Question 1

Which child demonstrates behaviors indicative of a neurodevelopmental disorder?

Accepted Answer

A)  A 4-year-old who stuttered for 3 weeks after the birth of a sibling 
B)  A 9-month-old who does not eat vegetables and likes to be rocked 
C)  A 3-month-old who cries after feeding until burped and sucks a thumb 
D)  A 3-year-old who is mute, passive toward adults, and twirls while walking 
A)  A 4-year-old who stuttered for 3 weeks after the birth of a sibling 
B)  A 9-month-old who does not eat vegetables and likes to be rocked 
C)  A 3-month-old who cries after feeding until burped and sucks a thumb 
D)  A 3-year-old who is mute, passive toward adults, and twirls while walking

Question 2

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

Accepted Answer

A)  Dystonia, akinesia, and extrapyramidal symptoms 
B)  Bradycardia and hypotensive episodes 
C)  Sleep disturbances and weight loss 
D)  Neuroleptic malignant syndrome 
A)  Dystonia, akinesia, and extrapyramidal symptoms 
B)  Bradycardia and hypotensive episodes 
C)  Sleep disturbances and weight loss 
D)  Neuroleptic malignant syndrome

Question 3

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

Accepted Answer

A)  Give notice to the chief administrator at the school regarding the events. 
B)  Encourage the victimized child to share feelings about the experience. 
C)  Encourage the victimized child to ignore the bullying behavior. 
D)  Discuss the events with the aggressive classmate. 
A)  Give notice to the chief administrator at the school regarding the events. 
B)  Encourage the victimized child to share feelings about the experience. 
C)  Encourage the victimized child to ignore the bullying behavior. 
D)  Discuss the events with the aggressive classmate.

Question 4

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 behaviors?

Accepted Answer

A)  Disobedience 
B)  Hyperactivity 
C)  Impulsivity 
D)  Anxiety 
A)  Disobedience 
B)  Hyperactivity 
C)  Impulsivity 
D)  Anxiety

Question 5

A nurse prepares to lead a discussion at a community health center 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? Select all that apply.

Accepted Answer

A)  Autism 
B)  Bullying 
C)  Mental retardation 
D)  Autism spectrum disorder 
E)  Intellectual development disorder 
A)  Autism 
B)  Bullying 
C)  Mental retardation 
D)  Autism spectrum disorder 
E)  Intellectual development disorder

Question 6

A nurse will prepare teaching materials for the parents of a child newly diagnosed with attention deficit hyperactivity disorder (ADHD).Which medication will the information focus on?

Accepted Answer

A)  Paroxetine (Paxil) 
B)  Imipramine (Tofranil) 
C)  Methyphenidate (Ritalin) 
D)  Carbamazepine (Tegretol) 
A)  Paroxetine (Paxil) 
B)  Imipramine (Tofranil) 
C)  Methyphenidate (Ritalin) 
D)  Carbamazepine (Tegretol)

Question 7

Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective? The child:

Accepted Answer

A)  plays with one toy for 30 minutes. 
B)  repeats words spoken by a parent. 
C)  holds the parent's hand while walking. 
D)  spins around and claps hands while walking. 
A)  plays with one toy for 30 minutes. 
B)  repeats words spoken by a parent. 
C)  holds the parent's hand while walking. 
D)  spins around and claps hands while walking.

Question 8

Soon after parents announced they were divorcing,a 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?

Accepted Answer

A)  Social isolation 
B)  Decisional conflict 
C)  Chronic low self-esteem 
D)  Disturbed personal identity 
A)  Social isolation 
B)  Decisional conflict 
C)  Chronic low self-esteem 
D)  Disturbed personal identity

Exam 11: Childhood and Neurodevelopmental Disorders

Which child demonstrates behaviors indicative of a neurodevelopmental disorder?

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

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

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 behaviors?

A nurse prepares to lead a discussion at a community health center 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? Select all that apply.

A nurse will prepare teaching materials for the parents of a child newly diagnosed with attention deficit hyperactivity disorder (ADHD).Which medication will the information focus on?

Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective? The child:

Soon after parents announced they were divorcing,a 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?

Mental Health and Mental Illness

Relevant Theories and Therapies for Nursing Practice

Biological Basis for Understanding Psychiatric Disorders and Treatments

Settings for Psychiatric Care

Cultural Implications for Psychiatric Mental Health Nursing

Legal and Ethical Guidelines for Safe Practice

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Therapeutic Relationships

Communication and the Clinical Interview

Understanding and Managing Responses to Stress

Schizophrenia and Schizophrenia Spectrum Disorders

Bipolar and Related Disorders

Depressive Disorders

Anxiety and Obsessive Compulsive Related Disorders

Trauma, Stressor-Related, and Dissociative Disorders

Somatic Symptom Disorders

Feeding, Eating, and Elimination Disorders

Sleep-Wake Disorders

Sexual Dysfunctions, Gender Dysphoria, and Paraphilias

Impulse Control Disorders

Substance Related and Addictive Disorders

Neurocognitive Disorders

Personality Disorders

Suicide and Non-Suicidal Self-Injury

Crisis and Disaster

Anger, Aggression, and Violence

Child, Older Adult, and Intimate Partner Violence

Sexual Assault

Psychosocial Needs of the Older Adult

Serious Mental Illness

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative Care

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