Test #4 - Chapter 22
Which are nursing actions that support active listening? Select all that apply.
Use appropriate vocabulary Use reflective comments
A child is taking methylphenidate for treatment of attention deficit hyperactivity disorder (ADHD). Which side effect must be monitored in this child?
Growth delays
A nurse is developing the plan of care for a 6-year-old child diagnosed with attention deficit hyperactive disorder (ADHD). The nurse identifies interventions to address which behavior issues? Select all that apply.
Has a habit of not waiting for a turn Throws a temper tantrum when asked to clean up toys Frequently acts out during class "quiet time" Does not acknowledge others' right to select group activities
When attention deficit hyperactivity disorder (ADHD) is present, the child will most likely exhibit which core symptoms?
Highly distractible, excitable, impulsive, and excessively active
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 parents of a 2-year-old child complain to the nurse that their child is always dismantling toys, scribbling on the walls, and running all around the place and that it is very difficult to control the child's behavior. What is the most appropriate response from the nurse?
"At this child's age, these behaviors are expected."
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
A nurse tells the child and caregiver that the nurse will interview each of them separately. The caregiver questions why this needs to occur. What is the nurse's best response?
"Both interviews provide unique and meaningful information."
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 9-year-old client with attention deficit hyperactivity disorder (ADHD) has been placed on the stimulant methylphenidate. The nurse knows that the teaching has been effective when the client's parents state what?
"The client may have some side effects, like insomnia, loss of appetite, or weight loss, but they are rare."
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
A nurse has been asked to identify children with attention deficit hyperactivity disorder (ADHD) in a school. Which children should the nurse identify as having ADHD? Select all that apply.
A child who makes excessive noise by tapping the desk A child who does not follow instructions in class
Which medication classification is used in the treatment of tic disorders?
Antipsychotics
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 the first line choice?
Atomoxetine
Which is an antidepressant used to treat attention deficit hyperactivity disorder (ADHD)?
Atomoxetine
Which common disorder of childhood accounts for the most referrals in children?
Attention deficit hyperactivity disorder (ADHD)
When working with children with neurodevelopmental disorders, which would be appropriate?
Building on the child's strength
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 aspect of managing a child with attention deficit hyperactivity disorder (ADHD) may often be overlooked in the treatment plan?
Effects on siblings
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.
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?
Early in the afternoon
A nurse is studying the brain images of children with attention deficit hyperactivity disorder (ADHD). In these images, the nurse would find abnormalities related to which area of the brain?
Frontal lobe
The parents of a toddler are distraught that the toddler has been diagnosed with autism spectrum disorder. When providing care for the child and the parents, the nurse understands that autism spectrum disorder is thought to be caused by what?
Genetic factors
A nurse is caring for a child with enuresis. The child does not have any abnormalities associated with development or behavior. Which drug would the child be prescribed to treat the condition?
Imipramine
When assessing a child with encopresis, impairments will depend upon all of the following conditions except for what?
Intolerance to sedentary activity
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
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 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
Which is the drug of choice for a tic disorder?
Risperidone
A child with an existing diagnosis of attention deficit hyperactivity disorder shows signs and symptoms of depression. Which would most likely be prescribed?
Selective serotonin and norepinephrine reuptake inhibitor (SSNRI)
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
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 type of intervention may be helpful for children who are bullies?
Social skills training
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
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.
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 speaking to the peers of a child with attention deficit hyperactivity disorder (ADHD). The nurse finds that these children do not like the child and do not want to include the child during play. What are the likely reasons for the children feeling this way? Select all that apply.
The child doesn't follow the rules of the game. The child constantly interrupts while playing. The child is not cooperative while playing.
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 assessing a child with attention deficit hyperactivity disorder (ADHD). For every question asked by the nurse, the child answers, "I don't know." What is the most likely reason for the child to respond in this way?
The child is not paying attention to the nurse's questions.
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 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?
The client spends time alone and shows little interest in making friends.
A psychiatric-mental health nurse is reviewing an article about genetics and the role in the development of a childhood psychiatric disorder. The nurse demonstrates understanding of this information by identifying which disorder as being genetically transmitted?
Tourette's syndrome
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
