?
- Provide generous praise. - Reduce environmental stimulation. - Break a large task down into smaller steps. - Demonstrate the skill that the child is to perform.
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
Rumination disorder is a poorly understood condition of young children. This refers to:
rechewing undigested food.
The nurse is caring for an adolescent diagnosed with anorexia nervosa. Which education will the nurse include in the client's discharge teaching?
referrals to counseling services
The parent of an 11-month-old infant is concerned that the infant is developing an autism spectrum disorder because the infant likes to rock on the hands and knees in the crib before going to sleep. How should the nurse respond to this parent's concern?
"Rocking can be seen as a form of self-stimulation."
After an assessment, the nurse is concerned that a school-age child is at risk for developing a mental health disorder. Which assessment data will the nurse use to develop an appropriate plan care?
- The parents recently divorced - The father is unemployed and mother is infrequently home - The child is expected to care for younger siblings while mother sleeps -There is history of multiple injuries obtained from a motor vehiclecrash
. A nurse is conducting an information session for a group of parents with children who have varying levels of intellectual disabilities. One of the parents asks, "What causes this to happen?" Which information would the nurse include as a potential cause?
- lack of oxygen at birth - chromosomal abnormality - uterine infection during pregnancy
A school-age child is admitted to the mental health unit with the diagnosis of schizophrenia. What manifestations of this disorder should the nurse recognize when assessing this client?
- paranoia - illogical speech pattern - auditory hallucinations
The community health nurse is working with the school district to provide an educational program on the 2030 National Health Goals to address cognitive and mental health disorders in children. Which topics should the nurse emphasize in this program?
- stress-reduction techniques - manifestations of stress in children - recognizing depression in children - nutrition and adequate weight gain
A nurse is reviewing the test results of a female adolescent client with a BMIof 17.2 kg/m2. The results are as follows:3 3 9 White blood cell count: 3.5 × 10 cells/mm (3.5 ×10 /l) Blood urea nitrogen: 30 mg/dl (10.71 mmol/l) Creatinine: 1.20 mg/dl (106.08 μmol/l) Total cholesterol: 180 mg/dl (4.66 mmol/l) DEXA scan T-score: -1.8Anorexia nervosa is suspected. Which result(s) would the nurse identify as supporting this diagnosis?
- white blood cell count -creatinine - blood urea nitrogen - DEXA scan T-score
For which child's behavior should the nurse identify as being characteristic of separation anxiety disorder?
An 8-year-old who will not stay overnight at a friend's house
A child with attention deficit hyperactivity disorder (ADHD) is prescribed methylphenidate hydrochloride. What should the nurse instruct the parents regarding an adverse effect of this medication?
Anorexia
When teaching the parents of a 6-month-old born with Down syndrome who is moderately cognitively challenged, which of the following would you include in the teaching plan?
He will probably benefit from an early education program.
Which behavior typical of children with autism spectrum disorder (ASD)requires the nurse to maintain special care to keep them safe?
Insensitivity to pain
The mother of a school-age child is distraught over the ongoing oppositional behavior demonstrated by the child at home and at school. Which nursing diagnosis should the nurse select as appropriate for the child and family?
Interrupted family processes related to inability of child to follow instructions
The nurse has been working for several days with an adolescent who has anorexia nervosa. What is an indication that the adolescent is developing trust in the nurse?
The adolescent telling the nurse purging occurs after each meal.
The nurse is caring for a 12-month-old child diagnosed with an autism spectrum disorder. What information from the mother during the health history should the nurse identify as being consistent with the disorder?
The child constantly stares at a rotating wheel on the crib mobile.
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 14-year-old is admitted to the hospital for the second time for treatment of anorexia nervosa. Her responses to your questions on admission are either yes, no, or no response. Initially, your primary nursing goal in caring for this adolescent would be to:
develop rapport for a trusting relationship.
The nurse suspects that a school-age child has Tourette syndrome. What did the nurse most likely assess in this client?
Shouting obscenities
A nurse is working with the parents of a child just diagnosed with attention deficit hyperactivity disorder (ADHD). Which aspect will the nurse emphasize as crucial for the child?
structured learning environment
A 6-year-old is seen in a mental health clinic for possible hyperactivity. His mother reports that he is just "all boy." He has always been active and does not like to sit still for more than a minute. Which data would be most important to assess to help evaluate his behavior?
A review of the boy's typical day
The nurse is caring for a 6-month-old infant who is diagnosed with rumination disorder. The nurse would be alert for problems related to which area?
Parental attachment
The community nurse is visiting the home of a family with a child with mild intellectual disability. Which observation indicates that the family is adjusting to this child's learning capacity?
Parents support and engage the child in family conversation.
