Deck 53: Psychosocial Problems in Children and Families

Question 1

The parents of a teen suspect their child is using amphetamines.Manifestations of amphetamine use include (select all that apply)

A) Weight gain
B) Excessive talking and activity
C) Excessive sleeping
D) Insomnia
E) Agitation

Answer 1

Excessive talking and activity
Insomnia
Agitation

Question 2

Munchausen syndrome by proxy occurs when a person falsifies illness in their child.The pediatric nurse who is admitting a preschooler with this potential diagnosis understands that this is the most difficult form of child abuse to diagnose.Is this statement true or false?

Answer 2

True

Question 3

The outpatient nurse understands that the phase of substance abuse characterized by a 14-year-old child admitting to using marijuana every day with friends after attending school is

A) Experimentation
B) Early drug use
C) True drug addiction
D) Severe drug addiction

Answer 3

True drug addiction

Question 4

Which finding noted by the nurse on a physical assessment is most suggestive that a child has been sexually abused?

A) Swelling of the genitalia and pain on urination
B) Smooth philtrum and thin upper lip
C) Speech and physical development delays
D) History of constipation, drowsiness, and constricted pupils

Question 5

Which behavior verbalized by a school-age child should alert the school nurse to a problem of possible obsessive-compulsive disorder (OCD)?

A) States feelings of worthlessness and sadness everyday
B) Feels need to ride a bike around the tree in front of the house seven times every day before entering the house
C) Recurrent episodes of chest pain, heart palpations, and shortness of breath when entering the computer classroom
D) Deterioration of relationships with family members

Question 6

The best response for the nurse to make to an adolescent who states,"I am very sad.I wish I was not alive." is

A) "Everyone feels sad once in a while."
B) "You are just trying to escape your problems."
C) "Have you told your parents how you feel?"
D) "Have you thought about hurting yourself?"

Question 7

A nurse working on the pediatric unit should be aware that children admitted with which of the following assessment findings are suggestive of physical child abuse? Select all that apply.

A) Bruises in various stages of healing
B) Bruises over the shins or bony prominences
C) Burns on the palms of the hands
D) A fracture of the right wrist from a sports accident
E) Rib fractures in an infant

Question 8

A child who has symptoms of irritable mood,changes in sleep and appetite patterns,decreased self-esteem,and disengagement from family and friends lasting 3 weeks meets the criteria for which depressive disorder?

A) Major depressive disorder
B) Dysthymic disorder
C) Cyclothymic disorder
D) Panic disorder

Question 9

In counseling an adolescent who is abusing alcohol,the nurse explains that alcohol abuse primarily affects which organ of the body?

A) Heart
B) Liver
C) Brain
D) Lungs

Question 10

Which manifestation is atypical of ADHD?

A) Talking incessantly
B) Blurting out the answers to questions before the questions have been completed
C) Acting withdrawn in social situations
D) Fidgeting with hands or feet

Question 11

The rapid onset of physical,cognitive,and emotional symptoms that results in chest pain,shortness of breath,and the signs of impending doom is known as ________________.

Question 12

Bipolar disorder is characterized by chronic,fluctuating,and extreme mood disturbances.Onset for this disorder occurs most often during the late preschool to early school-age stage of development.Is this statement true or false?

Question 13

The nurse is aware that suicide risk increases if the child displays which characteristics? Select all that apply.

A) Previous suicide attempt
B) No previous exposure to violence in the home
C) Recent loss
D) Effective social network
E) History of physical abuse

Question 14

Which sign or symptom is likely to be manifested by an adolescent with a depressive disorder?

A) Abuse of alcohol
B) Impulsivity and distractibility
C) Carelessness and inattention to details
D) Refusal to leave the house

Question 15

A parent of a child with an anxiety disorder states,"I don't know how my child developed this problem." On what information should the nurse base a response?

A) Genetic factors, hormonal imbalances, and societal influences all contribute to the development of anxiety disorders in children.
B) Like many conditions affecting children, the etiology of anxiety disorders is unknown.
C) The majority of anxiety disorders have a clear pattern of genetic inheritance.
D) Dysfunctional family patterns are usually identified as the cause of an anxiety disorder.

Question 16

The long-term treatment plan for an adolescent with an eating disorder focuses on

A) Managing the effects of malnutrition
B) Establishing sufficient caloric intake
C) Improving family dynamics
D) Restructuring perception of body image

Question 17

What is the goal of therapeutic management for a child diagnosed with ADHD?

A) Administer stimulant medications.
B) Assess the child for other psychosocial disorders.
C) Correct nutritional imbalances.
D) Reduce the frequency and intensity of unsocialized behaviors.

Question 18

The school nurse observes an unkempt child dressed in inappropriate clothing who repeatedly asks for food.About which problem is the nurse concerned?

A) Physical abuse
B) Physical neglect
C) Emotional abuse
D) Sexual abuse

Question 19

Which behavior demonstrated by an adolescent should alert the school nurse to a problem of substance abuse?

A) States feelings of worthlessness
B) Increased desire for social conformity
C) Does not feel need for peer approval
D) Deterioration of relationships with family members

Question 20

Which statement about suicide is correct?

A) Children younger than 10 years of age do not attempt suicide.
B) Suicide risk decreases with age.
C) Suicide is usually an isolated event in a school community.
D) The prevalence of suicide attempts is higher among males.