Question 1

The nurse at a pediatric clinic is gathering assessment information on a school age patient who is 9 years of age. The mother expresses concern about a recent habit of handwashing to "get rid of germs." Which recommendation by the nurse is appropriate?

Accepted Answer

A

Question 2

The nurse is attending a high school sports event when a student suddenly stands and shouts, "I need to get out of here-get me out!" Which intervention by the nurse is most appropriate at this time?

Accepted Answer

Assisting the student to a quiet place and remaining with them is the most immediate and appropriate intervention. It helps reduce stimuli that may be contributing to the student's distress and provides support and safety.

Question 3

The nurse is presenting a program to the parents of school-age children about prescription drug abuse among adolescents. Which information does the nurse provide to parents about preventing their children from abusing prescription drugs?

Accepted Answer

Adolescents often obtain prescription drugs for free from friends or family members, making it important for parents to monitor and secure medications at home.

Question 4

Identify one or more choices that best complete the statement or answer the question.
-A teacher in an elementary school voices concerns to the school nurse about a student in her second-grade class. The student has recently become withdrawn from adults but constantly tries to please the teacher. Today the teacher saw bruises around his neck. Which plan does the school nurse develop and implement? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 5

The nurse is performing a routine pediatric assessment on an 11-year-old student who is being medicated for ADHD. The parent reports disruptive behavior and acting out both at school and at home. The parent asks about a possible medication increase. Which information is the most important for the nurse to acquire?

Accepted Answer

The answer of The nurse is performing a routine pediatric...

Question 6

Identify one or more choices that best complete the statement or answer the question.
-Parents of an adolescent female are concerned about the adolescent's recent, rapid weight loss. Nursing assessment reveals the adolescent to be below the ideal weight for her height and age. Which questions will the nurse ask to help identify an eating disorder? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 7

The school nurse is called to attend to a child who is 10 years of age. The teacher reports the child panicked when asked to present a verbal book report to the class. Which intervention will the nurse initiate with the child?

Accepted Answer

Walking with the child and providing reassurance can help calm the child down, offering immediate emotional support and reducing anxiety.

Question 8

The nurse is performing a well-baby check on an infant at 6 months of age. The mother shares that the infant sometimes seems unhappy. Which question is most important for the nurse to ask the mother?

Accepted Answer

The nurse should ask the mother about her own feelings of depression or sadness because postpartum depression can affect the infant's mood and behavior.

Question 9

A middle-school teacher notifies the school nurse of a student who sleeps in class, smells of alcohol, and exhibits behavior impairment. The student tells the nurse, "I drink too much and want to quit, but I keep failing." Which recommendation does the nurse make to the student?

Accepted Answer

The nurse should recommend professional help, involving the student's parents and a doctor, to address the student's alcohol use and provide appropriate support and treatment.

Question 10

The nurse is providing care for a female adolescent at an in-patient facility for persons with eating disorders. The adolescent's current weight is less than 85% of ideal body weight. The adolescent appears to be unexpectedly agreeable with the interventions being implemented for weight gain. Which is an important intervention for the nurse to perform?

Accepted Answer

Closely monitoring the adolescent's bathroom behavior is important to prevent purging after meals, a common behavior in individuals with eating disorders attempting to counteract weight gain interventions.

Question 11

A parent brings a toddler to a pediatric clinic for advice about dealing with a fear of water. The parent shares that the toddler screams and throws a tantrum if anyone attempts to get him into a pool. The nurse also learns of an incident when the toddler was pushed into a pool. Which recommendation will the nurse make to help the toddler overcome this phobia?

Accepted Answer

The answer of A parent brings a toddler to a...

Question 12

Identify one or more choices that best complete the statement or answer the question.
-The nurse is providing care for a preschool child who is 4 years of age. The child is being treated for horrific abuse that occurred in the home since the child was an infant. Which comments by the child indicate to the nurse a possible dissociative disorder? Select all that apply.

Accepted Answer

Comments like "If it hurts, I will just go away," "I have a friend who always stays with me," and "I can be invisible if they get mad at me" suggest dissociation, a psychological defense mechanism where a person disconnects from reality, often in response to trauma. This can manifest as detaching from physical and emotional experiences or developing alternate identities or perceptions.

Question 13

The nurse in a pediatric emergency department is providing care for a school-age child with first- and second-degree burns to the hands and arms. The parent states, "She is so fascinated with the color and movement of the flames; she just got too close." For which reason does the nurse recommend psychotherapy for this child?

Accepted Answer

The child's fascination with the color and movement of flames, leading to injury, suggests an excessive interest in or attraction to fire, which could benefit from psychotherapy to address this behavior and prevent future incidents.

Question 14

The nurse is providing care for a student who was involved in a school violence incidence. The student becomes agitated and angry on the anniversary of the event. Which action by the nurse is most helpful to the student?

Accepted Answer

Offering verbal support and encouraging the student to express their feelings is the most helpful action. It acknowledges the student's emotional state and provides a safe outlet for expression, which is crucial for emotional healing, especially in the context of PTSD or trauma-related responses.

Question 15

The school nurse in a middle school is aware of a student who takes lithium for a bipolar disorder type 1. Which observation by the nurse will indicate a need for a laboratory test?

Accepted Answer

The student is exhibiting signs of a respiratory infection. Lithium toxicity can cause respiratory depression, so a laboratory test is needed to check the student's lithium levels.

Question 16

The nurse works in a facility where treatment of adolescents with addiction issues is the focus. A 14-year-old patient is being admitted for treatment of cocaine dependence. Which information does the nurse provide relative to the patient's withdrawal?

Accepted Answer

Withdrawal from cocaine does not typically involve life-threatening symptoms or require sedation, and acute symptoms usually last much shorter than 2 to 3 weeks. However, some symptoms can persist and become chronic, such as cravings and depression, which is why option C is correct.

Question 17

A parent of an adolescent tells the nurse, "He had some bad habits as a child, but now he is in trouble with the law for destruction of property, stealing, and hurting animals. I think his ODD is getting worse." Which comment by the nurse is accurate?

Accepted Answer

The behaviors described by the parent—destruction of property, stealing, and hurting animals—align more with conduct disorder than Oppositional Defiant Disorder (ODD). ODD is characterized by a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness, whereas conduct disorder involves more severe behaviors, including violating the rights of others and societal norms or rules.

Question 18

The nurse is discussing a child's diagnosis of autism (ASD) with the child's parents. The parents tell the nurse the child is completely resistant to any type of stimulation. The nurse suspects sensory processing disorder and will recommend which intervention?

Accepted Answer

Sensory processing disorder involves difficulty in handling the information that comes through the senses. Children with this disorder may find certain sensory inputs overwhelming or may seek sensory stimulation. A rocking horse or trampoline can provide proprioceptive input (related to the sense of body position and movement), which can be soothing and help in managing sensory processing issues. The other options might be overwhelming or not directly address the need for sensory input regulation.

Question 19

Identify one or more choices that best complete the statement or answer the question.
-The nurse at a pediatric clinic notices a female high school student has had extensive dental work and is currently exhibiting additional dental caries. The nurse also identifies the bilateral existence of Russell's sign. Based on these findings, for which comorbid manifestation will the nurse assess the student? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 20

The nurse is counseling a parent of a child diagnosed with ADHD. The parent states, "He is now also diagnosed with oppositional defiant disorder (ODD). I don't know what to do." Which information does the nurse provide for the parent?

Accepted Answer

The nurse should provide information about the need and availability of parent training for behavior management.

Quiz 14: Mental Health Disorders

The nurse at a pediatric clinic is gathering assessment information on a school age patient who is 9 years of age. The mother expresses concern about a recent habit of handwashing to "get rid of germs." Which recommendation by the nurse is appropriate?

The nurse is attending a high school sports event when a student suddenly stands and shouts, "I need to get out of here-get me out!" Which intervention by the nurse is most appropriate at this time?

The nurse is presenting a program to the parents of school-age children about prescription drug abuse among adolescents. Which information does the nurse provide to parents about preventing their children from abusing prescription drugs?

The school nurse is called to attend to a child who is 10 years of age. The teacher reports the child panicked when asked to present a verbal book report to the class. Which intervention will the nurse initiate with the child?

The nurse is performing a well-baby check on an infant at 6 months of age. The mother shares that the infant sometimes seems unhappy. Which question is most important for the nurse to ask the mother?

A middle-school teacher notifies the school nurse of a student who sleeps in class, smells of alcohol, and exhibits behavior impairment. The student tells the nurse, "I drink too much and want to quit, but I keep failing." Which recommendation does the nurse make to the student?

The nurse is providing care for a student who was involved in a school violence incidence. The student becomes agitated and angry on the anniversary of the event. Which action by the nurse is most helpful to the student?

The school nurse in a middle school is aware of a student who takes lithium for a bipolar disorder type 1. Which observation by the nurse will indicate a need for a laboratory test?

The nurse works in a facility where treatment of adolescents with addiction issues is the focus. A 14-year-old patient is being admitted for treatment of cocaine dependence. Which information does the nurse provide relative to the patient's withdrawal?

A parent of an adolescent tells the nurse, "He had some bad habits as a child, but now he is in trouble with the law for destruction of property, stealing, and hurting animals. I think his ODD is getting worse." Which comment by the nurse is accurate?

The nurse is discussing a child's diagnosis of autism (ASD) with the child's parents. The parents tell the nurse the child is completely resistant to any type of stimulation. The nurse suspects sensory processing disorder and will recommend which intervention?

The nurse is counseling a parent of a child diagnosed with ADHD. The parent states, "He is now also diagnosed with oppositional defiant disorder (ODD) . I don't know what to do." Which information does the nurse provide for the parent?