Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 35: Child Psychiatric Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | teach parents to assign a point system for expected daily activities. |
| b. | develop the nurse-patient relationship during unstructured playtime. |
| c. | encourage the child to express feelings when feeling frustrated. |
| d. | model the ability to delay gratification. |
ANS: A
Nursing interventions that help children learn to delay gratification include a point system to reinforce the behaviors, the use of games with commands such as “stop” and “wait,” and other activities and strategies that teach self-control.
DIF: Cognitive Level: Application REF: Text Page: 674
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
| a. | Misses at least one day of school a month |
| b. | Admits to pulling the dog’s ears and tail for “fun” |
| c. | Told the teacher that he is usually “sad and confused” |
| d. | Consistently awakens during the night and has difficulty falling asleep again |
ANS: B
While children with anxiety, depression, and conduct disorders all share school problems, depression, and altered sleeping patterns, demonstrating aggression toward people or animals is unique to conduct disorders.
DIF: Cognitive Level: Application REF: Text Page: 670
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Parents will demonstrate effective parenting skills, thus minimizing conflicts with their child. |
| b. | The child will be capable of successfully accomplishing the academic work appropriate of a first grader. |
| c. | Parents will institute verbal reprimands as a primary form of consequence for their child’s misbehavior. |
| d. | The child will verbalize the pathology of his condition within 6 weeks of beginning behavioral modification therapy. |
ANS: A
An outcome is something that is measurable and specific to the individual. Since the only information available is the diagnosis, the most specific outcome is the one that is directly related to family factors, such as parental conflict and poor parenting. Although academic performance, verbal reprimands, and verbalization of the pathology all are affected by conduct disorders, the behaviors associated with the disorder are most effectively managed by focused parenting techniques that minimize them and the resulting conflicts.
DIF: Cognitive Level: Application REF: Text Page: 679
TOP: Nursing Process: Outcome Identification
MSC: NCLEX: Psychosocial Integrity
| a. | “Why is it so important to you that she tie her shoes?” |
| b. | “What have you done to try to encourage her to tie her shoes?” |
| c. | “Let your daughter go with her shoes untied. Don’t you think she will soon tire of tripping over her shoelaces?” |
| d. | “It sounds as if your daughter is seeking attention. How much quality time do you typically spend with her each day?” |
ANS: B
The nurse needs to perform a complete assessment to determine the etiology of the child’s problem and the parenting skills of the parent. Determining that the parent has tried to encourage the child to tie her shoes is the initial step in the nursing process.
DIF: Cognitive Level: Analysis REF: Text Page: 672
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
| a. | “Are you sure your child fully understood what it was that was being drawn?” |
| b. | “What did your child say when asked about why the drawings were made?” |
| c. | “Most children experiment with this type of behavior at a certain age.” |
| d. | “I will need your permission to speak directly with your child.” |
ANS: B
The information in the question demonstrates that the child’s parents are concerned about the behavior thus indicating their feelings about the drawings. At that point the first thing the nurse would want to know is the child’s motivation and response to the incident.
DIF: Cognitive Level: Analysis REF: Text Page: 673
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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