Deck 15: Mental Health Promotion and Behavioral Concerns

Question 1

The primary care pediatric nurse practitioner sees a 10-year-old child whose parent describes as a "class clown." The child denies having problems at school, but acknowledges poor grades by saying, "I'm not very smart, I guess." When counseling the parent about helping this child deal with this self-perception issue, the nurse practitioner will recommend which strategy?

A) Empower the child to make decisions and assume more responsibilities.
B) Help the child identify skills and activities that he is good at.
C) Spend time each evening helping the child with homework to improve grades.
D) Work with the teacher to set appropriate limits on school behavior.

Answer 1

B

Question 2

The parent of a preschool-age child who is diagnosed with a sensory processing disorder (SPD) asks the primary care pediatric nurse practitioner how to help the child manage the symptoms. What will the nurse practitioner recommend?

A) Establishing a reward system for acceptable behaviors
B) Introducing the child to a variety of new experiences
C) Maintaining predictable routines as much as possible
D) Providing frequent contact, such as hugs and cuddling

Answer 2

C

Question 3

The parent of an adolescent female tells the primary care pediatric nurse practitioner that the child may be the victim of cyber-bullying at school but won't talk about it with her parents. What is the nurse practitioner's initial response?

A) Ask about the adolescent's school performance and friends.
B) Interview the adolescent separately from the parent.
C) Reassure the parent that suicide is a rare response to bullying.
D) Suggest that the parent discuss this with the school counselor.

Answer 3

B

Question 4

A parent who encourages competitiveness in a child who excels at a single sport but not in others may also encourage a sense of which characteristic?

A) Competence
B) Insecurity
C) Significance
D) Worthiness

Question 5

The primary care pediatric nurse practitioner is counseling a family whose parents are divorcing. To help support the children and reduce their stress through this process, what will the nurse practitioner recommend?

A) Allowing children to choose the custodial parent
B) Being open about ongoing parental conflicts
C) Establishing a single custody living arrangement
D) Maintaining a civil relationship when discussing children

Question 6

During a well child examination on an infant who has colic, the primary care pediatric nurse practitioner learns that the infant's mother is 17 years old and that the father, who is in the military, was deployed to wartime duty shortly after the baby was born. To determine the immediate risk of child maltreatment for this infant, the nurse practitioner will ask about topic:

A) childrearing and parenting styles.
B) role responsibilities of the parents.
C) spiritual beliefs and religious practices.
D) the location of extended family members.

Question 7

The primary care pediatric nurse practitioner learns that a school-age child continues to hope that his parents will remarry 1 year after they have divorced. What will the nurse practitioner tell this child's parents?

A) "If one of you remarries, he is more likely to understand that this is permanent."
B) "This is a normal response and is an expression of hope that things will be OK."
C) "You will need to help him accept the reality of the permanence of the divorce."
D) "Your child is most likely blaming himself for your separation and divorce."

Question 8

The primary care pediatric nurse practitioner is performing a well child examination on a fussy toddler who has red hair. The child's parent tells the toddler to stop being fussy and says, "red hair gives him such a temper." Which common error that erodes self-esteem is this?

A) Dwelling on negatives
B) Expecting too much
C) Negating the child's feelings
D) Stereotyping and typecasting

Question 9

A school-age child enjoys playing basketball but doesn't make the intramural team. Which response by the child is characteristic of the concept of a growth mindset?

A) "I didn't play well on the day of the tryouts."
B) "I'll just have to find another sport I'm good at."
C) "I'll need to work more on my outside shot."
D) "I'm probably too short to be really good at this sport."

Question 10

The primary care pediatric nurse practitioner is evaluating a 16-year-old adolescent male who is on the high school wrestling team and whose weight fluctuates as much as 7 or 8 pounds before matches. The child is eager to talk about the various trophies he has won. When he expresses confidence that he will get a wrestling scholarship for college, his father remarks that his grades will never be good enough for college, causing him to blame his teachers. The nurse practitioner may identify potential problems with what process?

A) Body image
B) Personal identity
C) Role performance
D) Self-esteem

Question 11

The primary care pediatric nurse practitioner is performing an examination on a 2-year-old child who has been placed in emergency foster care with a grandparent after the child's mother has been arrested for drug use. The child has a history of asthma with frequent exacerbations because of parental smoking. What is a priority for the nurse practitioner at this visit?

A) Evaluation of financial resources, medical insurance, and access to health care and medications
B) Providing a list of websites and community-based support groups for grandparents parenting grandchildren
C) Referral to a social worker to help the child deal with emotional conflict related to separation from the parent
D) Teaching the grandparent about the need for consistency in routines and discipline for the child