Ch29 Child With A Mental Health Condition Verified Test Bank - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 29: Child With a Mental Health Condition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which classification of medication should the nurse be prepared to teach the family of a child who is newly diagnosed with schizophrenia?
1) | Opioid |
2) | Antianxiety |
3) | Neuroleptic |
4) | Antidepressant |
____ 2. A school-aged child presents in the pediatric clinic with a parent who states, “My child complains of a stomach ache almost every day before school.” Which mental health disorder should the nurse assess this child for based on the current data?
1) | Anxiety |
2) | Depression |
3) | Schizophrenia |
4) | Bipolar disorder |
____ 3. In 2019 the CDC reported that the prevalence of ASD is thought to be 1 in ___ children.
1) | 139 |
2) | 59 |
3) | 72 |
4) | 300 |
____ 4. The nurse is providing care to an adolescent patient who is diagnosed with bipolar disorder. Which clinical manifestation noted by the nurse during the assessment process indicates that the adolescent is currently experiencing mania?
1) | Impulsive behavior |
2) | Feelings of emptiness |
3) | Increased need for sleep |
4) | Loss of interest in activities |
____ 5. Which prescription should the nurse anticipate when providing care to an adolescent patient who is diagnosed with bipolar disorder?
1) | Lithium |
2) | Valproate |
3) | Bupropion |
4) | Fluoxetine |
____ 6. The nurse is providing care to an adolescent patient who is diagnosed with anorexia and is experiencing an imbalance of potassium. Which is the priority assessment for this patient?
1) | Integumentary |
2) | Gastrointestinal |
3) | Cardiac function |
4) | Height and weight |
____ 7. When a child eats an excessive amount of calories and follows with purging behaviors of enemas, laxatives, diuretics, self-induced vomiting behaviors, extreme exercise, or a combination of these, the disorder is known as _________.
1) | Anorexia nervosa |
2) | Pica |
3) | Bulimia |
4) | Binge eating |
____ 8. Which statement from the parents of a school-aged child diagnosed with ADHD indicates the need for further education by the nurse?
1) | “I will develop a reward system for desired behaviors.” |
2) | “I will stick to the same routine each day after school.” |
3) | “I will let him do his homework while he is watching his favorite television show.” |
4) | “I will take my child to the physician every 3 months for a weight and height check.” |
____ 9. A child diagnosed with autism spectrum disorder (ASD) is admitted to the hospital with dehydration. Which should the nurse include in the plan of care for this child?
1) | Taking the child on a tour of the pediatric unit |
2) | Assigning the child to a single-bed hospital room |
3) | Taking the child to the playroom for arts and crafts |
4) | Discouraging the parents from bringing favorite toys from home that might be lost |
____ 10. When a parent voices concerns about his or her 13-year-old having school aversions, frequent absences, stomachaches, and poor school performance, what should the nurse suspect?
1) | Anxiety |
2) | Bullying |
3) | Depression |
4) | ASD |
____ 11. Which information should the nurse include in the teaching plan for the parents of a child who is diagnosed with ASD as a method to increase the child’s socialization?
1) | Create a reward system when the child interacts with a person. |
2) | Punish the child when the child’s social behaviors are inappropriate. |
3) | Use dolls to demonstrate appropriate social interactions to the child. |
4) | Enroll the child in a day-care facility to encourage interaction with other children. |
____ 12. Which child should the nurse refer for further assessment because of a probable diagnosis of ASD?
1) | A 6-year-old boy who chatters constantly to anyone who will listen |
2) | An 18-month-old child who walks around the area using the furniture to provide balance |
3) | A 4-year-old girl who doesn’t make eye contact with her mother and resists the mother’s touch |
4) | A 3-year-old boy who joins one group of children then moves to another group of children without joining their activities |
____ 13. The nurse is discussing the reason for the visit with the mother of a 17-year-old male who explains that her son has been talking to people who are not there. What diagnosis should the nurse consider?
1) | ASD |
2) | Schizophrenia |
3) | Bullying |
4) | Acetaminophen overdose |
____ 14. Suicide caused by bullying is known as __________.
1) | Bullycide |
2) | Cyberbullying |
3) | Suicidal ideation |
4) | Lethality of attempt |
____ 15. Which treatment is the first-line antagonist used for a suicide attempt with an overdose with oxycodone?
1) | Naloxone |
2) | Acetaminophen |
3) | Methadone |
4) | Activated charcoal |
____ 16. What is the most important side effect to be aware of when caring for a child taking antidepressants?
1) | Weight gain |
2) | Dry mouth |
3) | Need for psychotherapy |
4) | Increase in suicidal thinking |
____ 17. When diagnosing schizophrenia in a young child, it is essential that an experienced and well-trained health-care provider assess the child for an accurate diagnosis because there are many symptoms that overlap with those of _____________.
1) | Anxiety disorder |
2) | ADHD |
3) | Autism spectrum disorder |
4) | ARFID |
____ 18. Some psychotropic medications must be monitored to ensure a steady concentration in the blood. Too little medication is a non-therapeutic dose, whereas too much can be toxic. Which of the following medications must be monitored in this manner?
1) | Haloperidol |
2) | Paroxetine |
3) | Alprazolam |
4) | Escitalopram |
____ 19. Injuries, accidents, unplanned pregnancy, violence, drowning, and suicide are also associated with _________.
1) | Anxiety |
2) | Anorexia |
3) | Autism spectrum disorder |
4) | Substance abuse |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 20. Which clinical manifestations should the nurse monitor for when assisting in the assessment of a school-aged child who is the victim of bullying? (Select all that apply.)
1) | Mania |
2) | Anxiety |
3) | Loneliness |
4) | Easily distracted |
5) | Suicidal thoughts |
____ 21. The nurse is teaching the parents of a teenager how to assess their child for substance abuse. Which of the following behaviors should be included in the teaching? (Select all that apply.)
1) | Borrowing or stealing money |
2) | Red eyes and complaints of being overly tired |
3) | Sudden personality changes |
4) | Increased interest in personal grooming |
5) | Frequent trips to the bathroom, basement, or other area |
____ 22. Which medications necessitate additional patient education due to the side effect of photosensitivity? (Select all that apply.)
1) | Paroxetine |
2) | Alprazolam |
3) | Haloperidol |
4) | Bupropion |
5) | Sertraline |
____ 23. Common side effects of neuroleptic medications include which of the following? (Select all that apply.)
1) | Sedation |
2) | Excess saliva |
3) | Diarrhea |
4) | Difficulty urinating |
5) | Constipation |
____ 24. Which statement(s) about childhood depression should the new graduate nurse be aware of as she enters practice? (Select all that apply.)
1) | The best way to identify depression in children and teens is to regularly screen for the symptoms. |
2) | A medical diagnosis of major depression in childhood occurs after the child has displayed symptoms nearly every day for 2 months or longer. |
3) | Depression has no hereditary link. |
4) | The Depression Scale for Children takes only 10 to 15 minutes to administer. |
5) | The highest rates of depression are reported in Caucasian children. |
____ 25. The nursing goals for children with eating disorders include which of the following? (Select all that apply.)
1) | Correcting malnutrition |
2) | Re Resolving underlying emotional and psychological problems |
3) | Reaching a weight within 50% of expected for age and height |
4) | Encouraging the use of laxatives in order to have regular bowel movements |
5) | Assisting with a treatment plan to restore a healthy body image |
Chapter 31: Child With a Mental Health Condition
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer