Chapter 20: Cognitive and Behavior Disorders

Chapter 20: Cognitive and Behavior Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The school nurse suggests to the classroom teacher that the most appropriate classroom intervention for a child with attention-deficit/hyperactivity disorder (ADHD) is:

a.	Seat the child in the back of the room to prevent distractions from 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 or her focus on schoolwork

 

 

ANS:   C

The child with ADHD needs breaks between periods of work and study.

 

DIF:    Cognitive Level: Application             REF:    p. 377              OBJ:    2

TOP:    Attention-Deficit/Hyperactivity Disorder

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

 

2. The nurse can demonstrate a positive manner when interviewing the parent of a 4-year-old child who is intellectually disabled when the nurse says:

a.	“What were the behaviors that were not quite right?”
b.	“How old was Howard when you began to think he was different?”
c.	“Tell me about how Andy plays with others.”
d.	“What is it that Jennifer can’t do?”

 

 

ANS:   C

A positive approach is more likely to yield more helpful information.

 

DIF:    Cognitive Level: Application             REF:    p. 376              OBJ:    1

TOP:    Using a Positive Approach                KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

 

3. When the medication for an 8-year-old boy with attention-deficit/hyperactivity disorder (ADHD) has been changed to Intuniv (guanfacine), the nurse recognizes this drug as:

a.	An a2-agonist
b.	A selective norepinephrine reuptake inhibitor (SNRI)
c.	A stimulant
d.	A tricyclic antidepressant

 

 

ANS:   A

Intuniv (guanfacine) is an a2-agonist.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 378              OBJ:    2

TOP:    alpha-2-agonist (Drug That Acts Similar to Adrenalin)

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies

 

4. The nurse listens very closely while conversing with a child with Down syndrome because the child has difficulty pronouncing words due to:

a.	Intellectual disability
b.	A large tongue
c.	Poor muscle tone
d.	Respiratory congestion

 

 

ANS:   B

The characteristic large tongue makes the speech of a child with Down syndrome difficult to understand. Down syndrome children are frequently ill with respiratory infections, but the infection does not unduly affect pronunciation.

 

DIF:    Cognitive Level: Application             REF:    p. 379              OBJ:    3

TOP:    Down Syndrome                                KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

5. In caring for the hospitalized child who is failing to thrive, the child should be assigned to:

a.	A variety of caregivers to increase stimulation
b.	A caregiver with a heavy assignment so the mother can give care
c.	A consistent caregiver to role-model care
d.	A team of caregivers to concentrate on the baby and the mother

 

 

ANS:   C

The assignment should be for a consistent caregiver to help the baby establish trust and to role-model loving care.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 381              OBJ:    4

TOP:    Failure to Thrive                                 KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Psychosocial Integrity: Psychosocial Adaptation