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Children And Adolescents

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Question 1
Free
Multiple Choice

A 5-year-old child moves and talks constantly. The child awakens before the parents every morning. The child attends kindergarten, but the teacher reports difficulty handling the behavior. What is this child's most likely problem?

Choose correct answer/s
A

Tic disorder

B

Oppositional defiant disorder (ODD)

C

Intellectual development disorder (IDD)

D

Attention deficit hyperactivity disorder (ADHD)

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Question 2
Free
Multiple Choice

The health care provider prescribes medication for a child diagnosed with attention deficit hyperactivity disorder (ADHD). The desired behavior for which the nurse should monitor is:

Choose correct answer/s
A

increased expressiveness in communicating with others.

B

improved ability for cooperative play with other children.

C

ability to identify anxiety and implement self-control strategies.

D

improved socialization skills with other children and authority figures.

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Question 3
Free
Multiple Choice

A 5-year-old child diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse's best action?

Choose correct answer/s
A

Call for emergency assistance from another staff member.

B

Instruct the parents to take the child home immediately.

C

Direct this child to stop, and then comfort the other child.

D

Take the child into another room with toys to act out feelings.

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Question 4
Free
Multiple Choice

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

Choose correct answer/s
A

Bibliotherapy

B

Music therapy

C

Social skills groups

D

Behavior modification

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Question 5
Free
Multiple Choice

A child diagnosed with attention deficit hyperactivity disorder (ADHD) is going to begin medication therapy. The nurse should plan to teach the family about which classification of medications?

Choose correct answer/s
A

Central nervous system stimulants and non-stimulants

B

Monoamine oxidase inhibitors (MAOIs)

C

Antipsychotic medications

D

Anxiolytic medications

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Question 6
Multiple Choice

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

Choose correct answer/s
A
Haloperidol (Haldol)
B
Desmopressin (DDAVP)
C
Methylphenidate (Ritalin)
D
Carbamazepine (Tegretol)
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Question 7
Multiple Choice

Shortly after a 15-year-old's parents announce a plan to divorce, the adolescent stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, "All the other kids have families. If my parents loved me, then they would stay together." Which nursing intervention is most appropriate?

Choose correct answer/s
A
Develop a plan for activities of daily living.
B
Communicate disbelief relative to the adolescent's feelings.
C
Assist the adolescent to differentiate reality from perceptions.
D
Assess and document the adolescent's level of depression daily.
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Question 8
Multiple Choice

When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old in a group that uses:

Choose correct answer/s
A
play activities exclusively.
B
group discussion exclusively.
C
talk focused on a specific issue.
D
play and then talk about the play activity.
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Question 9
Multiple Choice

When assessing a 2-year-old diagnosed with autism spectrum disorder, a nurse expects:

Choose correct answer/s
A
hyperactivity and attention deficits.
B
failure to develop interpersonal skills.
C
history of disobedience and destructive acts.
D
high levels of anxiety when separated from a parent.
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Question 10
Multiple Choice

A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask, "What should we do?" What is the nurse's best recommendation?

Choose correct answer/s
A
"Send a picture of yourself to school to keep with the child."
B
"Arrange with the teacher to let the child call home at playtime."
C
"Talk with the school about withdrawing the child until maturity increases."
D
"Talk with your health care provider about a referral to a mental health professional."
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Question 11
Multiple Choice

A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, "We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father. The adolescent's problem is most consistent with criteria for:

Choose correct answer/s
A
attention deficit hyperactivity disorder (ADHD).
B
childhood depression.
C
conduct disorder (CD).
D
autism spectrum disorder (ASD).
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Question 12
Multiple Choice

A 15-year-old adolescent is referred to a residential program after an arrest for theft and running away from home. At the program, the adolescent refuses to participate in scheduled activities and pushes a staff member, causing a fall. Which approach by the nursing staff would be most therapeutic?

Choose correct answer/s
A
Neutrally permit refusals
B
Coax to gain compliance
C
Offer rewards in advance
D
Establish firm limits
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Question 13
Multiple Choice

An adolescent diagnosed with generalized anxiety disorder says, "My parents focus all their attention on my brother instead of me. He's perfect in their eyes." Which type of therapy might promote the greatest change in this adolescent's behavior?

Choose correct answer/s
A
Bibliotherapy
B
Play therapy
C
Family therapy
D
Behavior modification therapy
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Question 14
Multiple Choice

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

Choose correct answer/s
A
has occasional toileting accidents.
B
is unable to read children's books.
C
cries when separated from a parent.
D
continuously rocks in place for 30 minutes.
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Question 15
Multiple Choice

Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder?

Choose correct answer/s
A
Being raised by a parent with chronic major depressive disorder
B
Moving to three new homes over a 2-year period
C
Not being promoted to the next grade
D
Having an imaginary friend
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Question 16
Multiple Choice

A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation?

Choose correct answer/s
A
4-year-old who stuttered for 3 weeks after the birth of a sibling
B
9-month-old who does not eat vegetables and likes to be rocked
C
3-month-old who cries after feeding until burped and sucks a thumb
D
3-year-old who is mute, passive toward adults, and twirls while walking
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Question 17
Multiple Choice

The child most likely to receive propranolol (Inderal) to manage tremors is one diagnosed with:

Choose correct answer/s
A
attention deficit hyperactivity disorder (ADHD).
B
posttraumatic stress disorder (PTSD).
C
a motor disorder.
D
separation anxiety.
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Question 18
Multiple Choice

A 12-year-old child has been the neighborhood bully for several years. The parents say, "We can't believe anything our child says." Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store. The child's behaviors are most consistent with:

Choose correct answer/s
A
conduct disorder (CD).
B
defiance of authority.
C
anxiety over separation from a parent.
D
attention deficit hyperactivity disorder (ADHD).
To unlock the question
Question 19
Multiple Choice

The parent of a child diagnosed with Tourette's disorder says to the nurse, "I think my child is faking the tics because they come and go." Which response by the nurse is accurate?

Choose correct answer/s
A
"Perhaps your child was misdiagnosed."
B
"Your observation indicates the medication is effective."
C
"Tics often change frequency or severity. That does not mean they aren't real."
D
"This finding is unexpected. How have you been administering your child's medication?"
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Question 20
Multiple Choice

An 11-year-old child, who has been diagnosed with oppositional defiant disorder (ODD), becomes angry over the rules at a residential treatment program and begins shouting at the nurse. Select the best method to defuse the situation.

Choose correct answer/s
A
Assign the child to a short time-out.
B
Administer an antipsychotic medication.
C
Place the child in a therapeutic hold.
D
Call a staff member to seclude the child.
To unlock the question