NCLEX Quiz: Childhood And Adolescent Psychiatric Disorders
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- 1.Martin Sanchez is a nine (9)-year-old child admitted to a psychiatric treatment unit accompanied by Mr. and Mrs. Sanchez. To establish trust and position of neutrality. which action would the nurse take?
- A.
Encourage Mr. and Mrs. Sanchez to leave while Martin is being interviewed.
- B.
Interview Martin with his parents together. observing their interaction.
- C.
Provide diversion for Martin. and interview Mr. and Mrs. Sanchez alone.
- D.
Review the clinical record prior to interviewing Mr. and Mrs. Sanchez.
- 2.Nurse Bennet is a community nurse practicing primary prevention for psychiatric disorders in children. On which of the following risk factors would he focus?
- A.
Being raised in a single-parent home
- B.
Family history of mental illness
- C.
Lack of peer friendship
- D.
Family culture
- 3.Nurse Daya. a school nurse. is meeting with the school and health treatment team about a child who has been receiving methylphenidate (Ritalin) for two (2) months. The meeting is to evaluate the results of the child’s medication use. Which behavior change noted by the teacher will help determine the medication’s effectiveness.
- A.
Decrease repetitive behaviors
- B.
Decreased signs of anxiety
- C.
Increased depressed mood
- D.
Increased ability to concentrate on tasks
- 4.Which behavioral assessment in a child is most consistent with a diagnosis of conduct disorder?
- A.
Arguing with adults
- B.
Gross impairment in communication
- C.
Physical aggression toward others
- D.
Refusal to separate from caretaker
- 5.Alexi who has separation anxiety disorder has not attended school for three (3) weeks. and she cries and exhibits clinging behaviors when her mother encourages attendance. The priority nursing action by the home-care psychiatric nurse would be to:
- A.
Assist the child in returning to school immediately with family support.
- B.
Arrange for a home-school teacher to visit for two (2) weeks
- C.
Encourage family discussion of various problem areas.
- D.
Use play therapy to help the child express her feelings.
- 6.A 15-year-old boy was hospitalized in a psychiatric unit because he initiates frequent fights with peers. Which implementation is most appropriate?
- A.
Anticipate and neutralize potentially explosive situations.
- B.
Ignore minor infractions of rules against fighting.
- C.
Isolate the adolescent from contact with peers.
- D.
Talk to the adolescent each time fighting occurs.
- 7.The community nurse visits the home of George. a child recently diagnosed with autism. The parents express feelings of shame and guilt about having somehow caused this problem. Which statement by the nurse would best help alleviate parental guilt?
- A.
“Autism is a rare disorder. Your other children shouldn’t be affected.”
- B.
“The specific cause of autism is unknown. However. it is known to be associated with problems in the structure of and chemicals in the brain.”
- C.
“Sometimes a lack of prenatal care can be cause of autism.”
- D.
“Although autism is genetically inherited if you didn’t have testing you could not have known this would happen.”
- 8.An adolescent with a depressive disorder is more likely than an adult with the same disorder to exhibit:
- A.
Negativism and acting out.
- B.
Sadness and crying.
- C.
Suicidal thoughts.
- D.
Weight gain.
- 9.The parents of Suzanne. a child with attention deficit hyperactivity disorder. tell the nurse they have tried everything to calm their child and nothing has worked. Which action by the nurse is most appropriate initially?
- A.
Actively listen to the parents’ concern before planning interventions.
- B.
Encourage the parents to discuss these issues with the mental health team.
- C.
Provide literature regarding the disorder and its management.
- D.
Tell the parents they are overacting to the problem.
- 10.Nurse Gloria questions the parents of a child with oppositional defiant disorder about the roles of each parent in setting rules of behavior. The purpose for this type of questioning is to assess which element of the family system?
- A.
Anxiety levels
- B.
Generational boundaries
- C.
Knowledge of growth and development
- D.
Quality of communication
Questions: 10 | Attempts: 60424 | Last updated: Mar 22, 2022
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