Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 17: Disorders of Infancy, Childhood, and Adolescence
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “I worry that my dad will get hurt at work.” |
| b. | “I get a stomach ache when it’s my weekend at my dad’s house.” |
| c. | “I can’t sleep when I stay at Grandma’s because I worry about my mom.” |
| d. | “I’m not going to sports camp because I don’t like being away from my friends.” |
ANS: A
Developmental differences exist with regard to the symptoms of anxiety. Children between the ages of 5 and 8 years old most commonly report unrealistic worry about harm to their parents. Between the ages of 9 and 12 years, children report excessive distress during times of separation. Adolescents typically report somatic complaints.
DIF: Cognitive Level: Application REF: Page 409
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Requires constant one-on-one supervision and total physical care |
| b. | Advanced as far as the sixth grade and works at a warehouse every day and supports himself |
| c. | Advanced as far as the second grade and provides her own personal care with supervision |
| d. | Attends the local community college for developmental English and math courses |
ANS: C
Individuals diagnosed as having moderate mental retardation acquire some communication skills, but rarely advance academically beyond the second grade. With supervision they can provide for their own personal care. Persons requiring constant supervision and total physical care would be considered profoundly retarded. Persons achieving elementary or above learning skills would be considered mildly retarded.
DIF: Cognitive Level: Application REF: Page 397
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Referring to their imaginary friend, Skipper |
| b. | Asking to telephone ‘my friends’ on the weekends |
| c. | Repeating, ‘milk, milk, milk, milk’ until given a drink |
| d. | Is insistent that a dim light be left on in the bedroom at night |
ANS: C
Stereotyped and repetitive use of language or idiosyncratic language is one of the characteristic behaviors seen in autism. The remaining options are normal characteristics of a child in various developmental stages.
DIF: Cognitive Level: Application REF: Page 398
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Cries when separated from his mother or father |
| b. | Refuses to pick up toys as instructed by his parents |
| c. | Is fascinated with spinning and moving toys and objects |
| d. | Can concentrate on school work for only very short periods of time |
ANS: D
Experiencing difficulty concentrating on tasks is a hallmark for ADHD. Crying is a characteristic of separation anxiety. Disobedience as described may represent oppositional behavior. Focusing on repetitious motion is characteristic of autism.
DIF: Cognitive Level: Application REF: Page 402
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Frequently getting up and interrupting while being read to |
| b. | Only apologizes for hitting a friend to avoid being punished |
| c. | Finds it difficult to spend the night away from family members |
| d. | Becomes extremely agitated when the television is turned off |
ANS: B
Children or adolescents with conduct disorder generally do not empathize with other people’s feelings and are unconcerned with other’s situations or needs. They exhibit uncaring behavior, but they will often express words of guilt or remorse because they have learned that it reduces or prevents punishment. ADHD is often characterized by hyperactivity. Separation anxiety is often responsible for a child’s resistance to spending time away from home. Autism can be the cause of exaggerated responses.
DIF: Cognitive Level: Application REF: Pages 404-405
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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