Chapter 29: The Child with a Psychosocial Disorder

Chapter 29: The Child with a Psychosocial Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which of the following signs and symptoms is likely to be manifested by a child with a depressive disorder?

a.	Increased nighttime waking
b.	Impulsivity and distractibility
c.	Carelessness and inattention to details
d.	Refusal to leave the house

 

 

ANS:   A

 

	Feedback
A	Sleep pattern disturbances are often associated with depression. These include insomnia or hypersomnia.
B	Impulsivity and distractibility are manifestations of attention-deficit hyperactivity disorder (ADHD).
C	A diminished ability to think or concentrate, carelessness, and inattention to details is a clinical manifestation of a depressive disorder.
D	A refusal to leave the house, even to play with friends, is characteristic of separation anxiety disorder.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pgs 966-967

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Psychosocial Integrity

 

2. Which of the following statements about suicide is correct?

a.	Children younger than 10 years of age do not attempt suicide.
b.	A child who attempts suicide is usually depressed and has low self-esteem.
c.	Suicide is usually an isolated event in a school community.
d.	The suicide rate among females is higher than among males.

 

 

ANS:   B

 

	Feedback
A	Children as young as 3 years of age who have attempted suicide have been evaluated and found to be cognizant of their actions.
B	Poor self-concept and depression contribute significantly to suicidal behaviors.
C	It is common for suicide to occur in a cluster within a community (e.g., schools).
D	Males have a higher incidence of both suicide attempts and completed suicides.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 969

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Psychosocial Integrity

 

3. What is the best response for the nurse to make to an adolescent who states, “I am very sad. I wish I was not alive.”?

a.	“Everyone feels sad once in a while.”
b.	“You are just trying to escape your problems.”
c.	“Have you told your parents how you feel?”
d.	“Have you thought about hurting yourself?”

 

 

ANS:   D

 

	Feedback
A	This is a judgmental response that ignores the adolescent’s obvious statement indicating a need for professional help.
B	This is a judgmental response that could increase the adolescent’s sense of isolation and rejection.
C	The parents should be made aware of an adolescent’s precarious mental state; however, this response does not address the adolescent’s statement.
D	This response acknowledges the adolescent’s suicide gesture and further assesses the adolescent’s condition.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 970

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

4. Which of the following family relationship patterns is consistent for an adolescent female diagnosed with an eating disorder?

a.	The adolescent is viewed as an extension of the parent.
b.	There is an overprotective mother and an emotionally distant father.
c.	The mother is domineering and the father is passive.
d.	The adolescent is the youngest child or is an only child.

 

 

ANS:   A

 

	Feedback
A	One of the most salient factors associated with eating disorders is enmeshed family relationships in which the child is considered to be an extension of the parent or is viewed as a means of meeting the parents’ needs.
B	The family dynamics for males with anorexia are reported to include a mother who is overinvolved with the child and a father who typifies a strong, cultural image.
C	A domineering mother and passive father are not characteristic of the family dynamics associated with eating disorders.
D	Birth order and number of children in the family were not identified as factors in enmeshed family relationships.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 972

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Psychosocial Integrity