Exam 26: Children and Adolescents

When assessing a 2-year-old toddler with suspected autistic disorder,a nurse expects:

A child with attention deficit hyperactivity disorder (ADHD)has hyperactivity,distractibility,and impaired play.The health care provider prescribed methylphenidate (Concerta).The desired behavior for which the nurse should monitor is:

A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later.The child is calm and relaxed when the parents are present.The parents ask,"What should we do?" What is the nurse's best recommendation?

A nurse prepares the plan of care for a 15-year-old adolescent with moderate intellectual developmental disorder.What are the highest outcomes that are realistic for this patient? Within 5 years,the patient will: select all that apply.

An adolescent was 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 type of therapy might promote the greatest change in this adolescent's behavior?

A child blurts out answers to questions before the questions are complete,demonstrates an inability to take turns,and persistently interrupts and intrudes in the conversations of others.Assessment data show these behaviors relate primarily to:

A 12-year-old child has been the neighborhood bully for several years.The parents say,"We can't believe anything our child says." Recently,the child shot a dog with a pellet gun and set fire to a trash bin outside a store.The child's behaviors are most consistent with:

A child with attention deficit hyperactivity disorder (ADHD)is going to begin medication therapy.The nurse should plan to teach the family about which classification of medications?