Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development

A nurse is working at a facility that provides care to children with developmental disabilities. Which role would be the nurse's most important? a. educator b. care provider c. advocate d. counselor

c. advocate

What finding would suggest that a 5-year-old boy might have a developmental disorder? a. The child is not able to follow directions. b. The child must be supervised when brushing his teeth. c. The child knows what a dog and a cat sound like. d. The child has trouble with R, L, and Y sounds.

a. The child is not able to follow directions.

The nurse is discussing teenage substance use with a group of caregivers of adolescent children. Which statement made by the caregivers is most accurate regarding substance use disorders in teens? a. "The most common drug used by teenagers is alcohol." b. "Every teenager experiments with substances." c. "It won't really hurt teenagers if they try tobacco." d. "Even teenagers need a release from the pressures they face."

a. "The most common drug used by teenagers is alcohol."

The school nurse is assessing a 12-year-old client suspected of having bulimia. Which assessment finding would the nurse expect to see? a. Eroded dental enamel b. Thinning scalp hair c. Sparse body hair d. Dry skin

a. Eroded dental enamel

In collecting data on a 7-year-old child with a possible diagnosis of school phobia, the nurse directs questions related to the following topics. Which would most likely be a cause of the child having school phobia? a. The child may have a fear of being separated from the parent. b. The child may be a poor student and be afraid of failing grades. c. The child may have a language barrier. d. The child may be bored and feels more intellectually stimulated at home.

a. The child may have a fear of being separated from the parent.

A 17-year-old child has been admitted with complications of anorexia nervosa. What diagnostic tests can be anticipated in the plan of care/treatment? Select all that apply. a. complete blood cell count b. MRI c. CT scan d. metabolic panel e. chest X-ray

a. complete blood cell count d. metabolic panel

The nurse is caring for a child who has been hospitalized repeatedly at multiple hospitals. There is no clear medical diagnosis and the parent is threatening to leave the hospital against medical advice. The nurse suspects what issue? a. medical child abuse (formerly Munchausen syndrome by proxy) b. bipolar disorder c. anxiety disorder d. sexual abuse

a. medical child abuse (formerly Munchausen syndrome by proxy)

A nurse is caring for a 10-year-old intellectually challenged 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. "Tell me about a typical day at home."

The nurse is working with a group of caregivers of school-aged children diagnosed with attention deficit hyperactivity disorder (ADHD). Which statement would be most appropriate for the nurse to make to this group of caregivers? a. "These children study better with quiet background music such as the radio or a CD." b. "The medications your child is on may cause a decreased appetite." c. "These children function best if given a set of instructions and then left to do the task." d. "A frequent change in routine will be helpful so the child does not get bored."

b. "The medications your child is on may cause a decreased appetite."

What is the most difficult risk factor for a child to overcome related to substance abuse? a. peer pressure b. home environment where there is drug or alcohol abuse c. a diagnosis of ADD d. a dysfunctional family situation

b. home environment where there is drug or alcohol abuse

A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority? a. discussing the situation with the teacher b. scheduling an immediate history and physical examination c. asking the school psychologist to do psychometric testing d. calling for an appointment with a psychologist

b. scheduling an immediate history and physical examination

A 10-year-old girl has been referred for evaluation due to difficulties integrating with her peers at her new school. The counselor believes she is at risk for situational low self-esteem due to problematic relationships with both family members and peers. What is the best approach? a. Remind her of the importance of good hygiene for better appearance. b. Explore the girl's feelings about changes in her body with the onset of puberty. c. Engage the girl in dialogue regarding feelings about self/personal appearance. d. Introduce the concept of accepting differences to reduce conflict.

c. Engage the girl in dialogue regarding feelings about self/personal appearance.

The nurse is preparing a plan to educate the parents of a 10-year-old boy with a learning disorder. What will be part of this plan? a. Encourage parents to give the child personal space. b. Tell parents to check on the child regularly. c. Explain the child's strengths and weaknesses. d. Have parents learn the child's facial expressions.

c. Explain the child's strengths and weaknesses.

A 5-year-old child has frequent visits to the school nurse's office. Which assessment data should alert the nurse that this child may be a victim of physical neglect? a. isolated from classmates with poor self-esteem b. evidence of bruising on multiple parts of the body c. malnourished with frequent absences from school d. inappropriate knowledge of sexual terms and actions

c. malnourished with frequent absences from school

The father of a 14-year-old daughter reports she has been rebelling at home. The use of a contract for behaviors has been discussed. Which response from the father indicates the need for further discussion? a. "The establishment of rules for our home should be held with my daughter as soon as possible." b. "If my daughter becomes angry about established rules at home it is important I remain calm and consistent." c. "When my daughter exceeds expectations for her behavior she should be praised." d. "I can relax rules at home if she has had a bad day."

d. "I can relax rules at home if she has had a bad day."