Deck 57: The Child With Alterations in Mental Health and Cognitive Function

Question 1

Parents tell the nurse their child has the following behaviors: excessive handwashing,counting objects,and hoarding substances.The nurse knows this behavior is characteristic of:

A)Depression.
B)Separation anxiety disorder.
C)Obsessive-compulsive disorder.
D)Bipolar disorder.

Answer 1

Obsessive-compulsive disorder.

Question 2

A child is taking Ritalin (methylphenidate hydrochloride)for attention deficit hyperactivity disorder (ADHD).The parents should be instructed to administer the medication:

A)At bedtime.
B)After lunch.
C)With the evening meal.
D)Early in the morning.

Answer 2

Early in the morning.

Question 3

A child with autism is being admitted to the hospital because of recent vomiting and diarrhea.Upon admission,the nurse should:

A)Take the child on a tour of the whole unit.
B)Take the child to the playroom immediately.
C)Orient the child to the hospital room,keeping noise and distractions to a minimum.
D)Admit the child to a four-bed unit.

Answer 3

Orient the child to the hospital room,keeping noise and distractions to a minimum.

Question 4

The nurse defines mental health as:

A)The neurologic ability of the brain to process information.
B)Thought,intelligence,and language.
C)Successful engagement in activities and relationships.
D)Intellectual functioning and performance of adaptive behavior.

Question 5

A child with attention deficit hyperactivity disorder (ADHD)is interested in playing the drums in the school band.The school nurse should:

A)Recommend the child take private lessons and not join the band.
B)Encourage the child to join the band.
C)Consult with the physician about allowing the child to participate in band activities.
D)Discourage the child from playing in the band.

Question 6

A nurse is performing developmental assessments on several children in the daycare setting.Which child indicates a delay in meeting developmental milestones?

A)An 18-month-old toddler unable to phrase sentences
B)A kindergartner unable to button his shirt
C)A 1-year-old unable to sit still for a short story
D)A 2-year-old unable to cut with scissors

Question 7

The family of a child with a cognitive alteration is expressing difficulty with managing the care needs of the child.The nursing diagnosis appropriate for this situation is:

A)Hopelessness related to the terminal condition of the child.
B)Compromised family coping related to the child's developmental variations.
C)Family processes dysfunctional related to the child with mental retardation.
D)Parenting,impaired related to poor parenting skills.

Question 8

A nurse is caring for four clients in the hospital.Which client should the nurse refer for play therapy?

A)An adolescent with asthma
B)A preschool child hospitalized with injuries sustained in a traumatic motor vehicle accident
C)A school-age child having an appendectomy
D)An infant with sepsis

Question 9

A child with profound intellectual disability has been admitted to the hospital for an appendectomy.The nurse recognizes that the intelligence quotient (IQ)of this child is:

A)Between 50 and 70.
B)Below 20.
C)Between 35 and 50.
D)Between 20 and 35.

Question 10

A nurse is planning preoperative teaching for a child scheduled to have a tonsillectomy.The child has a history of attention deficit hyperactivity disorder (ADHD).The nurse plans to:

A)Give instructions verbally and use a picture pamphlet,repeating points more than once.
B)Conduct the teaching in a playroom setting with several other children present.
C)Allow the child to interrupt the teaching session frequently.
D)Play a television show in the background.

Question 11

An adolescent child with panic disorder is taking Prozac (fluoxetine HCl),a serotonin reuptake inhibitor (SSRI).The child tells the nurse that she often takes diet pills because she is trying to lose weight.The nurse should advise the child to:

A)Continue with the Prozac (fluoxetine HCl)and the diet pills.
B)Stop both the Prozac (fluoxetine HCl)and the diet pills.
C)Discontinue use of the diet pills while taking the Prozac (fluoxetine HCl).
D)Discuss use of the diet pills with a pharmacist.

Question 12

The priority nursing diagnosis for a child with bipolar disorder who has suicidal ideas would be:

A)Powerlessness related to mood instability.
B)Social isolation related to disorder.
C)Risk for injury related to suicidal ideas.
D)Impaired social interaction.

Question 13

Parents of a child recently diagnosed with Down syndrome relate to the nurse that they "feel guilty about causing the condition." The best response by the nurse is:

A)"Down syndrome is a condition caused by an extra chromosome,and it really is not known why it occurs."
B)"Down syndrome is a condition that is genetically transmitted from both the father and the mother."
C)"Down syndrome is a condition that is carried on the X chromosome,so it came from the mother."
D)"Down syndrome is caused by birth trauma,not by genetics."

Question 14

The nurse is working with a family of a child during the diagnostic phase for cognitive alteration.The nurse develops which of the following expected outcomes?

A)The family will state understanding of the child's special needs.
B)The family will assist the child to perform adaptive skills.
C)The family will demonstrate effective communication with the child.
D)The family will coordinate the child's care.

Question 15

A child is being evaluated for depression.An assessment tool the nurse expects the psychologist to use is the:

A)Denver Developmental Screening Test.
B)Revised Children's Manifest Anxiety Scale.
C)Parent Developmental Questionnaire.
D)Disruptive Behavior Disorders Rating Scale.