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Chapter 33: The Child with an Emotional or Behavioral Condition

Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer

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Chapter 33: The Child with an Emotional or Behavioral Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A parent asks the nurse to describe what is meant by a “learning disability.” Which is the nurse’s most helpful response?
a. “A child may have difficulty with perception, language, comprehension, or memory.”
b. “It is characterized by inattention, impulsiveness, and hyperactivity.”
c. “The child’s intellectual ability limits his learning.”
d. “The child has difficulty learning because of brain damage.”

 

 

ANS:  A

Learning disability is an educational term. Children with learning disabilities may have average to above-average intelligence, but they may experience difficulties in perception, language, comprehension, and conceptualization.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 749        OBJ:   N/A

TOP:   Learning Disability                          KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. What would be the appropriate response to an adolescent who states, “This has been the worst day of my life”?
a. “You should focus your mind on positive thoughts.”
b. “Everybody has a bad day now and then.”
c. “You’re young. What could be so terrible?”
d. “Tell me about the worst day of your life.”

 

 

ANS:  D

The nurse establishes a rapport with the adolescent by acknowledging his or her feelings and giving the adolescent full attention.

 

DIF:    Cognitive Level: Application           REF:   Page 754, Nursing Tip

OBJ:   6                    TOP:   Suicide           KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. The nurse asks, “Do your parents drink every day?” The adolescent suddenly shouts, “I’m not going to talk about that! It’s none of your business, anyway! Leave me alone!” How does the nurse interpret the adolescent’s behavior?
a. The adolescent is acting out and needs to be brought under control so the conference can continue.
b. The adolescent is trying to shift the focus of the conference away from himself, and the nurse needs to refocus.
c. The adolescent is demonstrating that this problem requires the assistance of a psychiatrist.
d. The adolescent is responding to the discrediting of his parents, which causes anxiety.

 

 

ANS:  D

Discrediting parents threatens the child’s security and creates anxiety.

 

DIF:    Cognitive Level: Analysis                REF:   Page 757-758

OBJ:   10                  TOP:   Children of Alcoholics

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

  1. The nurse is answering phone calls at a local suicide prevention hotline. Which statement would be recognized as the greatest risk of suicide?
a. “I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself.”
b. “My parents aren’t home and won’t be back for 4 hours. That should be enough time for the pills to work. I’ve got a hundred of them.”
c. “My dad will be home first, so he’ll find me. So I think I’ll use his gun. I hope he didn’t lock the cabinet.”
d. “My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.”

 

 

ANS:  B

The risk of death increases when there is a definite plan of action, the means are readily available, and the person has few resources for help and support.

 

DIF:    Cognitive Level: Analysis                REF:   Page 752-753, NCP 33-1

OBJ:   6                    TOP:   Suicide           KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. A 15-year-old boy was previously active in a band and saved money to buy a special guitar. What would a nurse assess as an early sign of depression in this boy?
a. He gives up the band to spend time with his girlfriend.
b. He spends all of his time at the library studying to qualify for the honor society.
c. He gives his guitar away and spends his time listening to music in his room.
d. He withdraws all of his money out of the bank to buy an expensive leather jacket.

 

 

ANS:  C

A major depression is characterized by a prolonged behavioral change from baseline that interferes with school, family life, and age-specific activities, frequently signaled by giving prized possessions away.

 

DIF:    Cognitive Level: Analysis                REF:   Page 751-752

OBJ:   6                    TOP:   Depression     KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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