Question 1

Which of the following interventions should a nurse anticipate implementing when planning care for children diagnosed with attention deficit-hyperactivity disorder (ADHD)? Select all that apply.

Accepted Answer

A)   Behavior modification
B)   Antianxiety medications
C)   Competitive group sports
D)   Group therapy
E)   Family therapy A,D,E

Question 2

Which of the following risk factors noted during a family history assessment should a nurse associate with the potential development of intellectual disability? Select all that apply.

Accepted Answer

A)   A family history of Tay-Sachs disease
B)   Childhood meningococcal infection
C)   Deprivation of nurturance and social contact
D)   History of maternal multiple motor and verbal tics
E)   A diagnosis of maternal major depressive disorder A,B,C

Question 3

Which nursing intervention should be prioritized when caring for a child diagnosed with intellectual disability?

Accepted Answer

A)   Encourage the parents to always prioritize the needs of the child.
B)   Modify the child's environment to promote independence and encourage impulse control.
C)   Delay extensive diagnostic studies until the child is developmentally mature.
D)   Provide one-on-one tutorial education in a private setting to decrease overstimulation. B

Question 4

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

Accepted Answer

A)   The client will communicate all needs verbally by discharge.
B)   The client will participate with peers in a team sport by day 4.
C)   The client will establish trust with at least one caregiver by day 5.
D)   The client will perform most self-care tasks independently.

Question 5

A 6-year-old client is prescribed methylphenidate (Ritalin)for a diagnosis of attention deficit-hyperactivity disorder (ADHD).When teaching the parents about this medication,which nursing statement explains how Ritalin works?

Accepted Answer

A)   "Ritalin's sedation side effect assists children by decreasing their energy level."
B)   "How Ritalin works is unknown. Although it is a stimulant, it does combat the symptoms of ADHD."
C)   "Ritalin helps the child focus by decreasing the amount of dopamine in the basal ganglia and neuron synapse."
D)   "Ritalin decreases hyperactivity by increasing serotonin levels."

Question 6

A nursing instructor is teaching about the developmental characteristics of clients diagnosed with moderate intellectual disability (ID).Which student statement indicates that further instruction is needed?

Accepted Answer

A)   "These clients can work in a sheltered workshop setting."
B)   "These clients can perform some personal care activities."
C)   "These clients may have difficulties relating to peers."
D)   "These clients can successfully complete elementary school."

Question 7

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

Accepted Answer

A)   Antipsychotic medications
B)   Antimanic medications
C)   Tricyclic antidepressant medications
D)   Monoamine oxidase inhibitor medications

Question 8

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

Accepted Answer

A)   Risk for injury R/T self-mutilation
B)   Altered social interaction R/T nonadherence to social convention
C)   Altered verbal communication R/T delusional thinking
D)   Social isolation R/T severely decreased gross motor skills

Question 9

A child diagnosed with attention deficit-hyperactivity disorder (ADHD)is having difficulty completing homework assignments.What information should the nurse include when teaching the parents about task performance improvement?

Accepted Answer

A)   The parents should isolate the child when completing homework to improve focus.
B)   The parents should withhold privileges if homework is not completed within a 2-hour period.
C)   The parents should divide the homework task into smaller steps and provide an activity break.
D)   The parents should administer an extra dose of methylphenidate (Ritalin)  prior to homework.

Question 10

The nurse should recognize which of the following findings contribute to a client's development of attention deficit-hyperactivity disorder (ADHD)? Select all that apply.

Accepted Answer

A)   The client's father was a smoker.
B)   The client was born 7 weeks premature.
C)   The client is lactose intolerant.
D)   The client has a sibling diagnosed with ADHD.
E)   The client has been diagnosed with dyslexia.

Question 11

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

Accepted Answer

A)   Involving parents in designing and implementing the treatment process
B)   Reinforcing positive actions to encourage repetition of desired behaviors
C)   Providing opportunities to learn appropriate peer interactions
D)   Administering psychotropic medications to improve quality of life

Question 12

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?

Accepted Answer

A)   Encourage and reward peer contact.
B)   Provide consistent caregivers.
C)   Provide a variety of safe daily activities.
D)   Maintain close physical contact throughout the day.

Question 13

A child diagnosed with autism spectrum disorder has the nursing diagnosis of disturbed personal identity.Which outcome would best address this client's diagnosis?

Accepted Answer

A)   The client will name own body parts as separate from others by day 5.
B)   The client will establish a means of communicating personal needs by discharge.
C)   The client will initiate social interactions with caregivers by day 4.
D)   The client will not harm self or others by discharge.

Question 14

Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual disability?

Accepted Answer

A)   The client can perform some self-care activities independently.
B)   The client has advanced speech development.
C)   Other than possible coordination problems, the client's psychomotor skills are not affected.
D)   The client communicates wants and needs by "acting out" behaviors.

Question 15

A nursing instructor is teaching about pharmacological treatments for attention deficit-hyperactivity disorder (ADHD).Which information about atomoxetine (Strattera)should be included in the lesson plan?

Accepted Answer

A)   Strattera, unlike methylphenidate (Ritalin) , is a central nervous system depressant.
B)   When taking Strattera, a client should eliminate all red food coloring from the diet.
C)   Strattera will be a life-long intervention for clients diagnosed with this disorder.
D)   Strattera, unlike methylphenidate (Ritalin) , is a selective norepinephrine reuptake inhibitor.

Question 16

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

Accepted Answer

A)   Modify the environment to decrease stimulation and provide opportunities for quiet reflection.
B)   Convey unconditional acceptance and positive regard.
C)   Recognize escalating aggressive behaviors and intervene before violence occurs.
D)   Provide immediate positive feedback for appropriate behaviors.

Question 17

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

Accepted Answer

A)   Meeting all of the client's self-care needs to avoid injury
B)   Providing simple directions and praising client's independent self-care efforts
C)   Avoiding interference with the client's self-care efforts in order to promote autonomy
D)   Encouraging family to meet the client's self-care needs to promote bonding

Question 18

A nurse has taken report for the evening shift on an adolescent inpatient unit.Which client should the nurse address first?

Accepted Answer

A)   A client diagnosed with oppositional defiant disorder being sexually inappropriate with staff
B)   A client diagnosed with conduct disorder who is verbally abusing a peer in the milieu
C)   A client diagnosed with conduct disorder who is demanding special attention from staff
D)   A client diagnosed with attention deficit disorder who has a history of self-mutilation

Question 19

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

Accepted Answer

A)   If one dose of Ritalin is missed, double the next dose.
B)   Administer Ritalin to the child after breakfast.
C)   Administer Ritalin to the child just prior to bedtime.
D)   A side effect of Ritalin is decreased ability to learn.

Question 20

Which finding would be most likely in a child diagnosed with separation anxiety disorder?

Accepted Answer

A)   The child has a history of antisocial behaviors.
B)   The child's mother is diagnosed with an anxiety disorder.
C)   The child previously had an extroverted temperament.
D)   The child's mother and father have an inconsistent parenting style.

Exam 33: Children and Adolescents

Which of the following interventions should a nurse anticipate implementing when planning care for children diagnosed with attention deficit-hyperactivity disorder (ADHD) ? Select all that apply.

Which of the following risk factors noted during a family history assessment should a nurse associate with the potential development of intellectual disability? Select all that apply.

Which nursing intervention should be prioritized when caring for a child diagnosed with intellectual disability?

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

A 6-year-old client is prescribed methylphenidate (Ritalin) for a diagnosis of attention deficit-hyperactivity disorder (ADHD) .When teaching the parents about this medication,which nursing statement explains how Ritalin works?

A nursing instructor is teaching about the developmental characteristics of clients diagnosed with moderate intellectual disability (ID) .Which student statement indicates that further instruction is needed?