Deck 14: Mental Health Disorders

Question 1

The nurse at a pediatric clinic is gathering assessment information on a school age patient who is 9 years of age. The mother expresses concern about a recent habit of handwashing to "get rid of germs." Which recommendation by the nurse is appropriate?

A)Allow the child to complete each session of handwashing.
B)Assign tasks to the child that involves putting hands in water.
C)Interrupt the handwashing by moving the child away from the sink.
D)During the handwashing, ask the child about worries and concerns.

Answer 1

Allow the child to complete each session of handwashing.

Question 2

The nurse is attending a high school sports event when a student suddenly stands and shouts, "I need to get out of here-get me out!" Which intervention by the nurse is most appropriate at this time?

A)Attempt to calm the student with quiet breathing and relaxation.
B)Identify the events that led to the student's behaviors.
C)Look for the student's parents and ask about the behavior.
D)Assist the student to a quiet place and remain with the student.

Answer 2

Assist the student to a quiet place and remain with the student.

Question 3

The nurse is presenting a program to the parents of school-age children about prescription drug abuse among adolescents. Which information does the nurse provide to parents about preventing their children from abusing prescription drugs?

A)Most drugs are obtained cost free from friends or family members.
B)The abused drugs are not commonly found in the normal household.
C)Adolescents are at great risk for life-threatening effects from these drugs.
D)Withdrawal from this type of drug can be managed by the adolescent's family.

Answer 3

Most drugs are obtained cost free from friends or family members.

Question 4

Identify one or more choices that best complete the statement or answer the question.
A teacher in an elementary school voices concerns to the school nurse about a student in her second-grade class. The student has recently become withdrawn from adults but constantly tries to please the teacher. Today the teacher saw bruises around his neck. Which plan does the school nurse develop and implement? Select all that apply.

A)Talk to child alone in the school clinic about any pain or concerns.
B)Inspect the back, chest, and legs in the presence of the principal.
C)Report possible child abuse with assessment findings to proper authorities.
D)Call the parents and report that authorities have been notified of abuse.
E)Develop a trusting rapport with the child.

Question 5

The nurse is performing a routine pediatric assessment on an 11-year-old student who is being medicated for ADHD. The parent reports disruptive behavior and acting out both at school and at home. The parent asks about a possible medication increase. Which information is the most important for the nurse to acquire?

A)Whether the student is having problems sleeping
B)How often the student is getting medication
C)The student's weight and level of appetite
D)The student's perception of medication effects

Question 6

Identify one or more choices that best complete the statement or answer the question.
Parents of an adolescent female are concerned about the adolescent's recent, rapid weight loss. Nursing assessment reveals the adolescent to be below the ideal weight for her height and age. Which questions will the nurse ask to help identify an eating disorder? Select all that apply.

A)"How much weight have you lost in the past 3 months?"
B)"What words would you use to describe your body right now?"
C)"Do you have a sports activity causing you to exercise excessively?"
D)"Can you tell me some of your daily thoughts about food?"
E)"Would you consider yourself to be a good student at school?"

Question 7

The school nurse is called to attend to a child who is 10 years of age. The teacher reports the child panicked when asked to present a verbal book report to the class. Which intervention will the nurse initiate with the child?

A)Take the child to the clinic and report the event to the parents.
B)Place the child on a clinic bed and allow some alone time.
C)Walk with the child in the hallway and provide reassurance.
D)Join the teacher in attempting to find the source of panic.

Question 8

The nurse is performing a well-baby check on an infant at 6 months of age. The mother shares that the infant sometimes seems unhappy. Which question is most important for the nurse to ask the mother?

A)"Is it easy to make the baby laugh if he seems unhappy?"
B)"Can you cheer him up by playing with his favorite toys?"
C)"Do you ever remember feelings of being depressed or sad?"
D)"Are you noticing any problems with him eating or sleeping?"

Question 9

A middle-school teacher notifies the school nurse of a student who sleeps in class, smells of alcohol, and exhibits behavior impairment. The student tells the nurse, "I drink too much and want to quit, but I keep failing." Which recommendation does the nurse make to the student?

A)"You may be the perfect candidate for attending AA meetings."
B)"Many young people benefit from individual and group therapy."
C)"Maybe you need a few days at home to see if you can quit on your own."
D)"I am suggesting you and your parents see a doctor who can help."

Question 10

The nurse is providing care for a female adolescent at an in-patient facility for persons with eating disorders. The adolescent's current weight is less than 85% of ideal body weight. The adolescent appears to be unexpectedly agreeable with the interventions being implemented for weight gain. Which is an important intervention for the nurse to perform?

A)Eat with the client in order to demonstrate adequate intake.
B)Closely monitor the adolescent's bathroom behavior.
C)Allow the adolescent to select the flavor of nasogastric (NG) tube feedings.
D)Provide information about the effects of malnutrition on the body.

Question 11

A parent brings a toddler to a pediatric clinic for advice about dealing with a fear of water. The parent shares that the toddler screams and throws a tantrum if anyone attempts to get him into a pool. The nurse also learns of an incident when the toddler was pushed into a pool. Which recommendation will the nurse make to help the toddler overcome this phobia?

A)Make sure the toddler has a safe flotation device.
B)Talk calmly as the toddler is taken slowly into the pool.
C)Plan recreation activities that do not involve water.
D)Allow the toddler to decide his own approach to the pool.

Question 12

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing care for a preschool child who is 4 years of age. The child is being treated for horrific abuse that occurred in the home since the child was an infant. Which comments by the child indicate to the nurse a possible dissociative disorder? Select all that apply.

A)"Someday I will live with grandma."
B)"If it hurts, I will just go away."
C)"I have a friend who always stays with me."
D)"I want a really big lunch and dinner."
E)"I can be invisible if they get mad at me."

Question 13

The nurse in a pediatric emergency department is providing care for a school-age child with first- and second-degree burns to the hands and arms. The parent states, "She is so fascinated with the color and movement of the flames; she just got too close." For which reason does the nurse recommend psychotherapy for this child?

A)The child is exhibiting an inability to recognize danger.
B)The child does not obey instructions to stay away from matches.
C)The child may have excessive interest in or attraction to fire.
D)The child is likely to repeat the behavior and cause worse injuries.

Question 14

The nurse is providing care for a student who was involved in a school violence incidence. The student becomes agitated and angry on the anniversary of the event. Which action by the nurse is most helpful to the student?

A)Administer the physician-prescribed dose of propranolol (Inderal).
B)Gently and quietly try to verbally and physically soothe the student.
C)Call for a psychotherapist to come and assist the student with PTSD.
D)Offer verbal support and encourage the student to express feelings.

Question 15

The school nurse in a middle school is aware of a student who takes lithium for a bipolar disorder type 1. Which observation by the nurse will indicate a need for a laboratory test?

A)The student is exhibiting multiple signs of mania.
B)The student gets a bathroom pass during every class.
C)The student shoved other students at lunch and in the hall.
D)The student is exhibiting signs of a respiratory infection.

Question 16

The nurse works in a facility where treatment of adolescents with addiction issues is the focus. A 14-year-old patient is being admitted for treatment of cocaine dependence. Which information does the nurse provide relative to the patient's withdrawal?

A)Acute symptoms of withdrawal last for 2 to 3 weeks.
B)The patient will be sedated throughout most of the process.
C)After acute withdrawal some symptoms may become chronic.
D)Close monitoring is important due to life-threatening symptoms.

Question 17

A parent of an adolescent tells the nurse, "He had some bad habits as a child, but now he is in trouble with the law for destruction of property, stealing, and hurting animals. I think his ODD is getting worse." Which comment by the nurse is accurate?

A)"Your son has developed conduct disorder."
B)"Increasing his ADHD medication may help."
C)"Right now he needs your feedback and support."
D)"There are lawyers that specifically help troubled teens."

Question 18

The nurse is discussing a child's diagnosis of autism (ASD) with the child's parents. The parents tell the nurse the child is completely resistant to any type of stimulation. The nurse suspects sensory processing disorder and will recommend which intervention?

A)Make a rocking horse or trampoline available to the child.
B)Place colored lights and automated toys in the child's room.
C)Set specific times of day when the child is held and cuddled.
D)Child-appropriate music is played throughout the day.

Question 19

Identify one or more choices that best complete the statement or answer the question.
The nurse at a pediatric clinic notices a female high school student has had extensive dental work and is currently exhibiting additional dental caries. The nurse also identifies the bilateral existence of Russell's sign. Based on these findings, for which comorbid manifestation will the nurse assess the student? Select all that apply.

A)Frequent absenteeism from school
B)Issues with overspending
C)Thoughts of suicide
D)Presence of cutting activity
E)Casual sexual encounters

Question 20

The nurse is counseling a parent of a child diagnosed with ADHD. The parent states, "He is now also diagnosed with oppositional defiant disorder (ODD). I don't know what to do." Which information does the nurse provide for the parent?

A)The fact that 40% to 60% of children with ADHD also have ODD.
B)The importance of not showing emotional reactions to the behaviors.
C)How to remain consistent with consequences related to ODD behaviors.
D)The need and availability of parent training for behavior management.