Exam 28: Disorders of Children and Adolescents

Shortly after the parents announced that they were divorcing,a 15-year-old stopped participating in cheerleading,sat alone at lunch,and avoided former friends.The adolescent told the school nurse,"All the other kids have families.If my parents loved me,they would work out their problems." Which nursing intervention would be most appropriate?

The parent of a 4-year-old says,"My child moves constantly.I try to get him interested in toys,but he is easily distracted.He talks all the time and is awake every morning before I am.I enrolled him in preschool,but the teacher could not handle him." The child's problem meets criteria for:

Which factor places a child most at risk for development of a psychiatric disorder?

A child said,"I just want to die.No one likes me.Other kids laugh at me,but I do not know why.They will always laugh at me." When asked about a suicide plan,the child replied,"I'll jump from the bridge near my home.My father threw kittens off the bridge,and they died because they couldn't swim." Suicide risk is:

Sustained release methylphenidate (Concerta)was administered to a child with ADHD.Which finding best indicates the medication was effective?

A 15-year-old was referred to the mental health clinic by juvenile court after an arrest for prostitution and assault on the mother.The teen tells the nurse,"I hate my parents.They focus all attention on my brother.He's perfect in their eyes." Which type of therapy might promote the greatest change in the adolescent's behavior?

Which mental health problems for children and adolescents may respond favorably to atypical antipsychotic medications? Select all that apply.

A nurse works with an adolescent who is moody and withdrawn because the teen's parents are divorcing.Establishing a therapeutic alliance is a priority because:

The parent of a child with Tourette's disorder says,"My child's tics come and go.I think my child is faking them." Select the accurate response by the nurse.

A child known as the neighborhood bully recently set fire to a dumpster outside a supermarket.The parents report,"This event happened after our child was suspended from school for fighting." These behaviors are most consistent with:

A nurse assesses a 4-year-old with hyperactive,impulsive behavior.Which developmental task should the child have achieved?

A 9-year-old has feelings of self-blame related to the parents' recent divorce.Which therapy is likely to be helpful for this child?

Which child shows behaviors indicative of mental illness?

A child has excessive motor activity and talking that interfere with academic performance.Which aspect of the child's care and treatment would a clinical nurse specialist,but not a nurse generalist,perform?

A 15-year-old was referred to a residential program after an arrest for theft and multiple episodes of running away from home.At the program,the adolescent refused to participate in scheduled activities and pushed a staff member,causing a fall.Which approach by nursing staff will be most therapeutic?

Shortly after the parents announced that they were divorcing,a 15-year-old stopped participating in sports,sat alone at lunch,and avoided friends.The adolescent told the school nurse,"I would rather stay in my room and listen to music.It's easier than talking to my friends about what is happening in my family." Which nursing diagnosis is most applicable?