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 (Paxil)
B) Imipramine (Tofranil)
C) Methylphenidate (Ritalin)
D) Carbamazepine (Tegretol)

Answer 1

Methylphenidate (Ritalin)

Question 2

A child diagnosed with ADHD will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications?

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

Answer 2

Central nervous system stimulants

Question 3

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

A) Oversedation
B) Behavioral activation
C) Anticholinergic effects
D) Extrapyramidal symptoms

Answer 3

Behavioral activation

Question 4

The child most likely to receive risperidone (Risperdal) to manage symptoms is one diagnosed with:

A) ADHD.
B) PTSD.
C) anxiety disorder.
D) autistic disorder.

Question 5

In the waiting room a 5-year-old child diagnosed with ADHD bounces out of a chair, runs over to another child, and slaps the other child. What is the nurse's best action?

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.

Question 6

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) Accidentally trips another child, resulting in a fall
D) Repeatedly steals another child's lunch money
E) Plays a practical joke on another child

Question 7

Which behavior indicates that the treatment plan for a child diagnosed with autistic disorder has been effective? The child:

A) plays with one toy for 30 minutes.
B) repeats words spoken by a parent.
C) holds the parent's hand while walking.
D) spins around and claps hands while walking.

Question 8

A child with 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 9

Which factor presents the most imminent risk for a child to develop a psychiatric disorder?

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

Question 10

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 was absent from the child's birthday party.
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 11

A nurse assesses a 3-year-old child diagnosed with autistic disorder. Which finding is most associated with the child's disorder?

A) Toilet training complete
B) Inability to identify colors
C) Failure to develop interpersonal skills
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:

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

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

A) Depression with fluoxetine ( Prozac )
B) ADHD with methylphenidate ( Ritalin )
C) Bipolar disorder with aripiprazole ( Abilify )
D) Asperger's disorder with social skills training

Question 14

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 strategy by nursing staff is indicated?

A) Begin social skills training.
B) Coax to gain compliance.
C) Neutrally allow refusals.
D) Establish firm limits.

Question 15

The parent of an 8-year-old says, "My child is in constant motion and talks all the time. My child isn't interested in toys, but is out of bed every morning before I am and into trouble." The child's problem is most consistent with:

A) anxiety disorder.
B) Asperger's disorder.
C) pervasive developmental disorder.
D) ADHD.

Question 16

An adolescent in a residential program threatens to throw a pool ball at another adolescent. Which comment by the nurse would 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 17

A child complains to the school nurse about painful verbal bullying by an aggressive classmate. What is the nurse's best first 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

A desired outcome for a 12-year-old diagnosed with autism 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