Deck 24: Cognition and Mental Health

Question 1

As a pediatric nurse, what is your first action if you suspect a child is harboring thoughts of suicide?

A) Report these thoughts to the interdisciplinary team
B) Place the child in protective custody
C) Implement all safety precautions
D) Conduct an assessment of lethality

Answer 1

A

Question 2

Once a child's suicidal thoughts have been communicated, what should be done to determine if the child's suicidal plan has progressed to a time, place, and method?

A) Interview the child's parents to gather additional information
B) Interview the child's friends to gather additional information
C) Have the parent's search the child's room for a suicide note
D) Conduct an assessment of lethality

Answer 2

D

Question 3

If a child's depressive condition is severe enough to warrant medical therapy, which two selective serotonin reuptake inhibitors (SSRIs) are specifically approved for pediatric use?

A) Zoloft and Prozac
B) Zoloft and Paxil
C) Paxil and Wellbutrin
D) Prozac and Paxil

Answer 3

A

Question 4

If a child presents with unique symptoms, including difficulty concentrating, irritability, shortness of breath, or heart palpitations, this child should be assessed for what medical condition?

A) Depression
B) Anxiety
C) Delirium
D) Autism

Question 5

In adults, anxiety disorders are frequently treated with medication; however, most medications used for this purpose are not approved for pediatric use. What method should be used to treat a child with anxiety?

A) Biofeedback
B) Behavior modification
C) Cognitive behavior therapy
D) Compassion focused therapy

Question 6

As a pediatric nurse, you should be aware that puberty is the crucial period during which a child with which medical condition will show either continued deterioration or behavioral improvement?

A) Autism
B) Schizophrenia
C) Eating disorders
D) Bipolar disorder

Question 7

The parents of child inform you that their child has been practicing poor hygiene, has significantly changed his or her appearance, and has experienced weight gain. As a pediatric nurse, for what medical condition should this child be assessed?

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

Question 8

The parents of child under your care inform you that the child has been diagnosed with bipolar disorder. What type of treatment would be appropriate for this child?

A) Biofeedback
B) "Talk" therapy
C) Cognitive behavior therapy
D) Compassion-focused therapy

Question 9

An autistic child presents with a trapped mass of indigestible material in the digestive tract. What eating disorder is characterized by this presentation?

A) Pica
B) Obesity
C) Anorexia
D) Bulimia

Question 10

What anticipatory guidance would you give to the parents of a bipolar child?

A) Insomnia is a concern, so medication should be given prior to late afternoon.
B) Be prepared to call for immediate assistance in the event of extreme behaviors and mood swings.
C) The child may be high functioning, but will require more guidance than those children with classic learning disabilities.
D) Preventing self-destructive behaviors and preventing the child from wandering off or becoming lost is paramount.