ADN5 Chap. 50: Child With an Alteration in Behavior, Cognition, Development, or Mental Health/Cognitive or Mental Health Disorder

After teaching the parents of a child with Tourette syndrome about motor and vocal tics, the nurse determines that the teaching was successful when the parents state:

"If we get him focused on an activity, the tics will be less pronounced."

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?

"Tell me about a typical day at home."

The mother of a 10-year-old boy phones the school nurse. The child has attention deficit/hyperactivity disorder (ADHD) and must go to the office to take medication at lunchtime. The child informed the mother that classmates have been making fun of him because he no longer wants to take the medication. Which is the nurse's best response?

"You can speak with your doctor about extended-release medications for the treatment of ADHD."

______________ is the most common neurodevelopmental disorder of childhood, affecting 8% to 11% of school-age children.

ADHD

_____________________ is characterized by dramatic weight loss as a result of decreased food intake and sharply increased physical exercise.

Anorexia nervosa

______________ behaviors may be first noticed in infancy as developmental delays or between the ages of 12 and 36 months when the child regresses or loses previously acquired skills.

Autistic

The anorexic is usually severely underweight, with a body mass index (BMI) of less than?

BMI 17

__________________ refers to a cycle of normal food intake, followed by binge eating and then purging.

Bulimia

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?

Explain the child's strengths and weaknesses.

The nurse is assessing a child diagnosed with autism spectrum disorder (ASD). Which finding will the nurse expect to assess?

Indifferent attachment to a parent

The nurse is working closely with the parent of a 6-year-old client who was just diagnosed with attention deficit/hyperactivity disorder (ADHD). Which methods used in behavior modification would be appropriate for this child?

Provide a structured environment Be fair but firm, and stick to rules Give short and clear explanations

What is an example of impaired adaptive functioning in an 8-year-old girl with a developmental disorder?

The child cannot properly dress herself.

Which sign or symptom suggests that a 5-year-old child who does not maintain eye contact or speak may have autism spectrum disorder (ASD)?

The child constantly pats his or her legs.

The nurse is working with school-aged children who are having enuresis or encopresis. What will most likely be the first step in this child's treatment?

The child will have a complete physical exam.

The nurse is assessing an adolescent who tells the nurse, "I have been using cocaine for a while now. At first, I would get high after smoking just once. But now I have had to smoke more and more to get the same effect." The nurse interprets the adolescent's statement as reflecting which situation?

Tolerance

A nurse is examining a 4-year-old child with various injuries in multiple places. Which site of injury would introduce suspicion of abuse?

abdomen

The nurse in the well-child clinic observes that a 5-year-old child in the waiting room is having trouble using a crayon to color. During the visit, the same child climbs off the table several times even after the nurse has asked him to stay on the table. Each time the nurse reminds him he says, "Oh, yeah," and happily climbs back up. The nurse suspects that the child has:

attention deficit hyperactive disorder (ADHD)

A parent brings a preschooler to the behavioral clinic for evaluation. Upon entering the room, the child appears not to notice the nurse's presence. The child screams upon the nurse's touch. What condition should the nurse suspect?

autism spectrum disorder

Due to the extent of cognition required to understand and produce speech, the most sensitive early indicator of intellectual disability is?

delayed language development

A nurse is assessing a child whom the nurse suspects is a victim of physical abuse. Assessment reveals numerous bruises on the thighs and upper back in various stages of healing. The child's caregiver is present in the examination room. Which aspect of care is the priority?

ensuring that the child remains safe

Typically, _______________ are not an initial or primary treatment for eating disorders

medications

When treating ADHD, stimulant medications should be taken in the _______________ to decrease the adverse effect of insomnia.

morning

Which sign is consistent with autism spectrum disorder (ASD) in a 2-year-old boy?

performs repetitive activity with toys

For the child with known intellectual disability, assess language, sensory, and psychomotor functioning. Determine the child's ability to?

toilet, dress, and feed himself or herself

A nurse is assessing a little boy who has been diagnosed with Tourette syndrome. Which finding would the nurse expect to see?

Speaks sudden, fast phrases out of context

A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who is experiencing headaches. Her grades have dropped, and she is sleeping late and going to bed early every night. The nurse advises the mother that the first priority should be to:

schedule an immediate history and physical examination

A parent brings a child to the pediatric clinic, stating that the child was diagnosed with attention deficit hyperactivity disorder (ADHD). Which symptoms does the nurse anticipate finding with this child?

inattention, impulsive, and hyperactivity