Chapter 11: Childhood and Neurodevelopmental Disorders

Chapter 11: Childhood and Neurodevelopmental Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which factor presents the highest risk for a child to develop a psychiatric disorder?

a.	Having an uncle with schizophrenia	c.	Living with an alcoholic parent
b.	Being the oldest child in a family	d.	Being an only child

 

 

ANS:  C

Having a parent with a substance abuse problem has been designated an adverse psychosocial condition that increases the risk of a child developing a psychiatric condition. Being in a middle-income family and being the oldest child do not represent psychosocial adversity. Having a family history of schizophrenia presents a risk, but an alcoholic parent in the family offers a greater risk.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 182-183                                  TOP:   Nursing Process: Assessment

MSC:  Client Needs: Psychosocial Integrity

 

2. Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders?

a.	Impaired social interaction related to difficulty relating to others
b.	Chronic low self-esteem related to excessive negative feedback
c.	Deficient fluid volume related to abnormal eating habits
d.	Anxiety related to nightmares and repetitive activities

 

 

ANS:  A

Children diagnosed with autism spectrum disorders display profoundly disturbed social relatedness. They seem aloof and indifferent to others, often preferring inanimate objects to human interaction. Language is often delayed and deviant, further complicating relationship issues. The other nursing diagnoses might not be appropriate in all cases.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 191-193 (Table 11-1)               TOP:   Nursing Process: Analysis/Diagnosis

MSC:  Client Needs: Psychosocial Integrity

 

3. Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective?  The child:

a.	plays with one toy for 30 minutes.
b.	repeats words spoken by a parent.
c.	holds the parent’s hand while walking.
d.	spins around and claps hands while walking.

 

 

ANS:  C

Holding the hand of another person suggests relatedness. Usually, a child with an autism spectrum disorder would resist holding someone’s hand and stand or walk alone, perhaps flapping arms or moving in a stereotyped pattern. The incorrect options reflect behaviors that are consistent with autism spectrum disorders.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 191-192                                  TOP:   Nursing Process: Evaluation

MSC:  Client Needs: Psychosocial Integrity

 

4. A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, inattentive to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse plans interventions designed to:

a.	promote integration of self-concept.
b.	provide inpatient treatment for the child.
c.	reduce loneliness and increase self-esteem.
d.	improve language and communication skills.

 

 

ANS:  C

Because of their disruptive behaviors, children with ADHD often receive negative feedback from parents, teachers, and peers, leading to self-esteem disturbance. These behaviors also cause peers to avoid the child with ADHD, leaving the child with ADHD vulnerable to loneliness. The child does not need inpatient treatment at this time. The incorrect options might or might not be relevant.

 

PTS:   1                    DIF:    Cognitive Level: Analyze (Analysis)

REF:   Page 189 | Page 193-194                  TOP:   Nursing Process: Planning

MSC:   Client Needs: Psychosocial Integrity