Question 1

Which manifestation is atypical of ADHD?&#10;A) Talking incessantly&#10;B) Blurting out the answers to questions before the questions have been completed&#10;C) Acting withdrawn in social situations&#10;D) Fidgeting with hands or feet

Accepted Answer

The child with ADHD tends to be talkative,often interrupting conversations,rather than withdrawn in social situations.Talking excessively,blurting out the Answerwers to questions,and fidgeting are all characteristics of impulsivity/hyperactivity.

Question 2

The school nurse observes an unkempt child dressed in inappropriate clothing who repeatedly asks for food.About which problem is the nurse concerned?&#10;A) Physical abuse&#10;B) Physical neglect&#10;C) Emotional abuse&#10;D) Sexual abuse

Accepted Answer

These physical and behavioral indicators suggest that parental attention is not being given to the child's physical needs.The child is being neglected.There are no indicators of physical,emotional,or sexual abuse in this scenario.

Question 3

A home health care nurse is working with a child whose parents seem to be quite rigid in their rules and expectations and seem very distrustful of the nurse.What action by the nurse is most appropriate?

A) Ask the parents why they don't trust outsiders.
B) Interview the parents separately.
C) Monitor the child for signs of abuse.
D) Assess the parents for substance abuse.

Accepted Answer

Families that hold very rigid rules and expectations and who are distrustful of outsiders fit some of the characteristics of an abusive family.The nurse should be alert for signs of abuse in the child.Asking "why" questions puts people on the defensive.There is no need to separate the parents to interview them.Substance abuse is not indicated.

Question 4

What is the goal of therapeutic management for a child diagnosed with ADHD?&#10;A) Administer stimulant medications.&#10;B) Assess the child for other psychosocial disorders.&#10;C) Correct nutritional imbalances.&#10;D) Reduce the frequency and intensity of unsocialized behaviors.

Accepted Answer

The primary goal of therapeutic management for the child with ADHD is to reduce the intensity and frequency of unsocialized behaviors.Although medications are effective in managing behaviors associated with ADHD,all families do not choose to give their child medication.Administering medication is not the primary goal.Children with ADHD may have other psychosocial or learning problems; however,diagnosing these is not the primary goal.Interventions to correct nutritional imbalances are the primary focus of care for eating disorders.

Question 5

An adolescent states &#34;I am very sad.I wish I was not alive.&#34; What is the best response by the nurse?&#10;A) &#34;Everyone feels sad once in a while.&#34;&#10;B) &#34;You are just trying to escape your problems.&#34;&#10;C) &#34;Have you told your parents how you feel?&#34;&#10;D) &#34;Have you thought about hurting yourself?&#34;

Accepted Answer

This response acknowledges the adolescent's suicide gesture and further assesses the adolescent's condition.It is judgmental and belittles the teen's feelings to tell the teen that everyone is sad once in a while or to accuse the teen of trying to escape problems.The parents should be made aware of an adolescent's precarious mental state; however,this response does not address the adolescent's statement.It also does not begin to provide safety for the teen.

Question 6

A teen has told the school nurse about recent suicidal thoughts.What action by the nurse is best?&#10;A) Call the police and the teen's parents.&#10;B) Ask if the teen has access to firearms.&#10;C) Assess the teen for substance abuse.&#10;D) Report the finding to the principal.

Accepted Answer

When a child or adolescent (or adult)admits to having suicidal thoughts,the nurse must ensure that person's safety.Along with asking if the person has a definite plan,the nurse must assess for access to weapons.The teen's parents and principal should be notified,but the police do not need to be called.Assessing for substance abuse is not the priority.

Question 7

A nurse working on the pediatric unit should be aware that children admitted with which of the following assessment findings are suggestive of physical child abuse? (Select all that apply.)&#10;A) Bruises in various stages of healing&#10;B) Bruises over the shins or bony prominences&#10;C) Burns on the palms of the hands&#10;D) A fracture of the right wrist from a sports accident&#10;E) Rib fractures in an infant

Accepted Answer

Bruises in various stages of healing and burns on the palms of the hand may be indicative of physical abuse.Rib fractures in an infant are another indicator of physical abuse.Bruises over the shins or bony prominences are seen in children beginning to walk.A fracture of the right wrist can occur as the child begins to participate in sports activities.

Question 8

Which sign or symptom is likely to be manifested by an adolescent with a depressive disorder?&#10;A) Abuse of alcohol&#10;B) Impulsivity and distractibility&#10;C) Carelessness and inattention to details&#10;D) Refusal to leave the house

Accepted Answer

Depression often manifests in conjunction with substance abuse,so children who abuse substances should be evaluated for depression as well.Impulsivity and distractibility are manifestations of attention-deficit/hyperactivity disorder (ADHD).A diminished ability to think or concentrate,carelessness,and inattention to details is a clinical manifestation of ADHD.A refusal to leave the house,even to play with friends,is characteristic of separation anxiety disorder.

Question 9

A child who has symptoms of irritable mood,changes in sleep and appetite patterns,decreased self-esteem,and disengagement from family and friends lasting 3 weeks meets the criteria for which depressive disorder?

A) Major depressive disorder
B) Dysthymic disorder
C) Cyclothymic disorder
D) Panic disorder

Accepted Answer

A 2-week (or longer)episode of depressed or irritable mood in addition to disturbances in appetite,sleep,energy,or self-esteem meets the criteria for a major depressive disorder.A dysthymic disorder is associated with a depressed or irritable mood for at least a year.A cyclothymic or bipolar mood disorder is characterized by chronic,fluctuating mood disturbances between depressive lows and highs for a year.A panic disorder is a type of anxiety disorder.

Question 10

Which finding noted by the nurse on a physical assessment is most suggestive that a child has been sexually abused?&#10;A) Swelling of the genitalia and pain on urination&#10;B) Smooth philtrum and thin upper lip&#10;C) Speech and physical development delays&#10;D) History of constipation, drowsiness, and constricted pupils

Accepted Answer

Physical indicators of sexual abuse may include swelling or itching of the genitalia and pain on urination.Other indicators may include bruises,bleeding,or lacerations of the external genitalia,vagina,or anal area.The infant with fetal alcohol syndrome may have microphthalmia or abnormally small eyes or short palpebral fissures,a thin upper lip,and a poorly developed philtrum.Children who have been emotionally abused may exhibit speech disorders,lags in physical development,failure to thrive,or hyperactive and disruptive behaviors.Although there is a possibility for speech and developmental delays,these are not more suggestive of sexual abuse than swollen genitalia and pain on urination.Opiates can cause detachment and apathy,drowsiness,constricted pupils,constipation,slurred speech,and impaired judgment.

Question 11

Which behavior verbalized by a school-age child should alert the school nurse to a problem of possible obsessive-compulsive disorder (OCD)?&#10;A) States feelings of worthlessness and sadness every day&#10;B) Feels need to ride a bike around the tree in front of the house seven times every day before entering the house&#10;C) Recurrent episodes of chest pain, heart palpitations, and shortness of breath when entering the computer classroom&#10;D) Deterioration of relationships with family members

Accepted Answer

The answer of Which behavior verbalized by a school-age child...

Question 12

The nurse is aware that suicide risk increases if the child displays which characteristics? (Select all that apply.)&#10;A) Previous suicide attempt&#10;B) No previous exposure to violence in the home&#10;C) Recent loss&#10;D) Effective social network&#10;E) History of physical abuse

Accepted Answer

The answer of The nurse is aware that suicide risk...

Question 13

A parent of a child with an anxiety disorder states,&#34;I don't know how my child developed this problem.&#34; On what information should the nurse base a response?&#10;A) Genetic factors, hormonal imbalances, and societal influences all contribute to the development of anxiety disorders in children.&#10;B) Like many conditions affecting children, the etiology of anxiety disorders is unknown.&#10;C) The majority of anxiety disorders has a clear pattern of genetic inheritance.&#10;D) Dysfunctional family patterns are usually identified as the cause of an anxiety disorder.

Accepted Answer

The answer of A parent of a child with an...

Question 14

The parents of a teen suspect their child is using amphetamines.Manifestations of amphetamine use include (Select all that apply.)&#10;A) weight gain.&#10;B) excessive talking and activity.&#10;C) excessive sleeping.&#10;D) insomnia.&#10;E) agitation.

Accepted Answer

The answer of The parents of a teen suspect their...

Question 15

In counseling an adolescent who is abusing alcohol,the nurse explains that alcohol abuse primarily affects which organ of the body?&#10;A) Heart&#10;B) Liver&#10;C) Brain&#10;D) Lungs

Accepted Answer

The answer of In counseling an adolescent who is abusing...

Question 16

A 14-year-old admits to using marijuana every day with friends after attending school.What phase of substance abuse does this behavior exemplify?&#10;A) Experimentation&#10;B) Early drug use&#10;C) True drug addiction&#10;D) Severe drug addiction

Accepted Answer

The answer of A 14-year-old admits to using marijuana every...

Question 17

Which behavior demonstrated by an adolescent should alert the school nurse to a problem of substance abuse?&#10;A) States feelings of worthlessness&#10;B) Increased desire for social conformity&#10;C) Does not feel need for peer approval&#10;D) Deterioration of relationships with family members

Accepted Answer

The answer of Which behavior demonstrated by an adolescent should...

Question 18

The long-term treatment plan for an adolescent with an eating disorder focuses on which of the following?&#10;A) Managing the effects of malnutrition&#10;B) Establishing sufficient caloric intake&#10;C) Improving family dynamics&#10;D) Restructuring perception of body image

Accepted Answer

The answer of The long-term treatment plan for an adolescent...

Question 19

Which statement about suicide is correct?&#10;A) Children younger than 10 years of age are least likely to attempt suicide.&#10;B) Suicide risk decreases with age.&#10;C) Suicide is usually an isolated event in a school community.&#10;D) The prevalence of suicide attempts is higher among males.

Accepted Answer

The answer of Which statement about suicide is correct?&#10;A) Children...

Question 20

A student nurse is working with a child in foster care.The child was removed from the home due to abuse.The child is crying for the parents and the student is confused.What information does the registered nurse provide?

A) Children will grieve the loss of parents, even if they were abusive.
B) The child needs therapy from a qualified therapist.
C) Play therapy will alleviate this behavior.
D) The parents may not have been the abusers.

Accepted Answer

The answer of A student nurse is working with a...

Deck 53: Psychosocial Problems in Children and Families