Exam 27: Disorders of Children and Adolescents

What is the nurse's priority focused assessment for adverse effects in a child taking methylphenidate (Ritalin) for attention deficit-hyperactivity disorder (ADHD)?

When group therapy is prescribed as a treatment modality, the nurse would suggest placement of a 9-year-old in a group that uses which of the following?

A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, is inattentive to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse plans interventions designed to do which of the following?

A 4-year-old cries for 5 minutes when the parents leave the child at preschool. The parents ask the nurse, "What should we do?" Select the nurse's best response.

When a 5-year-old diagnosed with attention deficit-hyperactivity disorder bounces out of a chair and runs over and slaps another child, what is the nurse's best action?

Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders?

A nurse works with a child who is sad and irritable because the child's parents are divorcing. Why is establishing a therapeutic alliance with this child a priority?

A child reports to the school nurse that he was verbally bullied by an aggressive classmate. What is the nurse's best first action?

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

The child who has been prescribed an antipsychotic medication to manage violent behaviour was most likely diagnosed with which of the following?

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

A child diagnosed with attention deficit-hyperactivity disorder (ADHD) shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine (Adderall XR). For which desired behaviour should the nurse monitor?

A nurse prepares the plan of care for a 15-year-old diagnosed with moderate intellectual developmental disorder. What are the highest outcomes that are realistic for this patient? Within 5 years, the patient will be able to do which of the following?

A nurse prepares to lead a discussion at a community health centre regarding children's health problems. The nurse wants to use current terminology when discussing these issues. Which terms are appropriate for the nurse to use?

Soon after parents announced they were divorcing, their child stopped participating in sports, sat alone at lunch, and avoided former friends. The child told the school nurse, "If my parents loved me, they would work out their problems." Which nursing diagnosis has the highest priority?

Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others' conversations. How should the nurse document these behaviours?

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

A parent diagnosed with schizophrenia and a 13-year-old child live in a homeless shelter. The child formed a trusting relationship with a shelter volunteer. The child says, "My three friends and I got an A on our school science project." What does this allow the nurse to assess about the child?

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

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