Chapter 16: Mental Health Promotion for Children and Adolescents

Format: Multiple Choice

Client Needs: Health Promotion and Maintenance

Cognitive Level: Apply

Integrated Process: Caring

Objective: 4

Page and Header: 245, Loss and Early Childhood

1. While caring for a family who lost a 10-year-old son in a car accident, the nurse should encourage the parents to tell the 4-year-old sister what about her brother?

A) He died and is not coming back.

B) He passed on to the other side.

C) He departed on a long journey.

D) He has gone to see the Lord above.

Page and Header: 249, Physical Illness

2. The nurse is counseling a family with a 10-year-old child after the death of a favorite uncle. The nurse provides guidance to the parents, informing them that the child may exhibit what as a response?

A) Talking about scary, morbid novels all the time

B) Reporting aches and pains and stomach aches

C) Suddenly becoming afraid of leaving home to go to school

D) Becoming obsessed with religious rituals, Bible verses, and prayer

Page and Header: 248, Sibling Relationships

3. The nurse is counseling a family with two parents and two children, ages 8 and 10 years. The mother states that the children are constantly fighting and have intense sibling rivalry. Which statement would be most appropriate when advising the parents about how to respond to the sibling rivalry?

A) “Try reacting to each as unique individuals with talents and interests distinctly their own.”

B) “Be firm about telling the children they have to cooperate with one another.”

C) “Slowly decrease the amount of attention and control shown to the older child.”

D) “Make sure they have a quiet, subdued home environment to avoid stimulating conflict.”

Page and Header: 249, Physical Illness

4. A 3-year-old child has been admitted to the hospital after an automobile accident. Which statement by the nurse would be most appropriate when discussing the type of behavior the parents can expect their child to display while hospitalized?

A) “Your child may not be able to accept how the injury has changed your child’s appearance.”

B) “Your child may seem unduly anxious in the presence of strangers.”

C) “Your child may experience some guilt feelings associated with the accident.”

D) “Your child will exhibit intermittent periodic mood swings, but these should be brief.”

Page and Header: 249, Physical Illness

5. A nurse is providing care to several chronically ill children. Which child would the nurse identify as having the greatest risk for developing a psychiatric problem?

A) 12-year-old child with asthma

B) 5-year-old child with cerebral palsy

C) 8-year-old child with a chronic renal disease

D) 10-year-old child with a heart murmur

Page and Header: 250, Adolescent Risk-Taking Behaviors

6. The nurse is planning a counseling session with a group of “at-risk” adolescents on the topic of drug abuse. Which education strategy would be most effective?

A) Handing out educational pamphlets and showing slides of car accidents related to teen drug use

B) Showing informational videotapes and providing Internet addresses on the topic of drug addiction

C) Giving information by lecturing and using pre- and posttest quizzing about the information

D) Involving peers in teaching the effective group problem-solving skills

Page and Header: 252, Substance-Abusing Families

7. The nurse is planning an initial therapy session with a 20-year-old client whose parents had alcohol abuse issues. The nurse anticipates that the client would most likely exhibit what effects?

A) Delusions

B) Paranoid delusions

C) Low self-concept

D) Extroversion

Page and Header: 250, Poverty and Homelessness

8. A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family’s home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that allows rain and snow into the house. Which nursing intervention would be the highest priority in this situation?

A) Make immunization appointments for the children in a nearby town’s public health clinic.

B) Help the family find a way to repair the roof of their home.

C) Determine the educational readiness of the two children.

D) Report the family for child abuse because of neglect.

Page and Header: 244, Death and Grief

9. While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, “That will never happen to me.” How should the nurse interpret this statement?

A) The invincibility fable

B) Formal operations

C) Unselfishness

D) Relational aggression

Page and Header: 245, Separation and Divorce

10. A nurse is working with a family in which the parents have just gotten divorced. After educating the parents on measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional education?

A) “We will try to alter their routines so they don’t think about the past.”

B) “We will make sure that they understand that they did not cause the divorce.”

C) “We will develop a regular and consistent schedule for visitation.”

D) “We will make sure that we are consistent in the limits that we set.”

Page and Header: 244, Death and Grief, Table 16.1. Grieving in Childhood, Adolescence, and Adulthood

11. A group of nursing students is reviewing information about the differences that occur with grieving in children, adolescents, and adults. The students demonstrate understanding of this information when they identify what as characteristic of adolescents?

A) View death as reversible

B) Mourn by talking about the loss

C) Need repeated explanations to understand the loss

D) Express a time limit for socially acceptable grieving

Page and Header: 253, Out-of-Home Placement

12. A nurse is working with a child for whom an out-of-home placement has occurred. What would the nurse anticipate as the child’s initial response?

A) Despair

B) Withdrawal

C) Protest

D) Detachment

Page and Header: 253, Intervention Approaches

13. The nurse is working with a child who has engaged in bullying. What form of intervention would be most effective for the nurse to implement?

A) Psychoeducation

B) Bibliotherapy

C) Early intervention program

D) Social skills training

Page and Header: 255, Summary of Key Points

14. A nurse is developing a plan of care for a family who is experiencing problems related to their child’s chronic illness. The nurse plans to have the family read a group of short stories written by parents of children with chronic illnesses. The nurse will be using which technique?

A) Psychoeducation

B) Social skills training

C) Bibliotherapy

D) Assertiveness training

Page and Header: 244, Childhood and Adolescent Mental Health

15. After educating a class of students on childhood and adolescent mental health, the instructor determines that additional education is needed when the class identifies what as promoting mental health in children?

A) Inflexible temperament

B) Age-appropriate physical development

C) Secure attachment

D) Normal psychosocial development

Page and Header: 244, Death and Grief

16. A nurse is providing education to a group of parents with children and adolescents who have experienced losses. The nurse determines that the education was successful when the group agrees with which statement?

A) “Children grieve in similar ways regardless of their age.”

B) “Children often use fantasy to fill in their gaps in understanding.”

C) “Families tend to grieve at similar times after the loss.”

D) “Children and adults grieve in much the same manner.”

Page and Header: 249, Bullying

17. A nurse is preparing a program for a local school district on bullying. When describing the types of activities involved, which activity would the nurse identify as being most commonly associated with boys and bullying?

A) Physical aggression

B) Excluding a member from the group

C) Manipulating another person

D) Spreading rumors

Page and Header: 245, Loss and Early Childhood

18. A nurse is conducting a program for a parent group about loss and children’s responses to loss. During a break in the program, one of the parents says, “We recently suffered the loss of my mother. We told our 4-year-old child that ‘nana went to sleep’. Ever since then, our 4-year-old is fighting us about going to sleep at night.” Which response by the nurse would be most appropriate?

A) “Four-year-old children typically interpret things literally, so your child may be experiencing fear that he or she might die by going to sleep.”

B) “Your child is demonstrating a typical response to death in this age group, so I wouldn’t worry about it right now.”

C) “It’s probably a good idea to have your child seen by a mental health professional because this type of behavior is not normal.”

D) “It’s most likely a coincidence that you’re seeing this sleep problems right after the child has experienced a loss.”

Page and Header: 249, Physical Illness

19. A nurse is providing care to a 2-year-old child who is hospitalized for complications related to surgery for a congenital heart defect. Which concern would be the priority for the nurse?

A) Body image

B) Magical thinking

C) Separation anxiety

D) Vulnerable child syndrome

Page and Header: 244, Death and Grief, Table 16.1 Grieving in Childhood, Adolescence, and Adulthood

20. A psychiatric–mental health nurse is talking with a group of parents attending a bereavement group. The group is discussing the different reactions to loss and death that children of different age groups experience. When describing the reactions of adolescents, which information would the nurse most likely include? Select all that apply.

A) Adolescents commonly need permission to grieve openly.

B) Many adolescents express grief with physical issues.

C) They often act out the concept of death through play.

D) Adolescents often feel that parents do not understand their feelings.

E) Sometimes, adolescents become dramatic when dealing with the loss.