Ch 22
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?
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
The nurse working with pediatric clients knows the importance of checking for developmental delays, which not only slow the child's progress but also are often associated with what?
Development of poor self-esteem
Which aspect of managing a child with attention deficit hyperactivity disorder (ADHD) may often be overlooked in the treatment plan?
Effects on siblings
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 child with attention deficit hyperactivity disorder (ADHD) has been prescribed dextroamphetamine. For what effects should the nurse tell the parents to monitor the child? Select all that apply.
Insomnia Weight loss Appetite suppression
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.
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 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.
The nurse is assessing a child with tic disorder. The nurse documents in the assessment sheet that the child exhibits coprolalia. What might be be interpreted from this?
The child continuously repeats socially unacceptable words.
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 caring for a child with attention deficit hyperactivity disorder (ADHD). The child is given medication and behavioral modification therapy to treat the condition. Which outcome achieved within 3 days would indicate successful therapy?
The child is able to complete assignments or tasks with assistance.
A nurse is caring for a child with attention deficit hyperactivity disorder. The nurse asks the child to draw pictures of the child and family members. What is the most likely rationale for this intervention?
To help the child self-express
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
Which are nursing actions that support active listening? Select all that apply.
Use appropriate vocabulary Use reflective comments
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 term describes the use of socially unacceptable words, which are frequently obscene?
coprolalia
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 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 factor
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
Which medication is effective in 70% to 80% of children with attention deficit hyperactivity disorder (ADHD)?
methylphenidate
Which is the drug of choice for a tic disorder?
risperidone
Which type of intervention may be helpful for children who are bullies?
social skills training