Question 1

An advanced practice nurse is working with a child diagnosed with oppositional defiant disorder.What action by the nurse is most appropriate?

Accepted Answer

A)   Assess the child's performance at school.
B)   Facilitate genetic testing for the entire family.
C)   Screen the child for other psychosocial problems.
D)   Warn the parents not to leave siblings alone with the child. C

Question 2

A nurse is working with the family of a child who is overweight.What action by the nurse is most appropriate?

Accepted Answer

A)   Help the family identify fun activities.
B)   Instruct the child to exercise for an hour each day.
C)   Place the child on a restricted-calorie diet.
D)   Set a weight-loss goal for the child. A

Question 3

A school nurse is speaking with the parents of a child identified as possibly being at risk of suicide.Which question by the nurse is the priority during the nursing assessment?

Accepted Answer

A)   "Do you have any guns in your home?"
B)   "Does your child have any close friends?"
C)   "Has your child been hoarding objects?"
D)   "Is your child ever left alone at home?" A

Question 4

A nurse in the pediatric clinic suspects a patient is the victim of child abuse.What action takes priority?

Accepted Answer

A)   Ask a coworker to confirm the suspicions.
B)   Confront the parents with this information.
C)   Document the findings in the child's chart.
D)   Report the suspicions according to state law.

Question 5

A nurse is providing education to the parents of a child who has anxiety.Using the FRIENDS strategy for managing anxiety,what techniques does the nurse teach?

Accepted Answer

A)   Explore plans
B)   Fight the anxiety
C)   Inner thoughts
D)   Reward yourself
E)   Stay calm

Question 6

A nurse is assessing families in the community for child maltreatment.Which family would the nurse identify as being at highest risk?

Accepted Answer

A)   Children involved in many activities
B)   Family with multiple children
C)   Older parents with only children
D)   Single mother living in poverty

Question 7

A nurse has identified substance abuse in an adolescent.In addition to a treatment center referral,what other referral is most important?

Accepted Answer

A)   Counseling for parents
B)   Law enforcement
C)   Mental health provider
D)   Social services agencies

Question 8

A child with Down's syndrome has been admitted to the hospital with a respiratory condition and is producing thick,tenacious mucus.Which nursing action is the priority?

Accepted Answer

A)   Ensuring a patent airway
B)   Involving child-life therapy
C)   Preventing nosocomial infection
D)   Relieving stress at hospitalization

Question 9

A nurse is educating the parents of a child diagnosed with major depression prescribed a selective serotonin reuptake inhibitor (SSRI).The parents do not want to fill the prescription because they have heard SSRIs increase the risk of suicide in children.Which statement by the nurse is most appropriate?

Accepted Answer

A)   "I will convey your concerns to your health-care provider."
B)   "If you don't want your child to take the medication, don't fill it."
C)   "SSRIs have been used for many years to treat depression."
D)   "This information is controversial, so watch your child carefully."

Question 10

A faculty member is explaining the impact of immigration on mental health to a group of nursing students.What information should the faculty member provide?

Accepted Answer

A)   Immigrants have multiple sources for health care, so their needs should be met.
B)   Meeting basic human needs often outweighs the need for mental health.
C)   Refugees and immigrants do not often have mental health problems.
D)   Because immigrants do not speak English, mental health assessment is difficult.

Question 11

A nurse is teaching a classroom of middle school students sleep hygiene.Which information does the nurse provide?

Accepted Answer

A)   Create a healthy environment for sleep in your room.
B)   Go to bed at the same time every night of the week.
C)   Only use your bed for sleeping and reading.
D)   Set your cell phone to vibrate or low volume.
E)   Turn off your computer 1 hour before bedtime.

Question 12

The pediatric nurse is assessing a child who complains of a stomach ache.This is the child's fourth visit to the clinic for the same problem,and there has not been a diagnosis yet.What action by the nurse is best?

Accepted Answer

A)   Ask about child's functioning and development.
B)   Instruct the mother not to keep the child home from school.
C)   Obtain a thorough family history from the mother.
D)   Perform an abdominal exam and document findings.

Question 13

The nurse is working with the family of a child with conduct disorder (CD).The parents are very stressed and fighting a great deal.What action by the nurse is the most appropriate?

Accepted Answer

A)   Assess the family for sleep disturbances.
B)   Question the parents about alcohol intake.
C)   Refer the family to a weekend respite program.
D)   Suggest the parents enter couples' counseling.

Question 14

A nurse is making a referral for a family whose teenage daughter has anorexia nervosa.Which referral is the most appropriate?

Accepted Answer

A)   Crisis intervention counseling
B)   Family-oriented therapy
C)   Multidisciplinary team
D)   Psychiatrist

Question 15

A nurse is working with the parents of a child who has the following complaints: fatigue,insomnia,persistent irritable mood,and significant weight loss.Which discharge instruction is the priority?

Accepted Answer

A)   Encourage the child to eat more protein.
B)   Enroll the child in after-school activities.
C)   Establish a routine bedtime and wake time.
D)   Ensure the child is safe at all times.

Question 16

A nurse working with at-risk children recognizes that vulnerability to psychosocial or disorders depends on which risk factors?

Accepted Answer

A)   Environment
B)   Genetics
C)   Immunity
D)   Temperament
E)   Timing of exposure

Question 17

A child diagnosed with depression is given the nursing diagnosis of situational low self-esteem.Which statement by the child indicates that a short-term goal has been met?

Accepted Answer

A)   "I have to sleep a lot when I feel sad, sometimes until noon!"
B)   "I wish I didn't make so many mistakes in my homework."
C)   "My mom makes me special cookies when I am feeling sad."
D)   "When I was feeling bad, I remembered my great science project."

Question 18

A mother brings her child to the clinic requesting a selective serotonin reuptake inhibitor (SSRI)to help treat her daughter's posttraumatic stress disorder (PTSD).Which rationale will the nurse use when responding to the child's mother?

Accepted Answer

A)   Children have too many side effects from SSRIs.
B)   Research shows that treating specific symptoms is better.
C)   SSRIs have a long history of successful use in PTSD.
D)   This classification of drugs has rarely been used in PTSD.

Question 19

A nurse wishes to increase an at-risk child's resilience.What action by the nurse would be most helpful?

Accepted Answer

A)   Assist the child in recognizing internal resources.
B)   Help the child see that others are worse off.
C)   Instruct the child to "toughen up."
D)   Teach the child therapeutic communication skills.

Question 20

A nurse is assessing children for reactive attachment disorder (RAD).Which child would the nurse identify as being at highest risk for this disorder?

Accepted Answer

A)   Adopted from foreign orphanage
B)   Given care by extended family
C)   Placed in day care at 3 months
D)   Unmarried, cohabitating parents

Exam 22: Caring for the Child With a Psychosocial or Condition