Deck 17: Disorders of Infancy, Childhood, and Adolescence

Question 1

Planning safety interventions for a teenager with a history of self-injurious behavior is based on what research-based information?

A) Teenagers rarely entertain the idea of suicide.
B) Suicides can occur accidentally as a result of self-injurious behaviors.
C) Self-injury is always viewed as a risk factor for future suicidal attempts.
D) Assessment for suicidal ideations is a vital component of this child's care.

Answer 1

Suicides can occur accidentally as a result of self-injurious behaviors.

Question 2

Which child's history is a risk for developing a reactive attachment disorder?

A) Father is a chronic alcoholic
B) Was born with a congenital cardiac disorder
C) Experienced head trauma at age 7 months of age
D) Spent first 12 months of life in an Asian orphanage

Answer 2

Spent first 12 months of life in an Asian orphanage

Question 3

Which behavior best supports the diagnosis of attention-deficit/hyperactivity disorder in an 8-year-old child?

A) Cries when separated from his mother or father
B) Refuses to pick up toys as instructed by his parents
C) Is fascinated with spinning and moving toys and objects
D) Can concentrate on school work for only very short periods of time

Answer 3

Can concentrate on school work for only very short periods of time

Question 4

Which of the following meets the DSM-IV-TR criteria for moderate mental retardation?

A) Requires constant one-on-one supervision and total physical care
B) Advanced as far as the sixth grade and works at a warehouse every day and supports himself
C) Advanced as far as the second grade and provides her own personal care with supervision
D) Attends the local community college for developmental English and math courses

Question 5

A 15-year-old has been diagnosed with major depression and admitted to the adolescent unit.Which behavior would the nurse expect to observe in this patient?

A) Discussing repeated "run-ins" with the law
B) Being manipulative and callous towards others
C) Blaming "adults" for his admission to the adolescent unit
D) Reporting decreased enjoyment of school-related activities

Question 6

Which behavior is most characteristic of a conduct disorder?

A) Frequently getting up and interrupting while being read to
B) Only apologizes for hitting a friend to avoid being punished
C) Finds it difficult to spend the night away from family members
D) Becomes extremely agitated when the television is turned off

Question 7

When discussing depression and suicide with parents of teenagers,the nurse is accurate in reporting that the most common method used in late adolescent suicide is:

A) Hanging
B) Firearms
C) Oral poisoning
D) Drug overdose

Question 8

The nurse is assessing a child with autism.Which of the following behaviors would the nurse expect to observe?

A) Referring to their imaginary friend, Skipper
B) Asking to telephone 'my friends' on the weekends
C) Repeating, 'milk, milk, milk, milk' until given a drink
D) Is insistent that a dim light be left on in the bedroom at night

Question 9

Which intervention will best help a child manage hyperactive behavior?

A) Arranging for the child to play basketball 4 times a week
B) Allowing the child to play a favorite video game as a reward
C) Using a favorite food and beverage to distract the child
D) Placing the child in a low stimulation environment for 30-60 minutes

Question 10

Which behaviors would support a diagnosis of oppositional-defiant disorder?

A) Exhibits involuntary facial twitching and blinking and makes barking sounds
B) Negative, hostile, and spiteful toward parents and blames others for misbehavior
C) Displays high anxiety when away from parents, has nightmares, and fears being kidnapped
D) Violates others rights, is cruel to people or animals, lies and steals, and is truant from school

Question 11

Which complaint is representative of anxiety in a 6-year-old child?

A) "I worry that my dad will get hurt at work."
B) "I get a stomach ache when it's my weekend at my dad's house."
C) "I can't sleep when I stay at Grandma's because I worry about my mom."
D) "I'm not going to sports camp because I don't like being away from my friends."

Question 12

Which assessment finding should be considered a high risk factor for adolescent suicide?

A) Being sexually abused
B) Having experienced panic attacks
C) Being mildly cognitively impaired
D) Having a diagnosis of type 1 diabetes

Question 13

A child's diagnosis of conduct disorder is supported by the fact that:

A) The child's mother is a chronic alcoholic.
B) The child engages in ritualistic behaviors.
C) A brain scan shows structural abnormalities.
D) There is a family history of respiratory disorders.

Question 14

Planning for a patient with Asperger's disorder will be facilitated if the nurse understands that this disorder is different from autism.The nurse will base care on knowledge that Asperger's disorder is characterized by:

A) Repetitive patterns of behavior
B) Age-appropriate language development
C) Stereotypic movements and speech patterns
D) Obsession with objects that move in a spinning motion

Question 15

Which intervention will best help minimize parental guilt in the family of a child diagnosed with a psychiatric disorder?

A) Helping them to develop realistic expectations for their child
B) Educating them on the need to provide the child with boundaries
C) Providing them with information regarding locally available services
D) Encouraging them to use respite care periodically to allow for downtime

Question 16

The nursing diagnosis that would be universally applicable for children with autistic disorder would be:

A) Risk for constipation related to odd eating habits
B) Chronic low self-esteem related to negative social feedback
C) Impaired social interaction related to inability to relate to others
D) Disturbed thought processes related a neurological dysfunction

Question 17

The mother of a child describes her child's "annoying behavior" as not being able to sit still or to stop jerking his arms when told to.Which disorder does the nurse suspect?

A) Tourette's disorder
B) Oppositional-defiant disorder
C) Pervasive developmental disorder
D) Attention-deficit/hyperactivity disorder

Question 18

Which statement made by a teenage male hospitalized after a failed suicide attempt is most concerning to the nurse?

A) "My uncle shot himself but he didn't die."
B) "I don't know why I get so depressed and want to die."
C) "The gun I got for my birthday is my most prized possession."
D) "I hope I don't ever get depressed enough to try and hurt myself again."

Question 19

Which intervention will best help a teenager manage aggressive behavior?

A) Administering prescribed medication as ordered
B) Supporting the patient's interest in writing poetry
C) Reenacting situations that may trigger aggression
D) Providing information on anger management techniques

Question 20

Which behavior demonstrates that a child is achieving appropriate management of separation anxiety?

A) Earned two As, three Bs, and one C this report card period
B) Falls asleep with a parent sitting outside the bedroom door
C) Sleeps on a chair in the parent's bedroom rather than in their bed
D) Reports having only a 'little stomach ache' during breakfast on school days

Question 21

A friend says to a nurse,"I am not going to get vaccines for my baby.I hear that vaccines cause autism." The nurse's best reply is:

A) "The exact cause of autism is not really known"
B) "It's believed that autism is really a result of birth trauma."
C) "There is no conclusive evidence to connect autism to vaccinations."
D) "Please tell me more about where you got that information about autism?"

Question 22

Which description is characteristic of an impulsive child?

A) Pacing and speaking in a very loud, disruptive voice
B) Frequently talking about hearing voices telling him what to do
C) Running out into the street regardless of frequent instruction to look both ways first
D) Having a difficult time concentrating on reading since his attention is easily diverted

Question 23

A 5-year-old girl on a behavior modification program is admitted to the unit.The nurse would expect to participate in which activity based on this approach?

A) Firmly challenging the child's irrational thoughts
B) Including the child in the creation of a behavioral contract
C) Family therapy with every member present for each session
D) Play therapy with dolls representing every member of the family

Question 24

Which response is most therapeutic when a parent whose child is diagnosed with Tourette's disorder voices concerns that their child's facial contortions are merely acts of defiance?

A) "Your child isn't defiant but rather mentally ill."
B) "What makes you think he is doing that out of defiance?"
C) "I think with the use of some behavior modification techniques, he can learn to control the facial tics."
D) "Your son's behavior is likely due to a neurological dysfunction that causes those involuntary facial tics."

Question 25

Which intervention would qualify as primary prevention of violent behaviors in children and adolescents?

A) Forbidding the child to continue friendships with violent peers
B) Limiting exposure to violence on TV, video, and computer games
C) Seeking counseling for a child who has been experimenting with drugs
D) Showing a unified approach to parenting when dealing with a violent child

Question 26

The parents of a child diagnosed with ADHD ask the nurse what current medications are available for their child.The nurse should list which of the following medications? (Select all that apply.)

A) Methylphenidate (Concerta)
B) Zolpidem (Ambien)
C) Dextroamphetamine (Adderall)
D) Atomoxetine (Strattera)
E) Haloperidol (Haldol)

Question 27

A mother asks why the whole family needs to meet with the therapist because it is her teenage stepdaughter who has the substance abuse problem.The nurse replies with the knowledge that:

A) Mothers usually have insight into their children's problem.
B) The parents are responsible for changing the teen's behavior.
C) The family will probably use behavior modification with the teen.
D) Sometimes the teenaged patient is actually acting out family dynamics.