Nursing Care of the Child with a Cognitive or Mental Health Disorder

A nurse is conducting a PE of an adolescent girl wtih suspected bulimia. Which of the following assessment findings would the nurse expect to note? a. eroded dental enamel b. dry sallow skin c. soft sparse body hair d. thinning scalp hair

a

The nurse is caring for a girl with anorexia who has been hospitalized with unstable vital signs and food refusal. The girl requires enteral nutrition. The nurse is alert for which of the complications that signal re-feeding syndrome? a. cardiac arrhythmias, confusion, seizures b. orthostatic hypotension c. hypothermia and irregular pulse d. bradycardia with ectopy

a

The child has been diagnosed with a mental health disorder and the child's parents are beginning to incorporate behavior managment techniques. Which of the following statements by the child's parents indicates the need for further education? Select all that apply a. I use a higher pitched voice when I communicate with her b. I am quick to point out the things that she does that make me crazy c. We have set some boundaries that are nonnegotiable d. We tell her when she is doing something well e. we're trying to make her accountable and responsible for her own behavior

a, b

The 18 month old toddler has been brought into the pediatricians offices by his parents. Which of the following findings are warning signs that the toddler may be autistic based on what he should be able to do according to his age? Select all that apply a. the parents stated that the toddler has never babbled b. the toddler does not exhibit attempts to communicate by pointing to objects c. the child does not use any words d. the child does not speak in short sentences e. the child cannot jump rope

a, b, c

The parents of an adolescent are concerned about his mental health and have brought the adolescent into the physicians office for an evaluation. Which of the following statements by the child's parents indicates that the child may have a mental health disorder? Select all that apply a. he has started sleeping for only 3 hours each night b. he has lost 10 lbs over the last 4 months c. he hangs out with same kids he always has d. he used to be a straight a student and now's he's bringing home Cs and Ds e. He still enjoys playing a lot of baseball

a, b, d

A nurse is caring for a 10 year old intellectually disabled girl hospitalized for a scheduled cholecystectomy. The girl expresses fear related to her hospitalization and unfamiliar surroundings. How should the nurse respond? a. don't worry, you will be going home soon b. tell me about a typical day at home c. have you talked to your parents about this? d. Do you want some art supplies?

b

A nurse is caring for a child with intellectual disability. The medical chart indicates an IQ of 37. The nurse understands that the degree of disability is classified as which of the following? a. mild b. moderate c. severe d. profound

b

The nurse is conducting a well child assessment of a 3 year old. Which of the following statements by the parents would warrant further investigation? a. he spends a lot of time playing with his little cars b. he spends hours repeatedly lining up his cars c. he is very active and keeps very busy d. he would rather run around than sit on my lap and read a book

b

The nurse is examining a child with fetal alcohol syndrome. Which of the following assessment findings would the nurse expect to find? a. macrocephaly b. low nasal bridge with short upturned nose c. clubbing of fingers d. short filtrum with thick upper lip

b

the nurse is conducting an examination of a boy with Tourett's syndrome. Which of the following would the nurse expect to observe? a. toe walking b. sudden, rapid stereotypical sounds c. spinning and hand flapping d. lack of eye contact

b

The child has been diagnosed with ADHD and has been prescribed Ritalin (methylphenidate). Which of the following findings are most likely adverse effects related to this type of medication? Select all that apply a. the child has gained weight since beginning ritalin b. the child complains that his head hurts at times c. the child's parents state that he sleeps much longer than he used to d. the child has been more irritable since beginning ritalin e. the child complains that he has developed abdominal pain

b, d, e

A nurse is providing a routine wellness examination and follow-up for a 3 year old recently diagnosed with ASD. Which of the following reponses indicates a need for additional referral or follow-up care? a. we have recently completed his IEP b. we really like the treatment plan that has been created by his school c. we try to be flexible and change his routine from day to day d. we have a couple of baby sitters who know how to handle his needs

c

The nurse is providing teaching about medication management of ADHD. Which of the following responses indicates a need for further teaching? a. we should give it to him after he eats breakfast b. this may cause his to have trouble sleeping. c. if he takes this medication he will no longer have ADHD d. we should see an improvement in his schoolwork

c

the mother of a 10 year old boy with ADHD contacts the school nurse. She is upset because her son has been made to feel different by his peers because he has to visit the nurses office for a lunch time dose of medications. The boy is threatening to stop taking his medication. How should the nurse respond? a. he should ignore the children, he needs this medication b. I can have the teacher speak to the other children c. you may want to talk to your physician about an extended release medication d. remind him that his schoolwork may deteriorate

c

the school aged child has been diagnosed with dysgraphia and dyslexia. Which of the following findings might be present? Select all that apply a. the child experiences difficulty when asked to hop on one foot b. the child experiences difficulty when asked to add and subtract numbers c. the child experiences difficulty when asked to jump rope d. the child experiences difficulty when asked to write words e. the child experiences difficulty when asked to spell his name

d, e