Question 1

Which complications of substance abuse should the nurse monitor for when assisting with the assessment process for an adolescent? (Select all that apply.)&#10;A) Autism&#10;B) Violence&#10;C) Alienation&#10;D) Depression&#10;E) Hopelessness&#10;

Accepted Answer

Complications of substance abuse that a nurse should monitor for in an adolescent include violence, alienation, depression, and hopelessness. Autism is not necessarily a complication of substance abuse.

Question 2

Which research topic is likely to have the most impact on the diagnosis and care a child receives regarding mental health issues?&#10;A) Genetics&#10;B) Medication&#10;C) Risk factors&#10;D) Development&#10;

Accepted Answer

Understanding the developmental process of a child and how mental health issues may manifest at different stages can greatly impact the diagnosis and care given. It allows for appropriate interventions to be implemented at critical points in a child's development and can potentially prevent long-term negative outcomes. While genetics, medication, and risk factors are also important research topics, they may not have as direct of an impact on the diagnosis and care a child receives regarding mental health issues as understanding their developmental needs.

Question 3

Which behaviors exhibited by an adolescent who is diagnosed with depression cause the nurse to document that the patient is experiencing suicidal ideations? (Select all that apply.)&#10;A) Suicidal thoughts but no plan&#10;B) Suicidal thoughts with a plan&#10;C) Surviving an intentional jump off a bridge&#10;D) Collecting pills without a plan&#10;E) Taking an intentional overdose of medication,resulting in death&#10;

Accepted Answer

Suicidal thoughts with a plan&#10;Collecting pills without a plan

Question 4

Which statement from the parents of a school-aged child diagnosed with ADHD indicates the need for further education by the nurse?&#10;A) &#34;I will develop a reward system for desired behaviors.&#34;&#10;B) &#34;I will stick to the same routine each day after school.&#34;&#10;C) &#34;I will let him do his homework while he is watching his favorite television show.&#34;&#10;D) &#34;I will take my child to the physician every 3 months for a weight and height check.&#34;&#10;

Accepted Answer

Allowing the child to do homework while watching TV can be distracting and may not be the most effective way for the child to focus and complete tasks. The other statements demonstrate appropriate strategies for managing ADHD.

Question 5

A child diagnosed with autism spectrum disorder (ASD)is admitted to the hospital with dehydration.Which should the nurse include in the plan of care for this child?&#10;A) Taking the child on a tour of the pediatric unit&#10;B) Assigning the child to a single-bed hospital room&#10;C) Taking the child to the playroom for arts and crafts&#10;D) Discouraging the parents from bringing favorite toys from home that might be lost&#10;

Accepted Answer

Children with ASD often have difficulty with sensory processing and may become overwhelmed in a busy hospital setting with unfamiliar sights, sounds, and smells. Assigning the child to a single-bed room can help to minimize sensory overload and create a more calm and predictable environment. Taking the child on a tour or to the playroom may also create additional stress and anxiety for the child. Discouraging the parents from bringing favorite toys may also increase the child's distress and make it more difficult to establish trust and rapport with the healthcare team.

Question 6

The nurse is conducting a health history interview with the parents of a preschool-aged patient who believe the child may be suffering from depression.Which should the nurse monitor for during the assessment process?

A) Weight loss
B) Poor hygiene
C) Concentration
D) Decision making

Accepted Answer

Weight loss can be a sign of depression in children, as it may indicate changes in appetite or eating habits.

Question 7

Which classification of medication should the nurse be prepared to teach the family of a child who is newly diagnosed with schizophrenia?&#10;A) Opioid&#10;B) Antianxiety&#10;C) Neuroleptic&#10;D) Antidepressant&#10;

Accepted Answer

Neuroleptics, also known as antipsychotics, are the primary class of medication used for schizophrenia. It is important for the nurse to educate the family on the purpose of the medication, potential side effects, and the importance of medication adherence for symptom management.

Question 8

The nurse is providing care to a school-aged patient who is prescribed methylphenidate.Which clinical manifestation supports the use of the drug?&#10;A) Talking excessively in class&#10;B) Complaining of an upset stomach&#10;C) Hearing and seeing things that are not there&#10;D) Wanting to sleep more than 12 hours each day&#10;

Accepted Answer

Methylphenidate is a medication commonly used to treat attention deficit hyperactivity disorder (ADHD), which is characterized by symptoms such as hyperactivity, impulsiveness, and inattention. Talking excessively in class is a symptom commonly associated with ADHD, and is therefore a clinical manifestation that supports the use of the drug. Complaining of an upset stomach, hearing and seeing things that are not there, and wanting to sleep more than 12 hours each day are not typical symptoms of ADHD, and therefore do not support the use of methylphenidate.

Question 9

Which information should the nurse include in the teaching plan for the parents of a child who is diagnosed with ASD as methods to increase the child's socialization?&#10;A) Create a reward system when the child interacts with a person.&#10;B) Punish the child when the child's social behaviors are inappropriate.&#10;C) Use dolls to demonstrate appropriate social interactions to the child.&#10;D) Enroll the child in a day-care facility to encourage interaction with other children.&#10;

Accepted Answer

Creating a reward system when the child interacts with a person is a positive approach that reinforces the child's desirable behavior and increases socialization skills. Punishing the child when the child's social behaviors are inappropriate may lead to negative outcomes and may not increase socialization skills. The use of dolls may have limited effectiveness in teaching social skills as the child with ASD may have difficulty generalizing skills learned from play to real social situations. Enrolling the child in a day-care facility may not necessarily be effective in enhancing socialization skills as children with ASD may have difficulty in large group settings and may require individualized attention and support.

Question 10

Which prescription should the nurse anticipate when providing care to an adolescent patient who is diagnosed with bipolar disorder?&#10;A) Lithium&#10;B) Valproate&#10;C) Bupropion&#10;D) Fluoxetine&#10;

Accepted Answer

Lithium is a first-line treatment for bipolar disorder in adolescents.

Question 11

Which clinical manifestations should the nurse monitor for when assisting in the assessment of a school-aged child who is the victim of bullying? (Select all that apply.)&#10;A) Mania&#10;B) Anxiety&#10;C) Loneliness&#10;D) Easily distracted&#10;E) Suicidal thoughts&#10;

Accepted Answer

The answer of Which clinical manifestations should the nurse monitor...

Question 12

A school-aged child presents with trouble concentrating at school along with trouble making decisions and recalling information.Which mental health disorder should the nurse assess this child for on the basis of the current data?

A) Anxiety
B) Depression
C) Schizophrenia
D) Bipolar disorder

Accepted Answer

The answer of A school-aged child presents with trouble concentrating...

Question 13

Which categories of pharmacological treatment should the nurse be familiar with when providing care to children with a mental health diagnosis? (Select all that apply.)&#10;A) Opioid&#10;B) Antianxiety&#10;C) Neuroleptic&#10;D) Mood stabilizer&#10;E) Antidepressant&#10;

Accepted Answer

The answer of Which categories of pharmacological treatment should the...

Question 14

The nurse is providing care to an adolescent patient who is diagnosed with bipolar disorder.Which clinical manifestation noted by the nurse during the assessment process indicates the adolescent is currently experiencing mania?

A) Impulsive behavior
B) Feelings of emptiness
C) Increased need for sleep
D) Loss of interest in activities

Accepted Answer

The answer of The nurse is providing care to an...

Question 15

Which nursing action assists in the diagnosis of mental health and cognitive disorders that occur during childhood?&#10;A) Monitoring vital signs&#10;B) Administering prescribed medications&#10;C) Conducting a developmental assessment&#10;D) Documenting an accurate history and physical&#10;

Accepted Answer

The answer of Which nursing action assists in the diagnosis...

Question 16

The nurse is providing care to an adolescent patient who is diagnosed with bipolar disorder.Which clinical manifestation noted by the nurse during the assessment process indicates the adolescent is currently experiencing mania?

A) Impulsive behavior
B) Feelings of emptiness
C) Increased need for sleep
D) Loss of interest in activities

Accepted Answer

The answer of The nurse is providing care to an...

Question 17

Which child should the nurse refer for further assessment because of a probable diagnosis of ASD?&#10;A) A 6-year-old boy who chatters constantly to anyone who will listen&#10;B) An 18-month-old child who walks around the area using the furniture to provide balance&#10;C) A 4-year-old girl who doesn't make eye contact with her mother and resists the mother's touch&#10;D) A 3-year-old boy who joins one group of children then moves to another group of children without joining their activities&#10;

Accepted Answer

The answer of Which child should the nurse refer for...

Question 18

Which is an essential component when providing care to a pediatric patient who is experiencing an acute exacerbation of a mental health condition?&#10;A) Establishing rapport&#10;B) Collecting vital signs&#10;C) Determining medication adherence&#10;D) Documenting events leading to hospitalization&#10;

Accepted Answer

The answer of Which is an essential component when providing...

Question 19

A school-aged child presents in the pediatric clinic with a parent who states,"My child complains of a stomachache almost every day before school." Which mental health disorder should the nurse assess this child for on the basis of the current data?

A) Anxiety
B) Depression
C) Schizophrenia
D) Bipolar disorder

Accepted Answer

The answer of A school-aged child presents in the pediatric...

Question 20

Which activity should the nurse include in the plan of care for a child diagnosed with ADHD to improve behavior and learning?&#10;A) Asking the mother to seek a prescription for methylphenidate (Ritalin)for the child&#10;B) Placing the child's desk at the back of the room to reduce distractions&#10;C) Encouraging seasonal decorations in the classroom&#10;D) Developing a consistent routine for the classroom&#10;

Accepted Answer

The answer of Which activity should the nurse include in...

Deck 31: Child With a Mental Health Condition