Deck 32: Care of the Child with a Mental or Cognitive Disorder

Question 1

After observing parental behavior that leads the nurse to suspect child abuse,it is necessary to report this:

A) if the parent confesses to child abuse.
B) if the child admits to being abused.
C) whenever maltreatment of a child is suspected.
D) when the type of abuse can be determined.

Answer 1

whenever maltreatment of a child is suspected.

Question 2

The nurse reviews the major criterion for diagnosing a child as cognitively impaired,which is:

A) an IQ of 75 or less.
B) subaverage functioning.
C) an IQ of 70 or less.
D) onset before 18.

Answer 2

an IQ of 70 or less.

Question 3

When caring for a 6-year-old child from Southeast Asia with enuresis,the nurse observes several areas of small burns that are healing.The nurse should inquire:

A) "Has your child hurt himself?"
B) "What methods have you tried to stop his bedwetting?"
C) "What are these burns?"
D) "How long has this been going on?"

Answer 3

"What methods have you tried to stop his bedwetting?"

Question 4

The priority nursing interventions for the cognitively impaired child are to support the family to provide:

A) good nutrition.
B) loving interactions.
C) stimulation to improve.
D) contact with peers.

Question 5

When communicating with parents suspected of child abuse,the nurse should:

A) tell them the law requires reporting of the incident.
B) be sympathetic to their needs.
C) interact with them in a nonjudgmental manner.
D) suggest psychiatric counseling.

Question 6

When depressed children are admitted to the hospital with a treatment plan,a team approach makes it the responsibility of the nurse to:

A) administer medications.
B) implement physician's orders.
C) establish a trusting relationship.
D) provide emotional support.

Question 7

When counseling parents of an adolescent boy who are concerned about mood disturbances,the nurse suggests the probability of depression since what percentage of adolescents experience it?

A) 3
B) 5
C) 8
D) 12

Question 8

The parents of a child with attention deficit hyperactivity disorder (ADHD)ask the nurse about the Ritalin their child is taking.Following a discussion,the nurse recognizes the need for further education when the parents state:

A) "This drug will help,but we must set limits."
B) "We expect the symptoms to get worse before they get better."
C) "We will give the medication at bedtime."
D) "He will pay closer attention to schoolwork."

Question 9

The parents of a child suffering from depression ask the nurse what causes depression in children.The nurse states that:

A) the causes of major depression are unknown.
B) major affective disorders in parents increase depression in children.
C) boys are more likely than girls to be depressed.
D) the prevalence rate is higher in prepubescent children.

Question 10

The nurse suspects Down syndrome in a newborn when assessment findings include:

A) hypertonia and dark skin.
B) low-set ears and a simian crease.
C) inner epicanthal folds and a high,domed forehead.
D) long,thin fingers and excessive hair.

Question 11

The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under the broader term of child:

A) abandonment.
B) mismanagement.
C) maltreatment.
D) torment.

Question 12

The nurse uses a diagram to show the etiology of Down syndrome,which shows that:

A) there is an extra chromosome on the 21st pair.
B) there is a missing chromosome on the 21st pair.
C) there are two pairs of the 21st chromosome.
D) the chromosome's 21st pair is missing.

Question 13

The nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ).A child with an IQ of 45 is classified as:

A) within the normal low range.
B) educable.
C) trainable.
D) severe.

Question 14

Parents of a 5-year-old child diagnosed as cognitively impaired have come to the nurse to discuss different approaches to the ongoing care of their child.The nurse suggests focusing on skills relative to:

A) acquiring job skills.
B) making decisions.
C) performing self-care activities.
D) reading and doing simple math.

Question 15

The high school nurse is very sensitive for cues to suicidal ideation because suicide is which leading cause of death among 15- to 19-year-olds in the United States?

A) First
B) Second
C) Third
D) Fourth

Question 16

Since children with attention deficit hyperactivity disorder (ADHD)take medication for long periods of time,side effects must be considered.It is recommended that a child be assessed for side effects of the drug at regular intervals of:

A) 2 months.
B) 4 months.
C) 6 months.
D) 8 months.

Question 17

Individuals with Down syndrome frequently have other congenital defects such as:

A) hypospadias.
B) pyloric stenosis.
C) heart defects.
D) hip dysplasia.

Question 18

The nurse is caring for a child who has been diagnosed as having an attention deficit hyperactivity disorder (ADHD).When counseling the parents,the nurse recognizes it is important to:

A) have the child enrolled in a special education class.
B) allay any feelings of guilt the parents may have.
C) counsel the parents that the medications are lifelong.
D) teach the parents to set limits.

Question 19

Parents of a school-age child ask the nurse for suggestions in helping the child who is demonstrating school avoidance.The nurse suggests that the parents:

A) take the child to the physician for testing.
B) be firm and insist the child go to school.
C) allow the child to stay home and rest.
D) consult with the teacher at school.

Question 20

The nurse in the emergency department admitting a child with a fractured arm suspects child abuse after observing:

A) lack of parental concern for the severity of the injury.
B) the child not answering questions concerning the injury.
C) parents not asking about the child's condition.
D) inconsistency between the injury and the parents' explanation of it.

Question 21

When performing an assessment of a child with recurrent abdominal pain (RAP),the nurse recognizes the child will most likely experience:

A) increased temperature.
B) constipation.
C) right quadrant pain.
D) exercise-associated pain.

Question 22

Recurrent abdominal pain (RAP)is most often seen in school-age or adolescent children.The nurse assesses closely for:

A) physical problems.
B) relational problems.
C) eating disorders.
D) emotional problems.

Question 23

The nurse is recording a history for a child who has been diagnosed with recurrent abdominal pain (RAP).The finding that is characteristic of this disorder is:

A) morning headaches.
B) pain for 3 consecutive months.
C) febrile episodes in the late afternoon.
D) diaphoresis when attacks occur.

Question 24

When treating the child with recurrent abdominal pain (RAP),the nurse instructs the parents that,as part of the treatment plan,the child must be seen:

A) every 2 weeks to a month.
B) weekly.
C) monthly.
D) every 6 weeks.

Question 25

A 16-year-old girl who attempted suicide is placed on a protocol of tricyclic antidepressants.The nurse cautions the parents that during the first few weeks of therapy,their daughter may:

A) sleep 12 to 14 hours a day.
B) become anorexic.
C) attempt suicide again.
D) experience crying episodes.

Question 26

The parents of an adolescent who attempted suicide review the events that led to this action.Symptoms such as depression,loneliness,and sleep disturbances were most likely present for how long before the suicide attempt?

A) 1 year
B) 6 months
C) 1 month
D) 6 weeks

Question 27

When the nurse performs the initial assessment of an adolescent with depression,an appropriate question to ask is:

A) "What is making you depressed?"
B) "Have you ever thought about suicide?"
C) "What could we do to make you happy?"
D) "Would you like your friends to visit?"

Question 28

The nurse reminds a family that people with autism are also referred to as ________.

Question 29

While assessing a child diagnosed with failure to thrive,the nurse must decide if this condition is a result of ____________ or ____________ neglect.

Question 30

The school nurse reminds the faculty of a high school that it is imperative to report to a mental health professional any:

A) signs of depression.
B) threats of suicide.
C) signs of withdrawal.
D) behavioral problems.

Question 31

The nurse recognizes that the expected life span of a person with Down syndrome has increased to ____ years.

Question 32

The nurse assessing a young female with depression who may have suicidal ideation recognizes that the usual method of attempted suicide by females is:

A) hanging.
B) medication ingestion.
C) gunshot.
D) slashing the wrists.

Question 33

The nurse explains that which diagnostic studies are needed for the diagnosis of cognitive impairment? (Select all that apply.)

A) Denver Developmental Screening Test
B) Stanford-Binet Intelligence Scale
C) Wechsler Intelligence Scale
D) Miller's Analogies
E) Strong Personality Assessment