PrepU Chapter 26

The nurse is using limit setting with a child diagnosed with conduct disorder. Which statement reflects the most effective way for the nurse to set limits with the child?

"That is not allowed here. You will lose a privilege. You need to stop."

After educating the parents of a child diagnosed with ADHD on the disorder and its treatment, the nurse determines that the education has been effective when the parents state which of the following?

"We need to remember that our son is not a bad kid; he just has difficulty with impulse control and attention."

Which of the following statements would indicate that medication teaching for the parents of a 6-year-old child with attention deficit hyperactivity disorder (ADHD) has been effective?

"We'll be sure to record his weight on a weekly basis."

When teaching the parents of a child with attention deficit hyperactivity disorder (ADHD), which of the following statements by the parents would indicate the need for further teaching?

"We'll have him do his homework at the kitchen table with his brothers and sisters."

A nurse is using limit setting with a child hospitalized for a psychiatric disorder. Which statement made by the nurse would reflect appropriate limit setting? Select all that apply.

-"Swearing is not allowed here on the unit." -"You will lose television privileges for 24 hours if you ignore a unit rule." -"When you feel like swearing come and talk to me."

When assisting the parents of a child diagnosed with ADHD, which of the following would the nurse suggest? Select all that apply.

-Set clear limits with consequences -Keep to regular routines -Maintain a calm environment

The nurse is assessing an adolescent client. The father is in the room and answers most of the questions, even though the questions are directed at the client. Which actions from the parents of a child with conduct disorders may contribute to the problems of the child? Select all that apply.

-The parents may not behave appropriately themselves because of a lack of knowledge. -The parents blame the school when the child causes a disturbance in school and receives detention. -The parents engage in yelling at, hitting, or simply ignoring the behavior of their child.

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

Which of the following should be included in the education plan for a client receiving methylphenidate?

Adverse effects include hypertension and nervousness.

A nurse is developing a presentation for an adolescent community group on mental health and illness, focusing on mood disorders. Which of the following would the nurse most likely include as a major mental health issue in adolescents?

Depression

When developing the plan of care for the family of a child with a neurodevelopmental disorder, which of the following would be least appropriate to include?

Excluding the parent's from being included in the plan of care

The parents of a toddler are distraught that he has been diagnosed with autism spectrum disorder. When providing teaching for the child's parents, which of the following would the nurse need to bear in mind about the etiology of this disorder?

Expression of multiple genes involved with neurogenesis seem to play a role.

A nurse is working with an adolescent client with a diagnosis of conduct disorder. The nurse is helping the client reflect on a situation in which the client became aggressive and asks how the client could have handled it differently. The nurse is employing which intervention?

Improve coping skills and self-esteem

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

The nurse is counseling a family whose child has autism. When describing this condition, which would the nurse most likely include?

Onset before child is 2.5 years old

A child with an existing diagnosis of attention deficit hyperactivity disorder shows signs and symptoms of depression. Which would most likely be prescribed?

SSRI

After teaching a group of nurses about assessing a child with autism spectrum disorders, the group leader determines that additional education is needed when the group identifies which as a critical assessment area in the psychosocial domain?

Self-care

The parents of a child with attention deficit hyperactivity disorder (ADHD) bring the child for a follow-up visit. During the visit, they tell the nurse that the child receives the first dose of methylphenidate at about 7:30 a.m. every morning before leaving for school. The teacher and school nurse have noticed a return in the child's overactivity and distractibility just before lunch. The child's second dose is scheduled for about 12 p.m. Which might the nurse suggest as a possible solution to control the child's symptoms a bit more effectively?

Switch to a longer-acting preparation

The mother of a 6-year-old boy reports that the child has had increasing somatic complaints that have no physical basis and disappear when he is allowed to remain home from school. The nurse should suspect what?

The child has school-related phobia

Which of the following statements reflects accurately the effects of childhood mental illness?

Untreated mental illness in childhood often results in long-term mental illness in adults.