Exam 33: Children and Adolescents

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.What is the best explanation for this weight loss?

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?

A child has been recently diagnosed with mild intellectual disability (ID).What information about this diagnosis should the nurse include when teaching the child's mother?

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

A nursing instructor presents a case study in which a 3-year-old child is in constant motion and is unable to sit still during story time.The instructor asks a student to evaluate this child's behavior.Which student response indicates an appropriate evaluation of the situation?

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.How should the nurse apply knowledge of conduct disorder to this client's situation?

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

An 8-year-old client diagnosed with attention deficit-hyperactivity disorder (ADHD)was admitted 5 days ago for management of temper tantrums.What would be a priority nursing intervention during the termination phase of the nurse-client relationship?