Question 1

The nurse has taken report for the evening shift on an adolescent inpatient unit.Which client should the nurse address first?

Accepted Answer

A) A client diagnosed with Oppositional Defiant Disorder being sexually inappropriate with staff 
B) A client diagnosed with Conduct Disorder who is verbally abusing a peer in the milieu 
C) A client diagnosed with Conduct Disorder who is demanding special attention from staff 
D) A client diagnosed with ADHD who has a history of self-mutilation 
A) A client diagnosed with Oppositional Defiant Disorder being sexually inappropriate with staff 
B) A client diagnosed with Conduct Disorder who is verbally abusing a peer in the milieu 
C) A client diagnosed with Conduct Disorder who is demanding special attention from staff 
D) A client diagnosed with ADHD who has a history of self-mutilation

Question 2

Which nursing intervention related to self-care is most appropriate for a teenager diagnosed with Moderate Intellectual Disability?

Accepted Answer

A) Meet all of the client's self-care needs to avoid injury. 
B) Provide simple directions and praise client's independent self-care efforts. 
C) Avoid interference with the client's self-care efforts to promote autonomy. 
D) Encourage family to meet the client's self-care needs to promote bonding. 
A) Meet all of the client's self-care needs to avoid injury. 
B) Provide simple directions and praise client's independent self-care efforts. 
C) Avoid interference with the client's self-care efforts to promote autonomy. 
D) Encourage family to meet the client's self-care needs to promote bonding.

Question 3

A child has been recently diagnosed with Mild Intellectual Disability (ID).Which information about this diagnosis should the nurse include when teaching the child's mother?

Accepted Answer

A) Children with mild ID need constant supervision. 
B) Children with mild ID develop academic skills up to a sixth-grade level. 
C) Children with mild ID appear different from their peers. 
D) Children with mild ID have significant sensory-motor impairment. 
A) Children with mild ID need constant supervision. 
B) Children with mild ID develop academic skills up to a sixth-grade level. 
C) Children with mild ID appear different from their peers. 
D) Children with mild ID have significant sensory-motor impairment.

Question 4

A care plan for the child with ID states that the child "will attempt to interact with others in the presence of trusted caregiver." This is an example of an outcome criterion for which nursing diagnosis?

Accepted Answer

A) Impaired verbal communication;short-term goal 
B) Impaired verbal communication;long-term goal 
C) Impaired social interaction;short-term goal 
D) Impaired social interaction;long-term goal 
A) Impaired verbal communication;short-term goal 
B) Impaired verbal communication;long-term goal 
C) Impaired social interaction;short-term goal 
D) Impaired social interaction;long-term goal

Question 5

A mother questions the decreased effectiveness of methylphenidate (Ritalin)prescribed for her child's ADHD.Which nursing reply best addresses the mother's concern?

Accepted Answer

A) "The physician will probably switch from Ritalin to a CNS stimulant." 
B) "The physician may prescribe an antihistamine with the Ritalin to improve effectiveness." 
C) "Your child has probably developed a tolerance to Ritalin and may need a higher dosage." 
D) "Your child has developed sensitivity to Ritalin and may be exhibiting an allergy." 
A) "The physician will probably switch from Ritalin to a CNS stimulant." 
B) "The physician may prescribe an antihistamine with the Ritalin to improve effectiveness." 
C) "Your child has probably developed a tolerance to Ritalin and may need a higher dosage." 
D) "Your child has developed sensitivity to Ritalin and may be exhibiting an allergy."

Question 6

Which nursing intervention should be prioritized when caring for a child diagnosed with ID?

Accepted Answer

A) Encourage the parents to always prioritize the needs of the child. 
B) Modify the child's environment to promote independence and encourage impulse control. 
C) Delay extensive diagnostic studies until the child is developmentally mature. 
D) Provide one-on-one tutorial education in a private setting to decrease overstimulation. 
A) Encourage the parents to always prioritize the needs of the child. 
B) Modify the child's environment to promote independence and encourage impulse control. 
C) Delay extensive diagnostic studies until the child is developmentally mature. 
D) Provide one-on-one tutorial education in a private setting to decrease overstimulation.

Question 7

A child has been diagnosed with Autism Spectrum Disorder.The distraught mother cries out,"I'm such a terrible mother.What did I do to cause this?" Which nursing reply is most appropriate?

Accepted Answer

A) "Researchers really don't know what causes autistic disorder,but the relationship between autistic disorder and fetal alcohol syndrome is being explored." 
B) "Poor parenting doesn't cause autism.Research has shown that abnormalities in brain structure and/or function are to blame.This is beyond your control." 
C) "Research has shown that the mother appears to play a greater role in the development of this disorder than does the father." 
D) "Lack of early infant bonding with the mother has shown to be a cause of autistic disorder.Did you breastfeed or bottle-feed?" 
A) "Researchers really don't know what causes autistic disorder,but the relationship between autistic disorder and fetal alcohol syndrome is being explored." 
B) "Poor parenting doesn't cause autism.Research has shown that abnormalities in brain structure and/or function are to blame.This is beyond your control." 
C) "Research has shown that the mother appears to play a greater role in the development of this disorder than does the father." 
D) "Lack of early infant bonding with the mother has shown to be a cause of autistic disorder.Did you breastfeed or bottle-feed?"

Question 8

When planning care for a client,which medication classification should the nurse recognize as effective in the treatment of Tourette's disorder?

Accepted Answer

A) Antipsychotic medications 
B) Antimanic medications 
C) Tricyclic antidepressant medications 
D) Monoamine oxidase inhibitor (MAOI)medications 
A) Antipsychotic medications 
B) Antimanic medications 
C) Tricyclic antidepressant medications 
D) Monoamine oxidase inhibitor (MAOI)medications

Question 9

A 6-year-old client is prescribed methylphenidate (Ritalin)for a diagnosis of ADHD.When teaching the parents about this medication,which nursing statement explains how Ritalin works?

Accepted Answer

A) "Ritalin's sedation side effect assists children by decreasing their energy level." 
B) "How Ritalin works is unknown.Although it is a stimulant,it does combat the symptoms of ADHD." 
C) "Ritalin helps the child focus by decreasing the amount of dopamine in the basal ganglia and neuron synapse." 
D) "Ritalin decreases hyperactivity by increasing serotonin levels." 
A) "Ritalin's sedation side effect assists children by decreasing their energy level." 
B) "How Ritalin works is unknown.Although it is a stimulant,it does combat the symptoms of ADHD." 
C) "Ritalin helps the child focus by decreasing the amount of dopamine in the basal ganglia and neuron synapse." 
D) "Ritalin decreases hyperactivity by increasing serotonin levels."

Question 10

A nursing instructor is teaching about the developmental characteristics of clients diagnosed with Moderate ID.Which student statement indicates further instruction is needed?

Accepted Answer

A) "These clients can work in a sheltered workshop setting." 
B) "These clients can perform some personal care activities." 
C) "These clients may have difficulty relating to peers." 
D) "These clients can successfully complete elementary school." 
A) "These clients can work in a sheltered workshop setting." 
B) "These clients can perform some personal care activities." 
C) "These clients may have difficulty relating to peers." 
D) "These clients can successfully complete elementary school."

Question 11

Which finding is the nurse most likely to assess in a child diagnosed with Separation Anxiety Disorder?

Accepted Answer

A) The child has a history of antisocial behaviors. 
B) The child's mother is diagnosed with an anxiety disorder. 
C) The child previously had an extroverted temperament. 
D) The child's mother and father have an inconsistent parenting style. 
A) The child has a history of antisocial behaviors. 
B) The child's mother is diagnosed with an anxiety disorder. 
C) The child previously had an extroverted temperament. 
D) The child's mother and father have an inconsistent parenting style.

Question 12

A preschool child diagnosed with Autism Spectrum Disorder has been engaging in constant head-banging behavior.Which nursing intervention is most appropriate?

Accepted Answer

A) Place client in restraints until the aggression subsides. 
B) Sedate the client with neuroleptic medications. 
C) Hold client's head steady and apply a helmet. 
D) Distract the client with a variety of games and puzzles. 
A) Place client in restraints until the aggression subsides. 
B) Sedate the client with neuroleptic medications. 
C) Hold client's head steady and apply a helmet. 
D) Distract the client with a variety of games and puzzles.

Question 13

An adolescent client who was diagnosed with Conduct Disorder at the age of 8 is sentenced to juvenile detention after bringing a gun to school.Which indicates the nurse's understanding of conduct disorder related to this client's situation?

Accepted Answer

A) Childhood-onset conduct disorder is more severe than the adolescent-onset type,and these individuals likely develop antisocial personality disorder in adulthood. 
B) Childhood-onset conduct disorder is caused by a difficult temperament,and the child is likely to outgrow these behaviors by adulthood. 
C) Childhood-onset conduct disorder is diagnosed only when behaviors emerge before the age of 5,and therefore improvement is likely. 
D) Childhood-onset conduct disorder has no treatment or cure,and children diagnosed with this disorder are likely to develop progressive oppositional defiant disorder. 
A) Childhood-onset conduct disorder is more severe than the adolescent-onset type,and these individuals likely develop antisocial personality disorder in adulthood. 
B) Childhood-onset conduct disorder is caused by a difficult temperament,and the child is likely to outgrow these behaviors by adulthood. 
C) Childhood-onset conduct disorder is diagnosed only when behaviors emerge before the age of 5,and therefore improvement is likely. 
D) Childhood-onset conduct disorder has no treatment or cure,and children diagnosed with this disorder are likely to develop progressive oppositional defiant disorder.

Exam 33: Children and Adolescents

The nurse has taken report for the evening shift on an adolescent inpatient unit.Which client should the nurse address first?

Which nursing intervention related to self-care is most appropriate for a teenager diagnosed with Moderate Intellectual Disability?

A child has been recently diagnosed with Mild Intellectual Disability (ID).Which information about this diagnosis should the nurse include when teaching the child's mother?

A care plan for the child with ID states that the child "will attempt to interact with others in the presence of trusted caregiver." This is an example of an outcome criterion for which nursing diagnosis?

A mother questions the decreased effectiveness of methylphenidate (Ritalin)prescribed for her child's ADHD.Which nursing reply best addresses the mother's concern?

Which nursing intervention should be prioritized when caring for a child diagnosed with ID?

A child has been diagnosed with Autism Spectrum Disorder.The distraught mother cries out,"I'm such a terrible mother.What did I do to cause this?" Which nursing reply is most appropriate?

When planning care for a client,which medication classification should the nurse recognize as effective in the treatment of Tourette's disorder?

A 6-year-old client is prescribed methylphenidate (Ritalin)for a diagnosis of ADHD.When teaching the parents about this medication,which nursing statement explains how Ritalin works?

A nursing instructor is teaching about the developmental characteristics of clients diagnosed with Moderate ID.Which student statement indicates further instruction is needed?

Which finding is the nurse most likely to assess in a child diagnosed with Separation Anxiety Disorder?

A preschool child diagnosed with Autism Spectrum Disorder has been engaging in constant head-banging behavior.Which nursing intervention is most appropriate?

An adolescent client who was diagnosed with Conduct Disorder at the age of 8 is sentenced to juvenile detention after bringing a gun to school.Which indicates the nurse's understanding of conduct disorder related to this client's situation?

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

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