Deck 34: Children and Adolescents

Question 1

A nurse will prepare teaching materials regarding which drug for the parents of a child diagnosed with ADHD?

A) Paroxetine
B) Imipramine
C) Methylphenidate
D) Carbamazepine

Answer 1

Methylphenidate

Question 2

Which behavior indicates that the treatment plan for a 5-year-old child diagnosed with autistic disorder has been effective?

A) Is content to play with one toy for hours.
B) Repeats words spoken by a parent.
C) Holds the parent's hand while walking.
D) Finds enjoyment in clapping his or her hands while walking.

Answer 2

Holds the parent's hand while walking.

Question 3

A child being treated for which medication has a high risk for suicide and should be monitored closely?

A) Depression with fluoxetine
B) ADHD with methylphenidate
C) Bipolar disorder with aripiprazole
D) Asperger disorder with social skills training

Answer 3

Depression with fluoxetine

Question 4

Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?

A) The child has been raised by a parent with chronic major depression.
B) The child's best friend has developed a chronic illness
C) The child was not promoted to the next grade one year.
D) The child moved to three new homes over a 2-year period.

Question 5

A child diagnosed with attention-deficit hyperactivity disorder (ADHD) will begin medication therapy.The nurse should prepare a plan to teach the family about which classification of medications prescribed to help manage the associated behaviors?

A) Central nervous system stimulants
B) Tricyclic antidepressants
C) Antipsychotics
D) Anxiolytics

Question 6

The child most likely to receive risperidone to manage symptoms is one diagnosed with what mental health disorder?

A) Attention-deficit hyperactivity disorder (ADHD)
B) Posttraumatic stress disorder (PTSD)
C) Anxiety
D) Autism

Question 7

The parent of an 8-year-old says, "My child is in constant motion, talking all the time but is out of bed every morning before I am and into trouble." This description supports which mental health diagnosis?

A) Bipolar disorder (BPD)
B) Disruptive mood dysregulation disorder (DMDD)
C) Oppositional defiant disorder (ODD)
D) Attention-deficit hyperactivity disorder (ADHD)

Question 8

A 14-year-old is sent to a residential program after arrests for truancy and assault.At the program, the teen refused to participate in scheduled activities and pushed a staff member, causing a fall.Which statement made by the nurse demonstrates an effective strategy to manage the client effectively?

A) "I've enrolled you in the unit's social skills training group to help you interact with others better."
B) "What will it take to get you to obey unit rules?"
C) "If you don't want to go to movie night you don't have too."
D) "There is a loss of privileges following any refusal to comply with unit rules."

Question 9

Which behaviors are indicative of bullying by a child? (Select all that apply.)

A) Recruits other children to avoid a child who wears glasses.
B) Consistently calls another child "fat" and "stupid."
C) Trips another children, because "it's fun."
D) Repeatedly steals another child's lunch money.
E) Plays a practical joke on another child.

Question 10

Which finding necessitates immediate nursing action for a child being treated for depression with a selective serotonin reuptake inhibitor (SSRI)?

A) A weight gain of 10 lb in 4 weeks
B) Repeatedly hitting a younger sibling
C) Frequently reports being tired and just wanting to sleep
D) Has fallen three times as a result of "being dizzy"

Question 11

A nurse assesses a 3-year-old child diagnosed with autism spectrum disorder (ASD).Which finding is most associated with the child's disorder?

A) Cries when frustrated.
B) Inability to identify colors.
C) Shows no interest in playing with other children.
D) Anxiety when separated from a parent.

Question 12

A kindergartener is disruptive to the class.This child is unable to sit for expected lengths of time, inattentive to the teacher, and aggressive toward others, bursting out talking while the teacher is talking.Other children shun this child.The nurse plans interventions designed to address which of the child's needs?

A) Provide inpatient treatment for the child.
B) Reduce loneliness and increase self-esteem.
C) Improve language and communication skills.
D) Promote individuation and integration of self-concept.

Question 13

Which factor presents the most imminent risk for the development of a childhood psychiatric disorder?

A) Having an uncle diagnosed with schizophrenia
B) Living in a low-income family
C) Being the oldest child in a family
D) Living with an alcoholic parent

Question 14

A child diagnosed with attention-deficit hyperactivity disorder (ADHD) had this nursing diagnosis-impaired social interaction, related to excessive neuronal activity, as evidenced by aggressiveness and dysfunctional play with others.Which finding indicates the plan of care was effective?

A) Improved ability to identify anxiety and use self-control strategies.
B) Increased expressiveness in communication with others.
C) Engages in cooperative play with other children.
D) Increased responsiveness to authority figures.

Question 15

An adolescent in a residential program threatens to throw a pool ball at another adolescent.Which comment by the nurse would effectively set limits?

A) "You will be taken to seclusion if you throw that ball."
B) "Do not throw the ball.Put it back on the pool table."
C) "Attention everyone: We're all going to the gym."
D) "Please do not lose control of your behavior."

Question 16

A desired outcome for a 12-year-old diagnosed with autism spectrum disorder (ASD) is to improve relationships with other children.Which treatment modality should the nurse suggest for the plan of care?

A) Reality therapy
B) Social skills group
C) Response prevention
D) Insight-oriented group therapy

Question 17

A child shares with the school nurse about painful verbal bullying by an aggressive classmate.What should be the nurse's initial action?

A) Give notice to the chief administrator at the school regarding the events.
B) Support the victimized child to share feelings about the experience.
C) Encourage the victimized child to ignore the bullying behavior.
D) Discuss the events with the aggressive classmate.

Question 18

In the waiting room a 5-year-old child diagnosed with attention-deficit hyperactivity disorder (ADHD) bounces out of a chair, runs over to another child, and slaps the other child.What action implemented by the nurse would be most effective in therapeutically managing the situation?

A) Direct the aggressive child to stop immediately.
B) Call for emergency assistance from other staff.
C) Instruct the parents to take the child home.
D) Take the child to another waiting area.