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Chapter 31: Child With a Mental Health Condition

Safe Maternity Pediatric Nursing By Care Palmer Coats

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Chapter 31: Child With a Mental Health Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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 stomachache almost every day before school.” Which mental health disorder should the nurse assess this child for on the basis of the current data?

1) Anxiety
2) Depression
3) Schizophrenia
4) Bipolar disorder

 

 

____     3.   A school-aged child presents with trouble concentrating at school along with trouble making decisions and recalling information. Which mental health disorder should the nurse assess this child for on the basis of the current data?

1) Anxiety
2) Depression
3) Schizophrenia
4) Bipolar disorder

 

 

____     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 the adolescent is currently experiencing mania?

1) Impulsive behavior
2) Feelings of emptiness
3) Increased need for sleep
4) Loss of interest in activities

 

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  3

Chapter number and title: 31: Child With a Mental Health Condition

Chapter learning objective: Describe the clinical presentation and pharmacological management of schizophrenia in childhood.

Chapter page reference: 519

Heading: Interventions for Schizophrenia

Integrated processes: Teaching and Learning

Client need: Pharmacological and Parenteral Therapies

Cognitive level: Comprehension [Understanding]

Concept: Medication

Difficulty: Easy

 

  Feedback
1 Opioids are prescribed to treat pain, not schizophrenia.
2 Antianxiety medications are prescribed to treat anxiety.
3 The child diagnosed with schizophrenia may benefit from a neuroleptic medication (psychiatric medication used to treat several mental illnesses including bipolar disorder and schizophrenia) therapy to manage some of the symptoms of this disorder, such as hallucinations and psychotic delusions. Family involvement and a commitment to the child’s taking his or her medications are imperative.
4 Antidepressant medications are prescribed to treat depression.

 

 

PTS:   1                    CON:  Medication

 

  1. ANS:  1

Chapter number and title: 31: Child With a Mental Health Condition

Chapter learning objective: Describe commonly used assessment tools for anxiety, depression, and mood disorders.

Chapter page reference: 513

Heading: Assessments of Anxiety Disorder

Integrated processes: Clinical Problem-Solving Process

Client need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Stress

Difficulty: Moderate

 

  Feedback
1 Anxiety often manifests with gastrointestinal symptoms, such as complaints of a stomachache.
2 School-aged children who are suffering from depression may have trouble concentrating at school, paying attention, making decisions, and recalling information. Complaints of a stomachache are not common.
3 Combinations of delusions, disordered thinking, disordered speech, hallucinations, and an impaired ability to function are clinical manifestations of schizophrenia. Complaints of a stomachache are not common.
4 Bipolar disorder is characterized by alternating mania and depression, or a rapid cycling of moods particular to children. Children may experience grandiose thoughts, pressured speech, extreme irritability, emotionality, distractibility, and high levels of activity often expressed at bedtime.

 

 

PTS:   1                    CON:  Stress

 

  1. ANS:  2

Chapter number and title: 31: Child With a Mental Health Condition

Chapter learning objective: Describe commonly used assessment tools for anxiety, depression, and mood disorders.

Chapter page reference: 513

Heading: Assessments of Anxiety Disorder

Integrated processes: Clinical Problem-Solving Process

Client need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Stress

Difficulty: Moderate

 

  Feedback
1 Anxiety often manifests with gastrointestinal symptoms, such as complaints of a stomachache.
2 School-aged children who are suffering from depression may have trouble concentrating at school, paying attention, making decisions, and recalling information. Complaints of a stomachache are not common.
3 Combinations of delusions, disordered thinking, disordered speech, hallucinations, and an impaired ability to function are clinical manifestations of schizophrenia. Complaints of a stomachache are not common.
4 Bipolar disorder is characterized by alternating mania and depression, or a rapid cycling of moods particular to children. Children may experience grandiose thoughts, pressured speech, extreme irritability, emotionality, distractibility, and high levels of activity often expressed at bedtime.

 

 

PTS:   1                    CON:  Stress

 

  1. ANS:  1

Chapter number and title: 31: Child With a Mental Health Condition

Chapter learning objective: Describe commonly used assessment tools for anxiety, depression, and mood disorders.

Chapter page reference: 514

Heading: Bipolar Disorder

Integrated processes: Clinical Problem-Solving Process

Client need: Psychosocial Integrity

Cognitive level: Comprehension [Understanding]

Concept: Mood

Difficulty: Easy

 

  Feedback
1 Impulsive behavior is often exhibited by a patient diagnosed with bipolar disorder who is experiencing mania.
2 Feelings of emptiness are exhibited by the bipolar patient who is experiencing depression, not mania.
3 An increased need for sleep is exhibited by the bipolar patient who is experiencing depression, not mania.
4 A loss of interest in activities is exhibited by the bipolar patient who is experiencing depression, not mania.

 

 

PTS:   1                    CON:  Mood

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