NUR412: Children & Adolescent (chpt 23)

The mother of a child diagnosed with intellectual developmental disorder asks, "How did the doctors arrive at this diagnosis?" The nurse knows that the following factors are considered in the diagnosis of intellectual developmental disorder: (Select all that apply.)

- General intellectual functioning - Adaptive functioning - IQ score

Which of the following findings would a nurse identify that would contribute to a client's development of attention deficit-hyperactivity disorder (ADHD)? (Select all that apply.)

- The client had a low birth weight. - The client has a sibling diagnosed with ADHD

A client is diagnosed with moderate intellectual developmental disorder. Which developmental characteristic would the nurse identify as typical of a client diagnosed with moderate intellectual developmental disorder?

4. The client communicates wants and needs by acting out behaviors.

The mother of a child diagnosed with intellectual developmental disorder asks, "How could this have happened?" The nurse recognizes that which of the following risk factors may contribute to the development of intellectual developmental disorder?

A family history of Tay-Sachs disease

The mother of a child diagnosed with moderate intellectual developmental disorder asks, "What educational level will my child be able to attain?" The nurse knows that a child with moderate intellectual developmental disorder would be capable of which of the following?

A second-grade level of cognitive proficiency

When planning care for a client, which medication classification should a nurse recognize as effective in the treatment of Tourettes syndrome?

Antipsychotic medications

After studying the DSM-5 criteria for oppositional defiant disorder (ODD), which listed symptom would a student nurse recognize?

Arguing with authority figures for more than six months

A nurse assesses an adolescent client diagnosed with conduct disorder who, at the age of 8, was sentenced to juvenile detention. How should the nurse interpret this assessment data?

Childhood-onset conduct disorder is more severe than the adolescent-onset type, and these individuals likely develop antisocial personality disorder in adulthood.

Which would the nurse identify as risk factors related to family dynamics for predisposition to a conduct disorder?

Economic stressors

A preschool child diagnosed with autistic spectrum disorder has been engaging in constant head-banging behavior. Which nursing intervention is appropriate?

Hold clients head steady and apply a helmet

____________________ is defined as the trait of acting without reflection and without thought to the consequences of the behavior. This trait is common in clients exhibiting symptoms of attention deficit-hyperactivity disorder (ADHD).

Impulsivity

A child has been diagnosed with autistic spectrum disorder. The distraught mother cries out, I'm such a terrible mother. What did I do to cause this? Which nursing response is most appropriate?

Poor parenting doesn't cause autistic spectrum disorder. Research has shown that abnormalities in brain structure or function are to blame. This is beyond your control

A preschool child is admitted to a psychiatric unit with the diagnosis autistic spectrum disorder. To help the child feel more secure on the unit, which intervention should a nurse include in this client's plan of care?

Provide consistent caregivers

Which should be the priority nursing intervention when caring for a child diagnosed with conduct disorder?

Recognize escalating aggressive behavior and intervene before violence occurs

Which behavioral approach should a nurse use when caring for children diagnosed with disruptive behavior disorders?

Reinforcing positive actions to encourage repetition of desirable behaviors

Which finding should a nurse expect when assessing a child diagnosed with separation anxiety disorder?

The child's mother and father have an inconsistent parenting style.

A client diagnosed with attention deficit-hyperactivity disorder (ADHD) is seen sitting calmly and does not run around with the other children. The child's mother is questioning the ADHD diagnosis. The nurse recognizes that:

The client likely has inattentive type of ADHD.

In planning care for a child diagnosed with autistic spectrum disorder, which would be a realistic client outcome?

The client will establish trust with at least one caregiver by day five

A child diagnosed with severe autistic spectrum disorder has the nursing diagnosis disturbed personal identity. Which outcome would best address this client diagnosis?

The client will name own body parts as separate from others by day 5

After an adolescent diagnosed with attention deficit-hyperactivity disorder (ADHD) begins methylphenidate (Ritalin) therapy, a nurse notes that the adolescent loses 10 pounds in a 2-month period. What is the best explanation for this weight loss?

The pharmacological action of Ritalin causes a decrease in appetite

A nursing instructor presents a case study in which a three-year-old child is in constant motion and is unable to sit still during story time. She asks a student to evaluate this child's behavior. Which student response indicates an appropriate evaluation of the situation?

This child's behavior must be evaluated according to developmental norms

A mother questions the decreased effectiveness of methylphenidate (Ritalin), prescribed for her child's ADHD. Which nursing response best addresses the mothers concern?

Your child has probably developed a tolerance to Ritalin and may need a higher dosage

An angry parent brings their 10-year-old child into an outpatient clinic for evaluation. She states, "My son has been angry and defiant. He seeks to undermine my control." The nurse recognizes that which of the following is true regarding the development and diagnosis of Oppositional Defiant Disorder (ODD)? 1.The parents probably had a diagnosis of ODD in childhood as there is a strong genetic component. 2.The parents likely struggle with exercising parental control and hence a power struggle ensues between parent and child. 3.The child is likely to view their own behavior as defiant. 4.The child is too young to be diagnosed with ODD.

n/a