Question 1

Which finding noted by the nurse on a physical assessment is most suggestive that a child has been sexually abused?

Accepted Answer

A)  Swelling of the genitalia and pain on urination 
B)  Smooth philtrum and thin upper lip 
C)  Speech and physical development delays 
D)  History of constipation, drowsiness, and constricted pupils 
A)  Swelling of the genitalia and pain on urination 
B)  Smooth philtrum and thin upper lip 
C)  Speech and physical development delays 
D)  History of constipation, drowsiness, and constricted pupils A

Question 2

Which behavior demonstrated by an adolescent should alert the school nurse to a problem of substance abuse?

Accepted Answer

A)  States feelings of worthlessness 
B)  Increased desire for social conformity 
C)  Does not feel need for peer approval 
D)  Deterioration of relationships with family members 
A)  States feelings of worthlessness 
B)  Increased desire for social conformity 
C)  Does not feel need for peer approval 
D)  Deterioration of relationships with family members D

Question 3

A home health care nurse is working with a child whose parents seem to be quite rigid in their rules and expectations and seem very distrustful of the nurse.What action by the nurse is most appropriate?

Accepted Answer

A)  Ask the parents why they don't trust outsiders. 
B)  Interview the parents separately. 
C)  Monitor the child for signs of abuse. 
D)  Assess the parents for substance abuse. 
A)  Ask the parents why they don't trust outsiders. 
B)  Interview the parents separately. 
C)  Monitor the child for signs of abuse. 
D)  Assess the parents for substance abuse. C

Question 4

A parent of a child with an anxiety disorder states,"I don't know how my child developed this problem." On what information should the nurse base a response?

Accepted Answer

A)  Genetic factors, hormonal imbalances, and societal influences all contribute to the development of anxiety disorders in children. 
B)  Like many conditions affecting children, the etiology of anxiety disorders is unknown. 
C)  The majority of anxiety disorders has a clear pattern of genetic inheritance. 
D)  Dysfunctional family patterns are usually identified as the cause of an anxiety disorder. 
A)  Genetic factors, hormonal imbalances, and societal influences all contribute to the development of anxiety disorders in children. 
B)  Like many conditions affecting children, the etiology of anxiety disorders is unknown. 
C)  The majority of anxiety disorders has a clear pattern of genetic inheritance. 
D)  Dysfunctional family patterns are usually identified as the cause of an anxiety disorder.

Question 5

Which manifestation is atypical of ADHD?

Accepted Answer

A)  Talking incessantly 
B)  Blurting out the answers to questions before the questions have been completed 
C)  Acting withdrawn in social situations 
D)  Fidgeting with hands or feet 
A)  Talking incessantly 
B)  Blurting out the answers to questions before the questions have been completed 
C)  Acting withdrawn in social situations 
D)  Fidgeting with hands or feet

Question 6

Which sign or symptom is likely to be manifested by an adolescent with a depressive disorder?

Accepted Answer

A)  Abuse of alcohol 
B)  Impulsivity and distractibility 
C)  Carelessness and inattention to details 
D)  Refusal to leave the house 
A)  Abuse of alcohol 
B)  Impulsivity and distractibility 
C)  Carelessness and inattention to details 
D)  Refusal to leave the house

Question 7

A child who has symptoms of irritable mood,changes in sleep and appetite patterns,decreased self-esteem,and disengagement from family and friends lasting 3 weeks meets the criteria for which depressive disorder?

Accepted Answer

A)  Major depressive disorder 
B)  Dysthymic disorder 
C)  Cyclothymic disorder 
D)  Panic disorder 
A)  Major depressive disorder 
B)  Dysthymic disorder 
C)  Cyclothymic disorder 
D)  Panic disorder

Question 8

A nurse working on the pediatric unit should be aware that children admitted with which of the following assessment findings are suggestive of physical child abuse? (Select all that apply.)

Accepted Answer

A)  Bruises in various stages of healing 
B)  Bruises over the shins or bony prominences 
C)  Burns on the palms of the hands 
D)  A fracture of the right wrist from a sports accident 
E)  Rib fractures in an infant 
A)  Bruises in various stages of healing 
B)  Bruises over the shins or bony prominences 
C)  Burns on the palms of the hands 
D)  A fracture of the right wrist from a sports accident 
E)  Rib fractures in an infant

Question 9

Which behavior verbalized by a school-age child should alert the school nurse to a problem of possible obsessive-compulsive disorder (OCD)?

Accepted Answer

A)  States feelings of worthlessness and sadness every day 
B)  Feels need to ride a bike around the tree in front of the house seven times every day before entering the house 
C)  Recurrent episodes of chest pain, heart palpitations, and shortness of breath when entering the computer classroom 
D)  Deterioration of relationships with family members 
A)  States feelings of worthlessness and sadness every day 
B)  Feels need to ride a bike around the tree in front of the house seven times every day before entering the house 
C)  Recurrent episodes of chest pain, heart palpitations, and shortness of breath when entering the computer classroom 
D)  Deterioration of relationships with family members

Question 10

A teen has told the school nurse about recent suicidal thoughts.What action by the nurse is best?

Accepted Answer

A)  Call the police and the teen's parents. 
B)  Ask if the teen has access to firearms. 
C)  Assess the teen for substance abuse. 
D)  Report the finding to the principal. 
A)  Call the police and the teen's parents. 
B)  Ask if the teen has access to firearms. 
C)  Assess the teen for substance abuse. 
D)  Report the finding to the principal.

Question 11

In counseling an adolescent who is abusing alcohol,the nurse explains that alcohol abuse primarily affects which organ of the body?

Accepted Answer

A)  Heart 
B)  Liver 
C)  Brain 
D)  Lungs 
A)  Heart 
B)  Liver 
C)  Brain 
D)  Lungs

Question 12

Which statement about suicide is correct?

Accepted Answer

A)  Children younger than 10 years of age are least likely to attempt suicide. 
B)  Suicide risk decreases with age. 
C)  Suicide is usually an isolated event in a school community. 
D)  The prevalence of suicide attempts is higher among males. 
A)  Children younger than 10 years of age are least likely to attempt suicide. 
B)  Suicide risk decreases with age. 
C)  Suicide is usually an isolated event in a school community. 
D)  The prevalence of suicide attempts is higher among males.

Question 13

The parents of a teen suspect their child is using amphetamines.Manifestations of amphetamine use include (Select all that apply.)

Accepted Answer

A)  weight gain. 
B)  excessive talking and activity. 
C)  excessive sleeping. 
D)  insomnia. 
E)  agitation. 
A)  weight gain. 
B)  excessive talking and activity. 
C)  excessive sleeping. 
D)  insomnia. 
E)  agitation.

Question 14

An adolescent states "I am very sad.I wish I was not alive." What is the best response by the nurse?

Accepted Answer

A)  "Everyone feels sad once in a while." 
B)  "You are just trying to escape your problems." 
C)  "Have you told your parents how you feel?" 
D)  "Have you thought about hurting yourself?" 
A)  "Everyone feels sad once in a while." 
B)  "You are just trying to escape your problems." 
C)  "Have you told your parents how you feel?" 
D)  "Have you thought about hurting yourself?"

Question 15

A 14-year-old admits to using marijuana every day with friends after attending school.What phase of substance abuse does this behavior exemplify?

Accepted Answer

A)  Experimentation 
B)  Early drug use 
C)  True drug addiction 
D)  Severe drug addiction 
A)  Experimentation 
B)  Early drug use 
C)  True drug addiction 
D)  Severe drug addiction

Question 16

What is the goal of therapeutic management for a child diagnosed with ADHD?

Accepted Answer

A)  Administer stimulant medications. 
B)  Assess the child for other psychosocial disorders. 
C)  Correct nutritional imbalances. 
D)  Reduce the frequency and intensity of unsocialized behaviors. 
A)  Administer stimulant medications. 
B)  Assess the child for other psychosocial disorders. 
C)  Correct nutritional imbalances. 
D)  Reduce the frequency and intensity of unsocialized behaviors.

Question 17

A student nurse is working with a child in foster care.The child was removed from the home due to abuse.The child is crying for the parents and the student is confused.What information does the registered nurse provide?

Accepted Answer

A)  Children will grieve the loss of parents, even if they were abusive. 
B)  The child needs therapy from a qualified therapist. 
C)  Play therapy will alleviate this behavior. 
D)  The parents may not have been the abusers. 
A)  Children will grieve the loss of parents, even if they were abusive. 
B)  The child needs therapy from a qualified therapist. 
C)  Play therapy will alleviate this behavior. 
D)  The parents may not have been the abusers.

Question 18

The school nurse observes an unkempt child dressed in inappropriate clothing who repeatedly asks for food.About which problem is the nurse concerned?

Accepted Answer

A)  Physical abuse 
B)  Physical neglect 
C)  Emotional abuse 
D)  Sexual abuse 
A)  Physical abuse 
B)  Physical neglect 
C)  Emotional abuse 
D)  Sexual abuse

Question 19

The nurse is aware that suicide risk increases if the child displays which characteristics? (Select all that apply.)

Accepted Answer

A)  Previous suicide attempt 
B)  No previous exposure to violence in the home 
C)  Recent loss 
D)  Effective social network 
E)  History of physical abuse 
A)  Previous suicide attempt 
B)  No previous exposure to violence in the home 
C)  Recent loss 
D)  Effective social network 
E)  History of physical abuse

Question 20

The long-term treatment plan for an adolescent with an eating disorder focuses on which of the following?

Accepted Answer

A)  Managing the effects of malnutrition 
B)  Establishing sufficient caloric intake 
C)  Improving family dynamics 
D)  Restructuring perception of body image 
A)  Managing the effects of malnutrition 
B)  Establishing sufficient caloric intake 
C)  Improving family dynamics 
D)  Restructuring perception of body image

Exam 53: Psychosocial Problems in Children and Families

Which finding noted by the nurse on a physical assessment is most suggestive that a child has been sexually abused?

Which behavior demonstrated by an adolescent should alert the school nurse to a problem of substance abuse?

A home health care nurse is working with a child whose parents seem to be quite rigid in their rules and expectations and seem very distrustful of the nurse.What action by the nurse is most appropriate?

A parent of a child with an anxiety disorder states,"I don't know how my child developed this problem." On what information should the nurse base a response?

Which manifestation is atypical of ADHD?

Which sign or symptom is likely to be manifested by an adolescent with a depressive disorder?

A child who has symptoms of irritable mood,changes in sleep and appetite patterns,decreased self-esteem,and disengagement from family and friends lasting 3 weeks meets the criteria for which depressive disorder?

A nurse working on the pediatric unit should be aware that children admitted with which of the following assessment findings are suggestive of physical child abuse? (Select all that apply.)

Which behavior verbalized by a school-age child should alert the school nurse to a problem of possible obsessive-compulsive disorder (OCD)?

A teen has told the school nurse about recent suicidal thoughts.What action by the nurse is best?

In counseling an adolescent who is abusing alcohol,the nurse explains that alcohol abuse primarily affects which organ of the body?

Which statement about suicide is correct?

The parents of a teen suspect their child is using amphetamines.Manifestations of amphetamine use include (Select all that apply.)

An adolescent states "I am very sad.I wish I was not alive." What is the best response by the nurse?

A 14-year-old admits to using marijuana every day with friends after attending school.What phase of substance abuse does this behavior exemplify?

What is the goal of therapeutic management for a child diagnosed with ADHD?

A student nurse is working with a child in foster care.The child was removed from the home due to abuse.The child is crying for the parents and the student is confused.What information does the registered nurse provide?

The school nurse observes an unkempt child dressed in inappropriate clothing who repeatedly asks for food.About which problem is the nurse concerned?

The nurse is aware that suicide risk increases if the child displays which characteristics? (Select all that apply.)

The long-term treatment plan for an adolescent with an eating disorder focuses on which of the following?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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