Neurodevelopmental Disorders

After educating a group of students on attention deficit hyperactivity disorder (ADHD), the instructor determines that additional education is required when the group identifies which as a typical characteristic?

Language difficulty

Assessment of a child with autism spectrum disorder reveals stereotypic behavior. Which behavior would the nurse most likely document being demonstrated by the child? Select all that apply.

Rocking Hand flapping Head banging

When providing care for children with psychiatric disorders, which are the priorities for care? Select all that apply.

Safety Self-esteem

When performing a spiritual assessment on a child, the nurse and child discuss church attendance and practices that are most important to the child. Which domain is the nurse addressing when doing this assessment?

Social

Which is a disturbance of the normal fluency and time patterning of speech?

Stuttering

The mental health nurse assesses for the most common mental health disorder found in children when asking which question?

"Do you ever get scolded at school for not sitting still?

A nurse is assessing a 7-year-old child in a school. The nurse suspects that the child has an insecure relationship with the parents. Which statement said by the child would have led the nurse to this conclusion?

"Please don't tell my mom anything we've talked about."

A nurse is speaking to the parents of a child with attention deficit hyperactivity disorder (ADHD). The parents ask the nurse about the reason for the child's underachievement in academics. What explanation given by the nurse is most appropriate?

"Your child has trouble following the teacher's directions."

Approximately what percentage of children diagnosed with attention deficit hyperactivity disorder (ADHD) will continue to experience symptoms into adulthood?

60%

Assessment of an 8-year-old client reveals communication difficulties and an inability to manage age-appropriate tasks. The child undergoes standardized testing. An intelligent quotient (IQ) of which would support a diagnosis of intellectual disability?

65

Below average intellectual functioning is initially diagnosed when an intelligence quotient (IQ) is below which level?

70

When describing intellectual disability to a group of parents, a nurse would identify which intelligent quotient (or less) as the usual threshold?

70

After teaching a group of nursing students about pharmacotherapy and attention deficit hyperactivity disorder (ADHD), the instructor determines that the education was successful when they identify which agent as one of the first-line choices for treatment?

Atomoxetine

Which is an antidepressant used to treat attention deficit hyperactivity disorder (ADHD)?

Atomoxetine

The nurse is assessing a child diagnosed with expressive language disorder. During the assessment, the parents tell the nurse the child had normal speech development until around 3 years of age when the child was involved in a serious car accident. Which part of the body may be affected in the child?

Brain

The client is 6-year-old who has been diagnosed with autism spectrum disorder. Which symptom would the client display?

The client spends time alone with little interest in making friends.

A nurse is assessing a child who had an episode of passing feces in the classroom. The child has no other disabilities. The nurse concludes that the child had intentional encopresis. Which other condition is the child likely to have?

Conduct disorder

Which term describes the use of socially unacceptable words, which are frequently obscene?

Coprolalia

Nurses who work in a pediatric psychiatric-mental health facility should do what?

Develop self-awareness of issues that remind them of their own childhood and adolescence.

A nurse is assessing an 8-year-old child. The child is unable to dress without assistance and is not able to manipulate toys, such as building blocks. The child stutters while talking. The difficulty with motor coordination was first noted after the child started to attend school, and it is not an aspect of a general underlying medical condition. What is the most likely diagnosis of the child?

Developmental coordination disorder

Which aspect of managing a child with attention deficit hyperactivity disorder (ADHD) may often be overlooked in the treatment plan?

Effects on siblings

An adolescent is being observed for attention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

Forgets to turn in homework, does not follow directions, cannot stay in assigned seat in class, and is always talking excessively and inappropriately.

After teaching a group of nursing students about intellectual disability, the instructor determines that the teaching was successful when the students identify which as the most common etiology?

Genetic syndromes

Which is considered a hyperactive/impulsive behavior seen in attention deficit hyperactivity disorder (ADHD)?

Inability to play quietly

An adolescent client says the client has become bored with the video game that has been used as a reward for positive behavior. Which is the most effective intervention for this client?

Let the client choose another reward that would be more fun.

Which medication is effective in 70% to 80% of children with attention deficit hyperactivity disorder (ADHD)?

Methylphenidate

The nurse is developing a care plan for a client diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse teaches the client to take the last dose of dextroamphetamine when?

Noon

A nurse is assessing a child with attention deficit hyperactivity disorder. Which assessment finding is the nurse likely to see in this child? Select all that apply.

Overactivity Impulsiveness

The nurse is teaching a client's parents about managing the child's tic disorder. The nurse explains that it is extremely important for the child to get plenty of rest. What is the primary reason for the nurse to provide this education? Choose the best answer.

Physical stress and fatigue can increase symptoms in tic disorder.

A nursing student is aware that which accounts for more deaths, illnesses, and disabilities across the life span than any other preventable condition?

Substance abuse disorders

A 7-year-old client experiences tics, which have become increasingly frequent in recent months. How should the nurse educate the client's teacher to respond to the tics?

Teach the client's classmates that the tics are not something that the client can control.

A nurse is assessing a 2-year-old child diagnosed with autism spectrum disorder. Which findings does the nurse expect to find on assessment? Select all that apply.

The child avoids eye contact. The child does not relate to parents. The child becomes upset with minor changes in routine.

The nurse is assessing a child with tic disorder. The nurse documents in the assessment sheet that the child exhibits coprolalia. What might be be interpreted from this?

The child continuously repeats socially unacceptable words.

The nurse expects the child with expressive language disorder is likely to present with which nursing assessment finding?

The child has difficulty forming complete sentences.

A nurse is caring for a child with attention deficit hyperactivity disorder (ADHD). The child is given medication and behavioral modification therapy to treat the condition. Which outcome achieved within 3 days would indicate successful therapy?

The child is able to complete assignments or tasks with assistance.

A nurse is preparing a treatment plan for a child with attention deficit hyperactivity disorder (ADHD). What should be the treatment goals for the child? Select all that apply.

The child should remain free of injury. The child should follow directions. The child should be able to complete tasks.

The nurse is teaching the parents of a child with involuntary enuresis about methods to manage the condition. Which intervention does the nurse recommend to the parents?

The child should use pads with a warning bell.

A nurse is caring for a child with attention deficit hyperactivity disorder. The nurse asks the child to draw pictures of the child and family members. What is the most likely rationale for this intervention?

To help the child self-express

When a client repeatedly vocalizes an obscene phrase and imitates the motions of a staff member, the nurse documents that the client is most likely exhibiting symptoms of what disorder?

Tourette's syndrome

Which is the drug of choice for a tic disorder?

risperidone