Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 5th Edition by Elizabeth M. Varcarolis
Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 5th Edition by Elizabeth M. Varcarolis
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Chapter 32: Disorders of Children and Adolescents
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
1)  The mother of a 4-year-old tells the nurse that her son spends his day in constant motion. The mother tries to get him interested in playing with his toys, but he is easily distracted and does not seem to listen. He talks appropriately but excessively. He gets out of bed in the morning before his mother. She reports that one morning he broke the screen on the TV. She enrolled him in preschool, but the teacher was unable to handle him. The suggestion was made that he should be evaluated at the mental health clinic. The nurse can assess that the child’s problem is most consistent with the DSM-IV-TR criteria for
| A. | pervasive developmental disorder. |
| B. | mental retardation. |
| C. | oppositional defiant disorder. |
| D. | attention deficit hyperactivity disorder. |
ANS:Â Â D
The excessive motion, distractibility, and excessive talkativeness are seen in attention deficit hyperactivity disorder (ADHD). The behaviors presented in the scenario do not suggest the other possible choices. Developmental delays would be seen if pervasive developmental disorder or mental retardation were present. Oppositional defiant disorder would include serious violations of the rights of others.
DIF:   Cognitive Level: Analysis                 REF:   Text Page: 643
TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity
2)  A child, aged 4 years, who was removed from preschool when the teacher was unable to handle his excessive motor activity and talking, is to be treated by a psychiatric clinical nurse specialist. What aspect of the child’s care can be performed by a clinical nurse specialist but would not be performed by a nurse generalist?
| A. | Formulating nursing diagnoses |
| B. | Planning nursing interventions |
| C. | Participating in child psychotherapy |
| D. | Evaluating responses to nursing actions |
ANS:Â Â C
The clinical nurse specialist roles include individual, group, and family psychotherapist; educator of nurses, other professions, and the community; clinical supervisor; consultant to professional and nonprofessional groups; and researcher.
DIF:   Cognitive Level: Analysis                 REF:   Text Page: N/A
TOP:   Nursing Process: Planning                MSC:  NCLEX: Psychosocial Integrity
3)Â Â A child, aged 4 years, has been referred to the mental health clinic for evaluation of hyperactive, impulsive behaviors. At the first visit nursing staff begin observing and assessing his behavior in the play area. What developmental task should the child have achieved?
| A. | Forming satisfactory relationships with peers |
| B. | Separation from parents and ability to socialize outside the family |
| C. | Ability to establish goals |
| D. | A sense of autonomy |
ANS:Â Â D
A 4-year-old should have attained the developmental tasks of children aged 1Â to 3 years: autonomy. Options A, B, and C are goals of children aged 3 to 6 years and 6 to 9 years.
DIF:   Cognitive Level: Application            REF:   Text Page: 639
TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity
4)  The tool the clinical nurse specialist uses to organize data about three-generational relationships within a client’s family system is
| A. | play. |
| B. | genogram. |
| C. | word association. |
| D. | projective story-telling cards. |
ANS:Â Â B
A genogram displays family information over at least three generations and provides data for hypothesizing about the child’s problem in relation to the family. The other options would not be useful to organizing data.
DIF:   Cognitive Level: Knowledge            REF:   Text Page: 639
TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity
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