Question 1

Which complications of substance abuse should the nurse monitor for when assisting with the assessment process for an adolescent? (Select all that apply.)

Accepted Answer

Complications of substance abuse that a nurse should monitor for in an adolescent include violence, alienation, depression, and hopelessness. Autism is not necessarily a complication of substance abuse.

Question 2

Which research topic is likely to have the most impact on the diagnosis and care a child receives regarding mental health issues?

Accepted Answer

Understanding the developmental process of a child and how mental health issues may manifest at different stages can greatly impact the diagnosis and care given. It allows for appropriate interventions to be implemented at critical points in a child's development and can potentially prevent long-term negative outcomes. While genetics, medication, and risk factors are also important research topics, they may not have as direct of an impact on the diagnosis and care a child receives regarding mental health issues as understanding their developmental needs.

Question 3

Which behaviors exhibited by an adolescent who is diagnosed with depression cause the nurse to document that the patient is experiencing suicidal ideations? (Select all that apply.)

Accepted Answer

B,D

Question 4

Which statement from the parents of a school-aged child diagnosed with ADHD indicates the need for further education by the nurse?

Accepted Answer

Allowing the child to do homework while watching TV can be distracting and may not be the most effective way for the child to focus and complete tasks. The other statements demonstrate appropriate strategies for managing ADHD.

Question 5

A child diagnosed with autism spectrum disorder (ASD)is admitted to the hospital with dehydration.Which should the nurse include in the plan of care for this child?

Accepted Answer

Children with ASD often have difficulty with sensory processing and may become overwhelmed in a busy hospital setting with unfamiliar sights, sounds, and smells. Assigning the child to a single-bed room can help to minimize sensory overload and create a more calm and predictable environment. Taking the child on a tour or to the playroom may also create additional stress and anxiety for the child. Discouraging the parents from bringing favorite toys may also increase the child's distress and make it more difficult to establish trust and rapport with the healthcare team.

Question 6

The nurse is conducting a health history interview with the parents of a preschool-aged patient who believe the child may be suffering from depression.Which should the nurse monitor for during the assessment process?

Accepted Answer

Weight loss can be a sign of depression in children, as it may indicate changes in appetite or eating habits.

Question 7

Which classification of medication should the nurse be prepared to teach the family of a child who is newly diagnosed with schizophrenia?

Accepted Answer

Neuroleptics, also known as antipsychotics, are the primary class of medication used for schizophrenia. It is important for the nurse to educate the family on the purpose of the medication, potential side effects, and the importance of medication adherence for symptom management.

Question 8

The nurse is providing care to a school-aged patient who is prescribed methylphenidate.Which clinical manifestation supports the use of the drug?

Accepted Answer

Methylphenidate is a medication commonly used to treat attention deficit hyperactivity disorder (ADHD), which is characterized by symptoms such as hyperactivity, impulsiveness, and inattention. Talking excessively in class is a symptom commonly associated with ADHD, and is therefore a clinical manifestation that supports the use of the drug. Complaining of an upset stomach, hearing and seeing things that are not there, and wanting to sleep more than 12 hours each day are not typical symptoms of ADHD, and therefore do not support the use of methylphenidate.

Question 9

Which information should the nurse include in the teaching plan for the parents of a child who is diagnosed with ASD as methods to increase the child's socialization?

Accepted Answer

Creating a reward system when the child interacts with a person is a positive approach that reinforces the child's desirable behavior and increases socialization skills. Punishing the child when the child's social behaviors are inappropriate may lead to negative outcomes and may not increase socialization skills. The use of dolls may have limited effectiveness in teaching social skills as the child with ASD may have difficulty generalizing skills learned from play to real social situations. Enrolling the child in a day-care facility may not necessarily be effective in enhancing socialization skills as children with ASD may have difficulty in large group settings and may require individualized attention and support.

Question 10

Which prescription should the nurse anticipate when providing care to an adolescent patient who is diagnosed with bipolar disorder?

Accepted Answer

Lithium is a first-line treatment for bipolar disorder in adolescents.

Question 11

Which clinical manifestations should the nurse monitor for when assisting in the assessment of a school-aged child who is the victim of bullying? (Select all that apply.)

Accepted Answer

Bullying can have serious emotional and psychological effects on a school-aged child. The child may experience anxiety, loneliness, and even have suicidal thoughts. Mania and easily distracted behavior are not typically associated with being a victim of bullying.

Question 12

A school-aged child presents with trouble concentrating at school along with trouble making decisions and recalling information.Which mental health disorder should the nurse assess this child for on the basis of the current data?

Accepted Answer

The symptoms described are consistent with those of depression, including difficulty concentrating, making decisions, and recalling information. Anxiety could also be a possibility, but the lack of mention of symptoms such as worry or excessive fear make depression the more likely possibility. Schizophrenia and bipolar disorder would likely have additional symptoms such as hallucinations, delusions, or mood swings beyond those described in this scenario.

Question 13

Which categories of pharmacological treatment should the nurse be familiar with when providing care to children with a mental health diagnosis? (Select all that apply.)

Accepted Answer

The nurse should be familiar with antianxiety medications, neuroleptics, mood stabilizers, and antidepressants when providing care to children with a mental health diagnosis. Opioids are not typically used in the treatment of mental health disorders in children.

Question 14

The nurse is providing care to an adolescent patient who is diagnosed with anorexia and is experiencing an imbalance of potassium.Which is the priority assessment for this patient?

Accepted Answer

Anorexia can lead to potassium imbalance which can affect cardiac function, so the priority assessment is to monitor cardiac function.

Question 15

Which nursing action assists in the diagnosis of mental health and cognitive disorders that occur during childhood?

Accepted Answer

Conducting a developmental assessment would be the most appropriate nursing action to assist in the diagnosis of mental health and cognitive disorders that occur during childhood. This assessment can help identify any developmental delays or difficulties in cognitive functioning, speech and language development, motor skills, and social skills, which can be indicators of various disorders such as autism spectrum disorder, attention deficit hyperactivity disorder, and intellectual disability. Monitoring vital signs and administering medications may be important for the overall management of the child's health, but they do not directly assist in the diagnosis of mental health and cognitive disorders. Documenting an accurate history and physical is essential in any patient assessment, but it may not provide sufficient information about the child's developmental and cognitive functioning.

Question 16

The nurse is providing care to an adolescent patient who is diagnosed with bipolar disorder.Which clinical manifestation noted by the nurse during the assessment process indicates the adolescent is currently experiencing mania?

Accepted Answer

Impulsive behavior is a clinical manifestation of mania in bipolar disorder. Feelings of emptiness are more commonly associated with borderline personality disorder, increased need for sleep is a symptom of depression, and loss of interest in activities is more indicative of major depressive disorder.

Question 17

Which child should the nurse refer for further assessment because of a probable diagnosis of ASD?

Accepted Answer

Not making eye contact and resisting touch are common signs of ASD, so the nurse should refer the 4-year-old girl for further assessment. The other options do not necessarily indicate a probable diagnosis of ASD.

Question 18

Which is an essential component when providing care to a pediatric patient who is experiencing an acute exacerbation of a mental health condition?

Accepted Answer

When caring for a pediatric patient experiencing an acute exacerbation of a mental health condition, establishing rapport is an essential component. This helps to build trust and a therapeutic relationship with the patient, which can promote their engagement in treatment and improve outcomes. Vital signs, medication adherence, and documenting events leading to hospitalization may also be important, but establishing rapport is the most essential component of care.

Question 19

A school-aged child presents in the pediatric clinic with a parent who states,"My child complains of a stomachache almost every day before school." Which mental health disorder should the nurse assess this child for on the basis of the current data?

Accepted Answer

The child's daily complaints of stomachaches before school may suggest anxiety about going to school, which is a common symptom of anxiety disorders. Depression, schizophrenia, and bipolar disorder may have other associated symptoms or behaviors, but are less likely given the current data.

Question 20

Which activity should the nurse include in the plan of care for a child diagnosed with ADHD to improve behavior and learning?

Accepted Answer

Developing a consistent routine for the classroom can help children with ADHD feel more secure and reduce their impulsivity. It also provides structure and predictability, which can improve their ability to learn and focus. The other options may have some benefits, but they are not as effective in addressing core symptoms of ADHD. Additionally, medication should only be prescribed by a healthcare provider, and the placement of the child's desk should be based on individual needs and preferences rather than a one-size-fits-all approach. Seasonal decorations may be distracting for some children and could exacerbate symptoms of ADHD.

Quiz 31: Child With a Mental Health Condition