Question 1

Which of the following risk factors noted during a family history assessment should the nurse associate with the potential development of ID? Select all that apply.

Accepted Answer

A) A family history of Tay-Sachs disease 
B) Childhood meningococcal infection 
C) Deprivation of nurturance and social contact 
D) History of maternal multiple motor and verbal tics 
E) A diagnosis of maternal major depressive disorder 
A) A family history of Tay-Sachs disease 
B) Childhood meningococcal infection 
C) Deprivation of nurturance and social contact 
D) History of maternal multiple motor and verbal tics 
E) A diagnosis of maternal major depressive disorder A,B,C

Question 2

Which developmental characteristic should the nurse identify as typical of a client diagnosed with Severe Intellectual Disability?

Accepted Answer

A) The client can perform some self-care activities independently. 
B) The client has advanced speech development. 
C) Other than possible coordination problems,the client's psychomotor skills are not affected. 
D) The client communicates wants and needs by "acting out" behaviors. 
A) The client can perform some self-care activities independently. 
B) The client has advanced speech development. 
C) Other than possible coordination problems,the client's psychomotor skills are not affected. 
D) The client communicates wants and needs by "acting out" behaviors. D

Question 3

________________ ______________ refers to the person's ability to perform the daily living activities and to the expectations of his or her age group,given his or her current condition.

Accepted Answer

Adaptive living

Question 4

The nurse should recognize which of the following findings contribute to a client's development of ADHD? Select all that apply.

Accepted Answer

A) The client's father was a smoker. 
B) The client was born 7 weeks premature. 
C) The client is lactose intolerant. 
D) The client has a sibling diagnosed with ADHD. 
E) The client has been diagnosed with dyslexia. 
A) The client's father was a smoker. 
B) The client was born 7 weeks premature. 
C) The client is lactose intolerant. 
D) The client has a sibling diagnosed with ADHD. 
E) The client has been diagnosed with dyslexia.

Question 5

Which should be the priority nursing intervention when caring for a child diagnosed with Conduct Disorder?

Accepted Answer

A) Modify the environment to decrease stimulation and provide opportunities for quiet reflection. 
B) Convey unconditional acceptance and positive regard. 
C) Recognize escalating aggressive behaviors and intervene before violence occurs. 
D) Provide immediate positive feedback for appropriate behaviors. 
A) Modify the environment to decrease stimulation and provide opportunities for quiet reflection. 
B) Convey unconditional acceptance and positive regard. 
C) Recognize escalating aggressive behaviors and intervene before violence occurs. 
D) Provide immediate positive feedback for appropriate behaviors.

Question 6

A client has an IQ of 47.Which nursing diagnosis best addresses a client problem associated with this degree of intellectual disability?

Accepted Answer

A) Risk for injury R/T self-mutilation 
B) Altered social interaction R/T nonadherence to social convention 
C) Altered verbal communication R/T delusional thinking 
D) Social isolation R/T severely decreased gross motor skills 
A) Risk for injury R/T self-mutilation 
B) Altered social interaction R/T nonadherence to social convention 
C) Altered verbal communication R/T delusional thinking 
D) Social isolation R/T severely decreased gross motor skills

Question 7

A pregnant patient is being treated for uncontrolled diabetes and reports to the nurse,"I have two other children,and my diabetes hasn't affected them.I'm sure this baby will be fine too." What percentage of ID cases result in early alterations in embryonic development?

Accepted Answer

A) 5 percent 
B) 10 percent 
C) 20 percent 
D) 30 percent 
A) 5 percent 
B) 10 percent 
C) 20 percent 
D) 30 percent

Question 8

A physician orders methylphenidate (Ritalin)for a child diagnosed with ADHD.Which information about this medication should the nurse provide to the parents?

Accepted Answer

A) If one dose of Ritalin is missed,double the next dose. 
B) Administer Ritalin to the child after breakfast. 
C) Administer Ritalin to the child just prior to bedtime. 
D) A side effect of Ritalin is decreased ability to learn. 
A) If one dose of Ritalin is missed,double the next dose. 
B) Administer Ritalin to the child after breakfast. 
C) Administer Ritalin to the child just prior to bedtime. 
D) A side effect of Ritalin is decreased ability to learn.

Question 9

After an adolescent diagnosed with attention-deficit/hyperactivity disorder (ADHD)begins methylphenidate (Ritalin)therapy,the nurse notes that the adolescent loses 10 pounds in a 2-month period.Which is the best explanation for this weight loss?

Accepted Answer

A) The pharmacological action of Ritalin causes a decrease in appetite. 
B) Hyperactivity seen in ADHD causes increased caloric expenditure. 
C) Side effects of Ritalin cause nausea;therefore,caloric intake is decreased. 
D) Increased ability to concentrate allows the client to focus on activities rather than food. 
A) The pharmacological action of Ritalin causes a decrease in appetite. 
B) Hyperactivity seen in ADHD causes increased caloric expenditure. 
C) Side effects of Ritalin cause nausea;therefore,caloric intake is decreased. 
D) Increased ability to concentrate allows the client to focus on activities rather than food.

Question 10

A nursing instructor presents a case study in which a 3-year-old child is in constant motion and is unable to sit still during story time.The instructor asks a student to evaluate this child's behavior.Which response indicates that the student has evaluated the situation appropriately?

Accepted Answer

A) "This child's behavior must be evaluated according to developmental norms." 
B) "This child has symptoms of ADHD." 
C) "This child has symptoms of the early stages of autistic disorder." 
D) "This child's behavior indicates possible symptoms of oppositional defiant disorder." 
A) "This child's behavior must be evaluated according to developmental norms." 
B) "This child has symptoms of ADHD." 
C) "This child has symptoms of the early stages of autistic disorder." 
D) "This child's behavior indicates possible symptoms of oppositional defiant disorder."

Question 11

Which behavioral approach should the nurse utilize when caring for children diagnosed with a disruptive behavior disorder?

Accepted Answer

A) Involving parents in designing and implementing the treatment process 
B) Reinforcing positive actions to encourage repetition of desired behaviors 
C) Providing opportunities to learn appropriate peer interactions 
D) Administering psychotropic medications to improve quality of life 
A) Involving parents in designing and implementing the treatment process 
B) Reinforcing positive actions to encourage repetition of desired behaviors 
C) Providing opportunities to learn appropriate peer interactions 
D) Administering psychotropic medications to improve quality of life

Question 12

A nursing instructor is teaching about pharmacological treatments for ADHD.Which information about atomoxetine (Strattera)should be included in the lesson plan?

Accepted Answer

A) Atomoxetine (Strattera),unlike methylphenidate (Ritalin),is a CNS depressant. 
B) When taking atomoxetine (Strattera),a client should eliminate all red food coloring from the diet. 
C) Atomoxetine (Strattera)will be a life-long intervention for clients diagnosed with this disorder. 
D) Atomoxetine (Strattera),unlike methylphenidate (Ritalin),is a selective norepinephrine reuptake inhibitor (SNRI). 
A) Atomoxetine (Strattera),unlike methylphenidate (Ritalin),is a CNS depressant. 
B) When taking atomoxetine (Strattera),a client should eliminate all red food coloring from the diet. 
C) Atomoxetine (Strattera)will be a life-long intervention for clients diagnosed with this disorder. 
D) Atomoxetine (Strattera),unlike methylphenidate (Ritalin),is a selective norepinephrine reuptake inhibitor (SNRI).

Question 13

A child diagnosed with ADHD is having difficulty completing homework assignments.Which information should the nurse include when teaching the parents about task performance improvement?

Accepted Answer

A) The parents should isolate the child when completing homework to improve focus. 
B) The parents should withhold privileges if homework is not completed within a 2-hour period. 
C) The parents should divide the homework task into smaller steps and provide an activity break. 
D) The parents should administer an extra dose of methylphenidate (Ritalin)prior to homework. 
A) The parents should isolate the child when completing homework to improve focus. 
B) The parents should withhold privileges if homework is not completed within a 2-hour period. 
C) The parents should divide the homework task into smaller steps and provide an activity break. 
D) The parents should administer an extra dose of methylphenidate (Ritalin)prior to homework.

Question 14

A preschool child is admitted to a psychiatric unit with a diagnosis of Autism Spectrum Disorder.To help the child feel more secure on the unit,which intervention should the nurse include in this client's plan of care?

Accepted Answer

A) Encourage and reward peer contact. 
B) Provide consistent caregivers. 
C) Provide a variety of safe daily activities. 
D) Maintain close physical contact throughout the day. 
A) Encourage and reward peer contact. 
B) Provide consistent caregivers. 
C) Provide a variety of safe daily activities. 
D) Maintain close physical contact throughout the day.

Question 15

A child diagnosed with Autism Spectrum Disorder has the nursing diagnosis of disturbed personal identity.Which outcome best addresses this client's diagnosis?

Accepted Answer

A) The client will name own body parts as separate from others by day 5. 
B) The client will establish a means of communicating personal needs by discharge. 
C) The client will initiate social interactions with caregivers by day 4. 
D) The client will not harm self or others by discharge. 
A) The client will name own body parts as separate from others by day 5. 
B) The client will establish a means of communicating personal needs by discharge. 
C) The client will initiate social interactions with caregivers by day 4. 
D) The client will not harm self or others by discharge.

Question 16

In planning care for a child diagnosed with autistic spectrum disorder,which is a realistic client outcome?

Accepted Answer

A) The client will communicate all needs verbally by discharge. 
B) The client will participate with peers in a team sport by day 4. 
C) The client will establish trust with at least one caregiver by day 5. 
D) The client will perform most self-care tasks independently. 
A) The client will communicate all needs verbally by discharge. 
B) The client will participate with peers in a team sport by day 4. 
C) The client will establish trust with at least one caregiver by day 5. 
D) The client will perform most self-care tasks independently.

Question 17

Which of the following interventions should the nurse anticipate implementing when planning care for children diagnosed with ADHD? Select all that apply.

Accepted Answer

A) Behavior modification 
B) Antianxiety medications 
C) Competitive group sports 
D) Group therapy 
E) Family therapy 
A) Behavior modification 
B) Antianxiety medications 
C) Competitive group sports 
D) Group therapy 
E) Family therapy

Question 18

Why would a nurse establish goals for a client diagnosed with ADHD,presenting with low frustration tolerance and short attention span that allows the client to complete part of the task,rewarding each step-completion with a break for physical activity?

Accepted Answer

A) Short-term goals are not so overwhelming with a short attention span. 
B) Repetition of instructions helps to determine the client's level of comprehension. 
C) This encourages the client to perform independently while providing a feeling of security. 
D) The client lacks the ability to assimilate information that is complicated or has abstract meaning. 
A) Short-term goals are not so overwhelming with a short attention span. 
B) Repetition of instructions helps to determine the client's level of comprehension. 
C) This encourages the client to perform independently while providing a feeling of security. 
D) The client lacks the ability to assimilate information that is complicated or has abstract meaning.

Question 19

An 8-year-old client diagnosed with ADHD was admitted 5 days ago for management of temper tantrums.Which should be a priority nursing intervention during the termination phase of the nurse-client relationship?

Accepted Answer

A) Set a contract with the client to limit acting-out behaviors while hospitalized. 
B) Teach the importance of taking fluoxetine (Prozac)consistently,even when feeling better. 
C) Discuss behaviors that are and are not acceptable on the unit. 
D) Ask the client to demonstrate learned coping skills without direction from the nurse. 
A) Set a contract with the client to limit acting-out behaviors while hospitalized. 
B) Teach the importance of taking fluoxetine (Prozac)consistently,even when feeling better. 
C) Discuss behaviors that are and are not acceptable on the unit. 
D) Ask the client to demonstrate learned coping skills without direction from the nurse.

Question 20

Sophie is 11 years old,with a diagnosis of ADHD.Her parents report and provide documentation from her teachers that Sophie is distracted easily and is unable to complete classroom activities even in the presence of minimal stimulation.A nursing diagnosis of noncompliance with task expectations has been determined,with a short-term goal that Sophie will participate in and cooperate during therapeutic activities.What nursing intervention is most appropriate?

Accepted Answer

A) Establish goals that allow Sophie to complete part of the task,rewarding each step completion with a break for physical activity. 
B) Ask Sophie to repeat instructions to you. 
C) Provide assistance on a one-to-one basis,beginning with simple,concrete instructions. 
D) Provide an environment for task efforts that is as free of distractions as possible. 
A) Establish goals that allow Sophie to complete part of the task,rewarding each step completion with a break for physical activity. 
B) Ask Sophie to repeat instructions to you. 
C) Provide assistance on a one-to-one basis,beginning with simple,concrete instructions. 
D) Provide an environment for task efforts that is as free of distractions as possible.

Exam 33: Children and Adolescents

Which of the following risk factors noted during a family history assessment should the nurse associate with the potential development of ID? Select all that apply.

Which developmental characteristic should the nurse identify as typical of a client diagnosed with Severe Intellectual Disability?

________________ ______________ refers to the person's ability to perform the daily living activities and to the expectations of his or her age group,given his or her current condition.

The nurse should recognize which of the following findings contribute to a client's development of ADHD? Select all that apply.

Which should be the priority nursing intervention when caring for a child diagnosed with Conduct Disorder?

A client has an IQ of 47.Which nursing diagnosis best addresses a client problem associated with this degree of intellectual disability?

A pregnant patient is being treated for uncontrolled diabetes and reports to the nurse,"I have two other children,and my diabetes hasn't affected them.I'm sure this baby will be fine too." What percentage of ID cases result in early alterations in embryonic development?

A physician orders methylphenidate (Ritalin)for a child diagnosed with ADHD.Which information about this medication should the nurse provide to the parents?

After an adolescent diagnosed with attention-deficit/hyperactivity disorder (ADHD)begins methylphenidate (Ritalin)therapy,the nurse notes that the adolescent loses 10 pounds in a 2-month period.Which is the best explanation for this weight loss?

A nursing instructor presents a case study in which a 3-year-old child is in constant motion and is unable to sit still during story time.The instructor asks a student to evaluate this child's behavior.Which response indicates that the student has evaluated the situation appropriately?

Which behavioral approach should the nurse utilize when caring for children diagnosed with a disruptive behavior disorder?

A nursing instructor is teaching about pharmacological treatments for ADHD.Which information about atomoxetine (Strattera)should be included in the lesson plan?

A child diagnosed with ADHD is having difficulty completing homework assignments.Which information should the nurse include when teaching the parents about task performance improvement?

A preschool child is admitted to a psychiatric unit with a diagnosis of Autism Spectrum Disorder.To help the child feel more secure on the unit,which intervention should the nurse include in this client's plan of care?

A child diagnosed with Autism Spectrum Disorder has the nursing diagnosis of disturbed personal identity.Which outcome best addresses this client's diagnosis?

In planning care for a child diagnosed with autistic spectrum disorder,which is a realistic client outcome?

Which of the following interventions should the nurse anticipate implementing when planning care for children diagnosed with ADHD? Select all that apply.

Why would a nurse establish goals for a client diagnosed with ADHD,presenting with low frustration tolerance and short attention span that allows the client to complete part of the task,rewarding each step-completion with a break for physical activity?

An 8-year-old client diagnosed with ADHD was admitted 5 days ago for management of temper tantrums.Which should be a priority nursing intervention during the termination phase of the nurse-client relationship?

The Concept of Stress Adaptation

Mental Health and Mental Illness: Historical and Theoretical Concepts

Concepts of Psychobiology

Psychopharmacology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatric-Mental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapythe Therapeutic Community

Crisis Intervention

Assertiveness Training

Promoting Self-Esteem

Anger and Aggression Management

Suicide Prevention

Behavior Therapy

Cognitive Therapy

Electroconvulsive Therapy

The Recovery Model

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Related Disorders

Anxiety,obsessive-Compulsive,and Related Disorders

Trauma- and Stressor-Related Disorders

Somatic Symptom and Dissociative Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

Complementary and Psychosocial Therapies

Relaxation Therapy

Theoretical Models of Personality Development

Forensic Nursing

Filters

__ refers to the person's ability to perform the daily living activities and to the expectations of his or her age group,given his or her current condition.