Exam 23: Children and Adolescents

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 would a nurse include in this client's plan of care?

Which student statement indicates that further instruction is needed regarding developmental characteristics of individuals with moderate IDD?

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

In planning care for a child diagnosed with autism spectrum disorder, which would be a realistic client outcome?

A nurse assesses an adolescent client diagnosed with conduct disorder who, at the age of 8, was sentenced to juvenile detention. How would the nurse interpret this assessment data?

A nursing instructor presents a case study in which a three-year-old child is in constant motion and is unable to sit still during story time. She asks a student to evaluate this child's behavior. Which student response indicates an appropriate evaluation of the situation?

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

Which developmental characteristic would a nurse identify as typical of a client diagnosed with severe intellectual developmental disorder (IDD)?

Which information about mild IDD would the nurse include when teaching the child's mother?

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

A preschool child diagnosed with autism spectrum disorder has been engaging in constant head-banging behavior. Which nursing intervention is appropriate?

Which of the following risk factors, if noted during a family history assessment, would a nurse associate with the development of IDD? (Select all that apply.)

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

Which nursing intervention related to self-care would be most appropriate for a child diagnosed with moderate IDD?

Which behavioral approach would a nurse use when caring for children diagnosed with disruptive behavior disorders?

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 response is most appropriate?

Which would the nurse identify as risk factors related to family dynamics for predisposition to a conduct disorder?

Which of the following findings would a nurse identify that would contribute to a client's development of ADHD? (Select all that apply.)

Which finding would a nurse expect when assessing a child diagnosed with separation anxiety disorder?

A child diagnosed with severe autism spectrum disorder has the nursing diagnosis disturbed personal identity. Which outcome would best address this client diagnosis?