Exam 26: Children and Adolescents

Shortly after an adolescent's parents announce a plan to divorce,the teen stops participating in sports,sits alone at lunch,and avoids former friends.The adolescent says,"If my parents loved me,then they would work out their problems." What nursing diagnosis is most applicable?

Which assessment finding would cause the nurse to consider an 8-year-old child to be most at risk for the development of a psychiatric disorder?

The parent of a child with Tourette's disorder says to the nurse,"I think my child is faking the tics because they come and go." Which response by the nurse is accurate?

A 5-year-old child with attention deficit hyperactivity disorder (ADHD)bounces out of a chair in the waiting room,runs across the room,and begins to slap another child.What is the nurse's best action?

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

A parent with schizophrenia and 13-year-old child live in a homeless shelter.The child has formed a trusting relationship with a volunteer.The teen says,"I have three good friends at school.We talk and sit together at lunch." What is the nurse's best suggestion to the treatment team?

A 15-year-old adolescent is referred to a residential program after an arrest for theft and running away from home.At the program,the adolescent refuses to participate in scheduled activities and pushes a staff member,causing a fall.Which approach by the nursing staff would be most therapeutic?

Shortly after a 15-year-old's parents announce a plan to divorce,the adolescent stops participating in sports,sits alone at lunch,and avoids former friends.The adolescent says,"All the other kids have families.If my parents loved me,then they would stay together." Which nursing intervention is most appropriate?

A parent with schizophrenia and her 13-year-old child live in a homeless shelter.The child has formed a trusting relationship with a shelter volunteer.The child says,"My three friends and I got an A on our school science project." The nurse can assess that the child:

When group therapy is to be used as a treatment modality,the nurse should suggest placing a 9-year-old in a group that uses:

When a 5-year-old child is disruptive,the nurse says,"You must take a time-out." The expectation is that the child will:

An adolescent acts out in disruptive ways.When this adolescent threatens to throw a pool ball at another adolescent,which comment by the nurse would set limits?

The child most likely to receive propranolol (Inderal)to control aggression,deliberate self-injury,and temper tantrums is one diagnosed with:

An adolescent is arrested for prostitution and assault on a parent.The adolescent says,"I hate my parents.They focus all their attention on my brother,who's perfect in their eyes." Which nursing diagnosis is most applicable?

A 16-year-old adolescent with a conduct disorder (CD)has been in a residential program for 3 months.Which outcome should occur before discharge?

A 5-year-old child moves and talks constantly,is easily distracted,and does not listen to the parents.The child awakens before the parents every morning.The child attended kindergarten,but the teacher could not handle the behavior.What is this child's most likely problem?

A 15-year-old adolescent has run away from home six times.After the adolescent was arrested for prostitution,the parents told the court,"We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father.The adolescent's problem is most consistent with criteria for:

What are the primary distinguishing factors between the behavior of children with oppositional defiant disorder (ODD)and those with conduct disorder (CD)? The child with: (select all that apply).

Which child shows behaviors indicative of mental illness?

An 11-year-old child,who has been diagnosed with oppositional defiant disorder ODD,becomes angry over the rules at a residential treatment program and begins shouting at the nurse.Select the best method to defuse the situation.