Question 1

Which of the following is descriptive of attention deficit-hyperactivity disorder (ADHD)?

Accepted Answer

ADHD affects various aspects of a child's life, including academic performance, social interactions, and behavior at home, but symptoms are often most noticeable in structured settings like the classroom where focus and controlled behavior are required. The other options are incorrect as ADHD symptoms can vary widely among individuals, learning disabilities may persist into adulthood, and not all manifestations need to be present for a diagnosis.

Question 2

Which of the following is the most commonly used method in completed suicides?

Accepted Answer

Firearms are the most commonly used method in completed suicides, especially in countries where access to guns is relatively easy. This method tends to have a higher lethality rate compared to others.

Question 3

A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include which of the following?

Accepted Answer

Returning the child to school immediately helps prevent the phobia from becoming more entrenched and signals that school attendance is non-negotiable.

Question 4

Adolescents with bulimia may experience which of the following complications as a result of the frequent vomiting?

Accepted Answer

Frequent vomiting in bulimia can lead to erosion of tooth enamel due to the acidic nature of stomach contents.

Question 5

Correct terminology is necessary in understanding substance abuse. Physical dependence is which of the following?

Accepted Answer

Physical dependence refers to the involuntary physiological response to a drug, where the body adapts to the presence of the drug, leading to withdrawal symptoms when the drug is not taken.

Question 6

Anorexia nervosa may best be described as which of the following?

Accepted Answer

Anorexia nervosa is characterized by severe weight loss that is not attributable to a physical illness but rather to psychological factors, including an intense fear of gaining weight and a distorted body image. It most commonly affects adolescent females, not males, and is not limited to any specific socioeconomic group. It is also not caused by a disorder of the posterior pituitary gland.

Question 7

Which of the following statements is true concerning adolescent suicide?

Accepted Answer

Gay and lesbian adolescents are at a particularly high risk for suicide due to factors such as discrimination, societal stigma, and potential rejection from family and peers.

Question 8

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include which of the following?

Accepted Answer

Understanding the mode of administration is crucial in managing acute drug toxicity as it can influence the absorption rate and potential complications.

Question 9

Which of the following is a common side effect of the drug methylphenidate (Ritalin) when used for ADHD?

Accepted Answer

Methylphenidate, commonly known as Ritalin, is a stimulant medication used to treat ADHD. One of its common side effects is nervousness, along with others like insomnia or decreased appetite, rather than increased appetite or weight gain.

Question 10

The nurse is assisting the family of a child with a history of encopresis. Which one of the following should be included in the nurse's discussion with this family?

Accepted Answer

Reassurance and support are important for families dealing with encopresis.

Question 11

Which of the following is descriptive of bulimia during adolescence?

Accepted Answer

Bulimia nervosa during adolescence often involves a weight that can be normal, slightly above normal, or below normal, unlike anorexia nervosa, which is characterized by significantly low body weight. Individuals with bulimia may maintain a weight within a normal range despite their binge-purge behaviors, making the disorder less visible to others compared to anorexia nervosa.

Question 12

An adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific plan. Asking this should be considered which of the following?

Accepted Answer

Asking a patient if they have a specific plan for suicide is an important part of assessing their risk level. It helps in determining the immediacy and severity of the threat, guiding appropriate interventions.

Question 13

Which of the following is descriptive of central nervous system stimulants?

Accepted Answer

Central nervous system stimulants can result in strong psychological dependence due to their effects on dopamine levels in the brain, which can lead to feelings of euphoria and increased energy. Physical dependence and life-threatening withdrawal symptoms are less characteristic of stimulants compared to substances like alcohol or opioids. Acute intoxication with stimulants typically leads to heightened alertness and energy, not coma, which is more associated with depressants.

Question 14

Which of the following is an important consideration when the nurse is discussing enuresis with the parents of a young child?

Accepted Answer

Organic causes of enuresis, such as urinary tract infections, diabetes, or structural abnormalities, should be considered and ruled out first before attributing the condition to psychological factors or developmental delays. This ensures that any underlying medical conditions are addressed.

Question 15

What is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?

Accepted Answer

Social isolation is the most significant factor in distinguishing those who actually commit suicide from those who make suicidal attempts or threats. Individuals who are socially isolated lack the support network that might otherwise help them cope with their difficulties, making them more vulnerable to completing the act of suicide.

Question 16

Young people with anorexia nervosa are often described as being which of the following?

Accepted Answer

Young people with anorexia nervosa are often described as conforming, as they may adhere strictly to societal or personal standards of beauty and control.

Question 17

Which of the following symptoms would the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

Accepted Answer

An adolescent girl with anorexia nervosa often experiences lowered body temperature due to decreased metabolic rate and loss of insulating body fat.

Question 18

Which of the following is a characteristic of children with depression?

Accepted Answer

Children with depression often experience changes in appetite, which can lead to weight loss or gain. This is a recognized symptom of depression in both adults and children.

Question 19

The weight loss of anorexia nervosa is usually triggered by which of the following?

Accepted Answer

Anorexia nervosa is often triggered by traumatic interpersonal conflicts, as these can lead to a desire for control or coping mechanisms that manifest in disordered eating behaviors.

Quiz 17: Health Problems of School-Age Children and Adolescents

Which of the following is descriptive of attention deficit-hyperactivity disorder (ADHD) ?