UNIT 8 Flashcards
The nurse is teaching the mother of a 12-year-old boy about the risk factors
associated with drug and alcohol abuse. Which response by the mother indicates a need for further teaching?
A) “A family history of alcoholism is a risk factor for substance abuse.”
B) “Just because his friends are experimenting bdoes/ not mean that he will.”
C) “If my husband or I have a substance abuse problem it could increase his risk.”
D) “Negative life events are a potential risk factor.”
B
The nurse is caring for an adolescent girl with anorexia nervosa. What findings would indicate to the nurse that the girl requires hospitalization?
A) Weight gain of one-half pound per week
B) Food refusal
C) Body mass index of 18
D) Soft, sparse body hair and dry, sallow skin
B
The nurse is caring for an adolescent girl with a suspected anxiety disorder. The girl states that she is constantly double-checking that she has unplugged her curling iron and must make sure that everything is in perfect order in her room before she leaves the house. The nurse interprets these findings as indicating which
disorder?
A)
B)
C)
D)
Generalized anxiety disorder
Posttraumatic stress disorder
Social phobia
Obsessive-compulsive disorder
D
The nurse is caring for a 7-year-old with Tourette syndrome. The nurse
would be alert for which comorbid condition?
A) Depression
B) Anxiety disorder
C) Attention deficit/hyperactivity disorder
D) Asperger syndrome
C
A nurse is caring for a 10-year-old boy with a nursing diagnosis of ineffective coping related to an inability to deal with stressors secondary totanxiety. What
action should the nurse to take first?
A) Set clear limits on the child’s behavior
B) Teach the child problem-solving skills
C) Encourage a discussion of the child’s thoughts. and feelings
D) Role model appropriate social and conversation skills
C
The nurse is caring for a 3-year-old boy. The parentsc are concerned that he is exhibiting signs of cognitive delays. Which statement by the parents would lead the nurse to suspect autism spectrum disorder rather than possible learning disability?
A)
B)
C)
D)
Ans:
Feedback:
“He is not speaking in complete sentences.” irb.com/test
“We can understand a lot of what he says, but no one else can.”
“He seems to be speaking words less and less frequently.”
“He is unable to sit still for a short story.”
C
A nurse is caring for a 5-year-old girl with depression. The girl is having difficulty coping with her feelings of sadness and fear, which stem from her parents’ separation and recent divorce. The girl has been prescribed antidepressant medication but the mother thinks the girl would benefit from therapy. The nurse anticipates a referral to a therapist that specializes in:
individual therapy.
play therapy.
behavioral therapy.
hypnosis.
B
The nurse is caring for a 13-year-old boy with a history/oft inappropriate behavior. Which statement by the mother would lead the nurse to suspect oppositional defiant disorder rather than conduct disorder?
A)
B)
C)
D)
Ans:
Feedback:
“He has frequent temper tantrums.”
“He was pulling the neighbor’s dog around by his leash.”
“He is constantly lying to me.”
“He has stolen hundreds of dollars from my purse.”t
A
The nurse is caring for a 5 year old. The child’s mother reports that he is extremely sensitive to sounds that most people do not notice and that he prefers
complete silence. She explains that the boy is resisting going to school due to the noise and commotion. Additionally, the mother states thatbhe will only wear 100%
cotton clothing with all of the tags cut out. The nurse interprets these findings as indicating which disorder or condition?
A) Anxiety disorder
B) Sensory processing disorder
C) Depression
D) Obsessive-compulsive disorder
B
The nurse is caring for a child with bipolar disorder. Thet child is taking lithium as ordered. The parents inquire about the potential side effects. Which response by the nurse would be most appropriate?
A) “You might see excessive urination and thirst, tremor, nausea, weight gain, and diarrhea.”
B) “He might experience a significant decreaseb in his appetite and difficulty sleeping.”
C) “You need to watch for dry mouth, urinary retention, and constipation.”
D) “This medication can cause seizures, agitation, headache, and nausea.”
A
A child with attention deficit/hyperactivity disorder is prescribed long-acting methylphenidate. What information would the nurse include when teaching the child and his parents about this drug?
A) “Give the drug three times a day: morning, midday, and after school.”
B) “This drug may cause drowsiness, so be careful when doing things.”
C) “Some increase in appetite may occur, so watch how much you eat.”
D) “Take this drug every day in the morning when you wake up.”
D
When reviewing the medical record of a child, what would the nurse interpret as the most sensitive indicator of intellectual disability?
History of seizures
Preterm birth
Vision deficit
Language delay
D
A school-age child diagnosed with depression is receiving antidepressant therapy. What behavior would the nurse instruct the parents to watch for and to notify the healthcare provider immediately if the child demonstrates it?
A) Loss of interest
B) Gastric upset
C) Sedation
D) Urinary retention
A
What would lead the nurse to suspect that an adolescent has bulimia?
Body mass index less than 17
Calluses on back of knuckles
Nail pitting
Bradycardia
B
A child with depression is prescribed fluoxetine. The nurse identifies this as belonging to which class of drugs?
Atypical antidepressant
Tricyclic antidepressant
Selective serotonin reuptake inhibitor
Psychostimulant
C
A child is receiving therapy in which he is learning to replace automatic negative thought patterns with alternative ones. The nurse interprets this as which type of therapy?
A) Cognitive therapy
B) Behavioral therapy
C) Milieu therapy
D) Individual therapy
A
A nurse is preparing a program for a parent group about various techniques
that can be used to manage behavior. What would the nurse bes least likely to include?
A) Focus the child’s attention on the negative behavior.
B) Set limits with the child for responsible behavior.
C) Ignore inappropriate behaviors.
D) Provide positive feedback for self-control efforts.
A
The nurse is reviewing the medical record of a child who has dyspraxia. This child will experience difficulty with:
A) reading and writing.
B) mathematics and computation.
C) manual dexterity and coordination.
D) composition and spelling.
C
A nurse is conducting a screening program for autism int infants and children. What would the nurse identify as a warning sign?
A) Lack of babbling by 6 months
B) Inability to say a single word by 16 months
C) Lack of gestures by 8 months
Inability to use two words by 18 months
B
A nurse is preparing a teaching session for a group rof parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD). When explaining this disorder to the parents, what would the nurse include as being involved? Select all that apply.
Impulsivity
Inattention
Distractibility
Hyperactivity
Defiance
Anxiety
A B C D
A school nurse is working with the parents of an 8-year-old who has Tourette syndrome on how best to accommodate the child. What aadvice would be most
helpful? Select all that apply.
A) Allowing for breaks when tics occur
B) Providing for “time-outs” during the day
C) Using a tape recorder to take notes
Ensuring a specified amount of time for test taking
Implementing a reward system for behaviorirb
A C
When assessing the adolescent with anorexia, what would the nurse expect to find?
A) Tachycardia
Hypertension
Fever
Sparse body hair
D
After teaching the parents of a child with attention deficit/hyperactivity disorder about ways to control the child’s behavior, the nurse determines a need for additional teaching when the parents state:
A) “If he starts to act out, we’ll have him do a time-out to help him refocus.”
B)
C)
D)
Ans:
Feedback:
“We can use a reward system when he behaves appropriately.”
“If he misbehaves, we need to punish him instead of reward him.”
“We need to help him set realistic goals that i he can achieve.”
C
A nurse is reviewing the medical record of an 11-year-oldtchild with a conduct disorder. What would the nurse identify as characteristics of this disorder? Select all that apply.
A) Easily annoyed
B) Initiator of physical fights
C) Temper tantrums
D) Truancy
E) Arrest for arson
B D E
