Chapter 34: Children and Adolescents

Chapter 34: Children and Adolescents

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

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

ANS:  D

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 are not considered psychosocial adversity. Having a family history of schizophrenia presents a risk, but an alcoholic parent in the family is more imminent.

DIF:    Cognitive level: Applying                REF:   pp. 449-450

TOP:   Nursing process: Assessment           MSC:  NCLEX: Psychosocial Integrity

2. Which behavior indicates that the treatment plan for a child diagnosed with autistic disorder has been effective? The child:

ANS:  C

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

DIF:    Cognitive level: Analyzing              REF:   p. 452             TOP:   Nursing process: Evaluation

MSC:  NCLEX: Psychosocial Integrity

3. A kindergartener is disruptive to the class. This child is unable to sit for expected lengths of time, inattentive to the teacher, and aggressive toward others, bursting out talking while the teacher is talking. Other children shun this child. The nurse plans interventions designed to:

ANS:  B

Because of their disruptive behaviors, children with attention deficit–hyperactivity disorder (ADHD) often receive negative feedback from parents, teachers, and peers, leading to self-esteem disturbance. These same behaviors lead peers to avoid the child with ADHD, who seems reckless and impulsive, and can rarely finish games, leaving the child with ADHD vulnerable to loneliness. The other options might or might not be relevant but are not the priority. The child does not need inpatient treatment at this time.

DIF:    Cognitive level: Applying                REF:   p. 452             TOP:   Nursing process: Planning

MSC:  NCLEX: Psychosocial Integrity

4. A nurse will prepare teaching materials regarding which drug for the parents of a child diagnosed with ADHD?

ANS:  C

Central nervous system (CNS) stimulants are the drugs of choice for treating children with ADHD. Methylphenidate and dexedrine are commonly used. None of the other drugs are psychostimulants used to treat ADHD.

DIF:    Cognitive level: Understanding        REF:   p. 456             TOP:   Nursing process: Planning

MSC:  NCLEX: Physiologic Integrity