Exam 34: Children and Adolescents

Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?

An adolescent in a residential program threatens to throw a pool ball at another adolescent. Which comment by the nurse would set limits?

The child most likely to receive risperidone (Risperdal) to manage symptoms is one diagnosed with:

A kindergartener is disruptive to the class. This child is unable to sit for expected lengths of time, inattentive to the teacher, and aggressive toward others, bursting out talking while the teacher is talking. Other children shun this child. The nurse plans interventions designed to:

Which finding necessitates immediate nursing action for a child being treated for depression with a selective serotonin reuptake inhibitor (SSRI)?

A nurse will prepare teaching materials regarding which drug for the parents of a child diagnosed with ADHD?

A child diagnosed with ADHD will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications?

A child with ADHD had this nursing diagnosis: impaired social interaction, related to excessive neuronal activity, as evidenced by aggressiveness and dysfunctional play with others. Which finding indicates the plan of care was effective?

A nurse assesses a 3-year-old child diagnosed with autistic disorder. Which finding is most associated with the child's disorder?

Which factor presents the most imminent risk for a child to develop a psychiatric disorder?

The parent of an 8-year-old says, "My child is in constant motion and talks all the time. My child isn't interested in toys, but is out of bed every morning before I am and into trouble." The child's problem is most consistent with:

In the waiting room a 5-year-old child diagnosed with ADHD bounces out of a chair, runs over to another child, and slaps the other child. What is the nurse's best action?

Which behavior indicates that the treatment plan for a child diagnosed with autistic disorder has been effective? The child:

A desired outcome for a 12-year-old diagnosed with autism is to improve relationships with other children. Which treatment modality should the nurse suggest for the plan of care?

A child being treated for which of the following has a high risk for suicide and should be monitored closely?

A 14-year-old is sent to a residential program after arrests for truancy and assault. At the program, the teen refused to participate in scheduled activities and pushed a staff member, causing a fall. Which strategy by nursing staff is indicated?

Which behaviors are indicative of bullying by a child? Select all that apply.

A child complains to the school nurse about painful verbal bullying by an aggressive classmate. What is the nurse's best first action?