Deck 33: The Child With an Emotional or Behavioral Condition

Question 1

What would be the appropriate response to an adolescent who states,"This has been the worst day of my life?"

A) "You should focus your mind on positive thoughts."
B) "Everybody has a bad day now and then."
C) "You're young.What could be so terrible?"
D) "Tell me about the worst day of your life."

Answer 1

"Tell me about the worst day of your life."

Question 2

The nurse asks,"Do your parents drink every day?" The adolescent suddenly shouts,"I'm not going to talk about that! It's none of your business,anyway! Leave me alone!" How does the nurse interpret the adolescent's behavior?

A) The adolescent is acting out and needs to be brought under control so the conference can continue.
B) The adolescent is trying to shift the focus of the conference away from himself,and the nurse needs to refocus.
C) The adolescent is demonstrating that this problem requires the assistance of a psychiatrist.
D) The adolescent is responding to the discrediting of his parents,which causes anxiety.

Answer 2

The adolescent is responding to the discrediting of his parents,which causes anxiety.

Question 3

How would the nurse identify a member of the child guidance team who is a medical doctor with special training in psychoanalytic theory?

A) Psychiatrist
B) Psychoanalyst
C) Psychologist
D) Counselor

Answer 3

Psychiatrist

Question 4

A parent asks the nurse to describe what is meant by a "learning disability." Which is the nurse's most helpful response?

A) "A child may have difficulty with perception,language,comprehension,or memory."
B) "It is characterized by inattention,impulsiveness,and hyperactivity."
C) "The child's intellectual ability limits his learning."
D) "The child has difficulty learning because of brain damage."

Question 5

A 9-year-old child has been admitted to the hospital after "huffing" lighter fluid and is in a high euphoric state.For what should the nurse assess?

A) Depressed respirations
B) Severe vomiting
C) Frightening hallucinations
D) Elevation of temperature

Question 6

How is a gateway substance defined?

A) Recreational drug used occasionally
B) Nonaddictive drug used daily
C) Drug used to wean from stronger drugs
D) Substance that can lead to use of stronger drugs

Question 7

Which statement made by a parent of an adolescent with anorexia nervosa indicates an understanding of this condition?

A) "There really isn't anything to worry about.Don't they say you can never be too thin?"
B) "My daughter just doesn't have much of an appetite."
C) "She is just trying to punish me for divorcing her father."
D) "She seems to see herself as fat,even though her weight is below normal."

Question 8

When the nurse is collecting a nursing history,an adolescent states that she has tried speed.For what does the nurse recognize this as the street name?

A) Barbiturates
B) Cocaine
C) Methamphetamine
D) Marijuana

Question 9

A nurse is planning to speak with a parent support group about childhood autism.What will the nurse include?

A) Significant signs of the disorder manifest by 1 year of age.
B) The earliest signs of autism are impulsivity and overactivity.
C) Autism is usually diagnosed when the child goes to elementary school.
D) Medications can cure childhood autism.

Question 10

A young child on the pediatric unit cannot express himself well.What therapeutic intervention might the nurse implement that allows children to act out their feelings?

A) Art therapy
B) Play therapy
C) Music therapy
D) Bibliotherapy

Question 11

A mother is concerned because her adolescent son is always in trouble for fighting at school and always seems to be angry.She mentions that her husband drinks a bit.Which understanding will guide the nurse's response?

A) The boy is displaying antisocial behavior and should be evaluated for mental illness.
B) The boy is displaying one of the typical defense patterns of children of alcoholics and should receive immediate treatment.
C) The mother is displaying her own anger with her husband's drinking,and she needs immediate intervention.
D) The boy is only one member of the family affected by alcoholism,and all members should receive immediate intervention.

Question 12

A 15-year-old boy was previously active in a band and saved money to buy a special guitar.What would a nurse assess as an early sign of depression in this boy?

A) He gives up the band to spend time with his girlfriend.
B) He spends all of his time at the library studying to qualify for the honor society.
C) He gives his guitar away and spends his time listening to music in his room.
D) He withdraws all of his money out of the bank to buy an expensive leather jacket.

Question 13

What is an appropriate nursing intervention for a hospitalized child who is autistic?

A) Place the child in a location where she can watch all of the activity on the unit.
B) Use the child's chronological age as a guide for communication.
C) Keep the child's room free of toys or objects that she might want to take home with her.
D) Organize care to provide as few disruptions to the routine as possible.

Question 14

The pediatric nurse listens to a 9-year-old child read to his 6-year-old roommate.What action by 9-year-old child leads the nurse to question possible dyslexia?

A) Becomes hyperactive and ceases to read.
B) Reads the word dog as God.
C) Makes up a story rather than reading the text.
D) Stutters as he reads.

Question 15

What is the most appropriate classroom intervention for a child with attention-deficit hyperactivity disorder (ADHD)for the school nurse to suggest?

A) Seat the child in the back of the room to prevent distractions for other children.
B) Pair the child with a student buddy to offer reminders to pay attention.
C) Divide work assignments into shorter periods with breaks in between.
D) Separate the child from others to increase his focus on schoolwork.

Question 16

An adolescent is brought to the emergency department after an automobile accident.When the nurse approaches the adolescent,he becomes combative.The nurse notes his speech is slurred and his gait is ataxic.What does the nurse suspect the adolescent has used?

A) Alcohol
B) Cocaine
C) Amphetamines
D) PCP

Question 17

The nurse is answering phone calls at a local suicide prevention hotline.Which statement would be recognized as the greatest risk of suicide?

A) "I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself."
B) "My parents aren't home and won't be back for 4 hours.That should be enough time for the pills to work.I've got a hundred of them."
C) "My dad will be home first,so he'll find me.So I think I'll use his gun.I hope he didn't lock the cabinet."
D) "My girlfriend is here with me.She told me to call because I was talking crazy about killing myself."

Question 18

A 14-year-old girl with obsessive-compulsive disorder (OCD)tells the nurse other adolescents tease her because she washes her hands many times during the school day.For what does this disorder put the adolescent at greater risk?

A) Anorexia nervosa
B) Depression
C) ADHD
D) A learning disability

Question 19

How does the nurse describe a person who is bulimic?

A) Severely underweight
B) Alternates binge eating with purging
C) Introverted perfectionist
D) Has extremely close family relationships

Question 20

The nurse explains that use of stimulants will decrease hyperactivity in the autistic child.What is a negative aspect of stimulants?

A) Sedating the child
B) Impairing cognition
C) Causing hypotension
D) Creating fluid retention

Question 21

Which substance puts a person at the greatest risk for HIV and hepatitis B?

A) Alcohol
B) Opiates
C) Cocaine
D) Marijuana

Question 22

The nurse states that the members of a mental health team for child guidance include which member(s)? (Select all that apply. )

A) Psychiatrist
B) Pediatrician
C) Psychologist
D) Dietitian
E) Social worker

Question 23

A child is diagnosed with attention-deficit hyperactivity disorder (ADHD).Which characteristics would the nurse assess in this child? (Select all that apply. )

A) Social anxiety
B) Impulsivity
C) Hyperactivity
D) Distractibility
E) Inattention

Question 24

The nurse counsels parents that the early school years create nervous tension in the child manifested by which abnormal behavior(s)? (Select all that apply. )

A) Masturbation
B) Food fads
C) Stuttering
D) Aggressive behavior
E) Nonnutritive sucking

Question 25

The nurse working with children from dysfunctional families must be prepared to address what associated problem(s)? (Select all that apply. )

A) Lack of trust
B) Acting out
C) Exaggerated self-confidence
D) Blaming others for problems
E) Depression

Question 26

A nurse is hired to work in a psychiatric facility on a unit specializing in obsessive-compulsive disorders (OCD).Which diagnoses might the nurse expect to encounter? (Select all that apply. )

A) Trichotillomania
B) Hoarding disorder
C) Excoriation disorder
D) Body dysmorphic disorder
E) Oppositional defiant disorder

Question 27

The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa.Which assessment finding(s)would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply. )

A) Amenorrhea
B) Severe weight loss
C) Oily skin
D) Hypertension
E) Lanugo on back

Question 28

The school nurse cautions a group of parents about the prevalence of children who get high by inhaling hydrocarbons and fluorocarbons.Which products contain these substances? (Select all that apply. )

A) Glue
B) Chlorine
C) Cleaning fluid
D) Copy machine toner
E) Aerosol sprays

Question 29

The nurse is planning the care of an adolescent with anorexia nervosa.What characteristic(s)cause this disorder? (Select all that apply. )

A) Discomfort relative to emerging sexuality
B) Fear of intimacy
C) Pervasive high self-esteem
D) Egocentricity
E) Inability to meet developmental needs

Question 30

What role has the child of an alcoholic assumed if he tries to do everything perfectly?

A) Perfect child
B) Super coper
C) Flight
D) Helper