Chapter 42 Mental Health Questions

Which characteristic is commonly noted in the child with anorexia nervosa

The child has rigid study skills and ritualistic behaviors

When can autistic behaviors first be noticed?

1 year of age

Adolescent athletes sometimes take megadoses of which of the following substances because they believe it will increase their athletic abilities?

Anabolic Steroids

The nurse is working with a group caregivers of children who are diagnosed with autism. Which statement made by the parents shows an example of echolalia

"When she watches TV and hears a commercial, she repeats one word from the commercial but doesn't seem to understand what she is saying."

The nurse is discussing the use of alcohol with a group of adolescents. One of the teens says that she heard your fine motor control could be affected at low levels of alcohol. Another teen was correct in saying that most states consider a person under the influence of alcohol if the blood alcohol level is which of the following?

0.08%

The nurse recognizes that which client has the greatest risk for suicidal behavior?

A 12-year-old girl whose parents have just gotten a divorce

The drug most commonly abused by children and adolescents is:

Alcohol

The nurse is caring for a child with an eating disorder. Which is the priority treatment for the disorder?

Correct fluid and electrolyte imbalances

Which disorder is a concern in adulthood as well as in childhood for the person who is overweight or obese during childhood?

Diabetes Mellitus

The nurse is collecting data on an adolescent who is brought to the emergency center by her caregivers, who suspect that she has been using substances. The adolescent states that she has not had anything to eat nor any sleep in several days, but that she is nauseated. The nurse observes that she is diaphoretic, clenching her teeth and complaining of blurred vision. Which substance would this adolescent most likely have been using?

Ecstasy

During a routine well-child check the caregiver of a 10-year-old tells the nurse that her child has recently starting passing stool into his underwear. This behavior indicates a symptom of which disorder?

Encopresis

The nurse is collecting data from the caregiver of an 8-year-old child who recently started soiling his underwear each day rather than using the toilet to defecate. This behavior indicates a symptom of:

Encopresis

The nurse is discussing health concerns and issues with a group of caregivers of adolescents. Which statement made by a caregiver would indicate a need for follow-up by the nurse?

" Our daughter has never had any health problems, and now she has developed so many cavities."

A 10 year-old girl has a pattern of school success, solid peer relationships, and a healthy family life. The girl's caregiver reports for the past 3 weeks the child has reported abdominal pain with vomiting and diarrhea, and tells the caregiver lets her stay home, she is fine by mid-morning. She is also fine on weekends. which question should the nurse prioritize to this caregiver?

"Have you explored with your child if something is causing her to be afraid to go to school?"

The nurse is working with a group of caregivers of school-aged children diagnosed with attention deficit hyperactivity disorder (ADHD). Which statement would be most appropriate for the nurse to make to this group of caregivers

"The medications your child is on may cause a decreased appetite."

The nurse has gathered the following data on four different children. Which child will likely be further assessed and tested for autism?

A 14-month old whose reaction to his caregiver leaving him is to calmly repeat the statement, "Bye bye, Will. Bye bye, Will.

The nurse in the well-child clinic observes 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)

The nurse is working with a group of caregivers of adolescents who have abused substances. one of the caregivers states, " i have heard that some drugs have the effect of causing an excited feeling and it makes the person more social." Which drug would most likely have the effect this caregiver is describing?

Cocaine

The nurse recognizes in working with children that the child who has polyphagia will likely exhibit which of the following?

Compulsive overeating

The nurse is doing a presentation on the diagnosis of bulimia to a group of pediatric nurses. Which clinical manifestation would the nurse teach this group to observe for in the adolescent with bulimia?

Hypokalemia

Candace, age 16, is being seen for a long overdue checkup. Her caregiver has come with her. Candace is calm, pleasant, and in good spirits. The caregiver reports to the nurse that she is relieved because for the past 6 months Candace has been lethargic, angry, and sad. The mother reports that since she got her driver's license two days earlier, her child's mood has changed dramatically. Rather than resist this appointment, Candace has simply smiled and said " It won't matter much, but okay, I'll be ready in a minute." The nurse recognizes that the child's seeming well-being and drastic change in behavior should be further investigated to determine if the child:

Is planning to commit suicide

The nurse is working with a group of caregiver's of adolescents who have abused substances. One of the caregivers states, " My son used to do great in school. However, since he started using drugs he has no motivation, he is never on time, and he makes the worst decisions, especially when is is driving." These behaviors indicate that this adolescent was likely using which substance?

Marijuana

The nurse is collecting data for a child diagnosed with nonorganic failure to thrive, and notes that the child voluntarily vomits after eating. This is referred to as:

Rumination

The nurse is doing a presentation on the diagnosis of anorexia nervosa to a group of pediatric nurses. Which clinical manifestations would the nurse teach this group to observe for in the adolescent with anorexia nervosa?

Soft and sparse body hair

Contract agreements are often recommended for clients with eating disorders. Informing a contract with a hospitalized adolescent diagnosed with anorexia nervosa, the nurse should make a point to:

Stress to the client that she is in control of the outcome of her care

The nurse is doing an in-service training with nurses who will be working with children who have concerns with drugs and alcohol. In discussing this topic, one of the nurses says that sometimes a person has a compulsive need to use a substance for its satisfying or pleasurable effects. Which term best describes what the nurse is referring to?

Substance abuse

The nurse is collecting data on a 16-year-old girl with the diagnosis of bulimia. What would the nurse most likely note in this child?

The child is of normal weight for her height according to the growth charts.

The nurse is caring for a 6-month-old infant diagnosed with nonorganic failure to thrive. Which of the following would the nurse most likely have noted with this child?

The child plays and sleeps quietly for long periods of time without fussing.

The nurse is collecting data on an 18-month-old child with a diagnosis of autism spectrum disorder (ASD). What clinical manifestations would likely have been noted in the child with this diagnosis?

The child sits quietly in the caregivers lap during the interview.

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 developing a plan of care for the child hospitalized with nonorganic failure to thrive. The following nursing interventions would be included in this plan. Which nursing intervention would be the highest priority for this child

The nurse should teach and support the caregiver

The ability of body tissues to endure and adapt to continued or increased use of substance, so that the drug user requires larger doses of the drug to produce the desired effect is called:

Tolerance

The nurse is observing a group of 2- and 3- year olds in a play group. Which behavior noted in one of the children indicates to the nurse that the child may have autism spectrum disorder (ASD)

While the other children are eating a snack the child walks around the room

The nurse is doing an in-service training with nurses who will be working with children who have concerns with drugs and alcohol. In discussing this topic, one of the nurses says she has heard that there may be physical and psychological signs that occur when a drug is no long being used. Which term best describes what the nurse is referring to?

Withdrawal Symptoms