Exam 24: 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 preschool child diagnosed with autistic spectrum disorder has been engaging in constant head-banging behavior. Which nursing intervention is appropriate?

After studying the DSM-5 criteria for oppositional defiant disorder (ODD), which listed symptom would a student nurse recognize?

A child has been diagnosed with autistic spectrum disorder. The distraught mother cries out, "I'm such a terrible mother. What did I do to cause this?" Which nursing response is most appropriate?

Which nursing intervention related to self-care would be most appropriate for a teenager diagnosed with moderate IDD?

Which of the following risk factors, if noted during a family history assessment, should a nurse associate with the development of IDD?

A client has an IQ of 47. Which nursing diagnosis best addresses a client problem associated with this degree of IDD?

Which of the following findings should a nurse identify that would contribute to a client's development of ADHD?

A physician orders methylphenidate (Ritalin) for a child diagnosed with ADHD. Which information about this medication should the nurse provide to the parents?

When planning care for a client, which medication classification should a nurse recognize as effective in the treatment of Tourette's syndrome?

Which behavioral approach should a nurse use when caring for children diagnosed with disruptive behavior disorders?

Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual developmental disorder (IDD)?

A nurse assesses an adolescent client diagnosed with conduct disorder who, at the age of 8, was sentenced to juvenile detention. How should the nurse interpret this assessment data?

The DSM-5 criteria for ODD specifies that: A persistent pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness must be evident and last at least ______________ months.

A mother questions the decreased effectiveness of methylphenidate (Ritalin) prescribed for her child's ADHD. Which nursing response best addresses the mother's concern?

A preschool child is admitted to a psychiatric unit with a diagnosis of autism spectrum disorder. To help the child feel more secure on the unit, which intervention should a nurse include in this client's plan of care?

In planning care for a child diagnosed with autistic spectrum disorder, which would be a realistic client outcome?

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

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

Which should be the priority nursing intervention when caring for a child diagnosed with conduct disorder?