Exam 28: Disorders of Children and Adolescents

A child with ADHD will begin medication therapy.The nurse should prepare a plan to teach the family about which classification of medications?

An 11-year-old diagnosed with oppositional defiant disorder becomes angry over the rules at a residential treatment program and begins shouting at the nurse.What might be the best method to defuse the situation?

A 15-year-old was referred to the mental health clinic by juvenile court after an arrest for vandalism and assault on a teacher.The teen tells the nurse,"I hate my parents.They focus all attention on my brother,who is perfect in their eyes." Which nursing diagnosis applies?

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

The nurse on an adolescent psychiatric unit assesses a newly admitted 14-year-old.Which findings should the nurse document as aspects of the developmental history? Select all that apply.

Parents of a child with ADHD tell the nurse,"We try to teach our child how to behave,but it doesn't help.We feel as though we are terrible parents." Select the nurse's most helpful response.

A 15-year-old is referred to the mental health clinic by juvenile court after an arrest for vandalism and running away from home six times.The teen has been physically abusive to the mother and defiant to the father.The adolescent's problem is most consistent with criteria for:

When assessing a 2-year-old with suspected autistic disorder,a nurse would expect:

A parent with schizophrenia and 10-year-old child live in a homeless shelter.The child has adapted to shelter life.The child says,"I have three good friends at school.We talk about lots of things and sit together at lunch." Select the nurse's best action.

Which assessment findings indicate an adolescent is mentally healthy? Select all that apply.The adolescent:

An 11-year-old has Asperger's disorder.Which assessment finding supports this diagnosis?

A parent with schizophrenia and 10-year-old child live in a homeless shelter.The child has adapted to shelter life and formed a relationship with a supportive volunteer.The child says,"My three best friends and I got an A on our school science project." Which assessment applies?

A nurse prepares to implement bibliotherapy in a pediatric psychiatric unit.Which resources will be most helpful? Select all that apply.

Which health problems are likely to have familial patterns? Select all that apply.

Assessment data for a 9-year-old shows blurting out answers before a question is complete,inability to take turns,and persistently interrupting conversations of others.These behaviors relate primarily to:

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

A 16-year-old with a conduct disorder was placed in therapeutic foster care.Which outcome should be met before discharge?

A 5-year-old cries and screams from the time the parents leave the child at kindergarten until picked up 6 hours later;however,this child is calm and relaxed when with the parents.The parents ask the nurse,"What should we do?" Select the nurse's best advice.

A 5-year-old with ADHD bounces out of a chair in the waiting room and begins to slap another child.What is the nurse's best action?

The child most likely to receive risperidone (Risperdal)to manage symptoms is one diagnosed with: