NURS 302 Final Exam – Questions With Verified
Solutions
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Terms in this set (302)
3. A child has been diagnosed with 2
autistic spectrum disorder. The
distraught mother cries out, "I'm such
a terrible mother. What did I do to
cause this?" Which nursing response is
most appropriate?
1. "Researchers really don't know what
causes autistic spectrum disorder, but
the relationship between autistic
disorder and fetal alcohol syndrome is
being explored."
2. "Poor parenting doesn't cause
autistic spectrum disorder. Research
has shown that abnormalities in brain
structure or function are to blame. This
is beyond your control."
3. "Research has shown that the
mother appears to play a greater role
in the development of autistic
spectrum disorder than the father."
4. "Lack of early infant bonding with
the mother has shown to be a cause
of autistic spectrum disorder. Did you
breastfeed or bottle-feed?"
,4. In planning care for a child 3
diagnosed with autistic spectrum
disorder, which would be a realistic
client outcome?
1. The client will communicate all
needs verbally by discharge.
2. The client will participate with peers
in a team sport by day four.
3. The client will establish trust with at
least one caregiver by day five.
4. The client will perform most self-
care tasks independently.
5. After an adolescent diagnosed with 1
attention deficit-hyperactivity disorder
(ADHD) begins methylphenidate
(Ritalin) therapy, a nurse notes that the
adolescent loses 10 pounds in a 2-
month period. What is the best
explanation for this weight loss?
1. The pharmacological action of
Ritalin causes a decrease in appetite.
2. Hyperactivity seen in ADHD causes
increased caloric expenditure.
3. Side effects of Ritalin cause nausea,
and, therefore, caloric intake is
decreased.
4. Increased ability to concentrate
allows the client to focus on activities
rather than food.
,6. A nurse assesses an adolescent 1
client diagnosed with conduct
disorder who, at the age of 8, was
sentenced to juvenile detention. How
should the nurse interpret this
assessment data?
1. Childhood-onset conduct disorder
is more severe than the adolescent-
onset type, and these individuals likely
develop antisocial personality
disorder in adulthood.
2. Childhood-onset conduct disorder
is caused by a difficult temperament,
and the child is likely to outgrow these
behaviors by adulthood.
3. Childhood-onset conduct disorder
is diagnosed only when behaviors
emerge before the age of 5, and,
therefore, improvement is likely.
4. Childhood-onset conduct disorder
has no treatment or cure, and children
diagnosed with this disorder are likely
to develop progressive oppositional
defiant disorder.
7. Which finding should a nurse expect 2
when assessing a child diagnosed with
separation anxiety disorder?
1. The child has a history of antisocial
behaviors.
2. The child's mother is diagnosed with
an anxiety disorder.
3. The child previously had an
extroverted temperament.
4. The child's mother and father have
an inconsistent parenting style.
, 10. A preschool child is admitted to a 2
psychiatric unit with the diagnosis
autistic spectrum disorder. To help the
child feel more secure on the unit,
which intervention should a nurse
include in this client's plan of care?
1. Encourage and reward peer contact.
2. Provide consistent caregivers.
3. Provide a variety of safe daily
activities.
4. Maintain close physical contact
throughout the day.
11. A preschool child diagnosed with 3
autistic spectrum disorder has been
engaging in constant head-banging
behavior. Which nursing intervention is
appropriate?
1. Place client in restraints until the
aggression subsides.
2. Sedate the client with neuroleptic
medications.
3. Hold client's head steady and apply
a helmet.
4. Distract the client with a variety of
games and puzzles.
13. Which behavioral approach should 2
a nurse use when caring for children
diagnosed with disruptive behavior
disorders?
1. Involving parents in designing and
implementing the treatment process
2. Reinforcing positive actions to
encourage repetition of desirable
behaviors
3. Providing opportunities to learn
appropriate peer interactions
4. Administering psychotropic
medications to improve quality of life
Solutions
Save
Terms in this set (302)
3. A child has been diagnosed with 2
autistic spectrum disorder. The
distraught mother cries out, "I'm such
a terrible mother. What did I do to
cause this?" Which nursing response is
most appropriate?
1. "Researchers really don't know what
causes autistic spectrum disorder, but
the relationship between autistic
disorder and fetal alcohol syndrome is
being explored."
2. "Poor parenting doesn't cause
autistic spectrum disorder. Research
has shown that abnormalities in brain
structure or function are to blame. This
is beyond your control."
3. "Research has shown that the
mother appears to play a greater role
in the development of autistic
spectrum disorder than the father."
4. "Lack of early infant bonding with
the mother has shown to be a cause
of autistic spectrum disorder. Did you
breastfeed or bottle-feed?"
,4. In planning care for a child 3
diagnosed with autistic spectrum
disorder, which would be a realistic
client outcome?
1. The client will communicate all
needs verbally by discharge.
2. The client will participate with peers
in a team sport by day four.
3. The client will establish trust with at
least one caregiver by day five.
4. The client will perform most self-
care tasks independently.
5. After an adolescent diagnosed with 1
attention deficit-hyperactivity disorder
(ADHD) begins methylphenidate
(Ritalin) therapy, a nurse notes that the
adolescent loses 10 pounds in a 2-
month period. What is the best
explanation for this weight loss?
1. The pharmacological action of
Ritalin causes a decrease in appetite.
2. Hyperactivity seen in ADHD causes
increased caloric expenditure.
3. Side effects of Ritalin cause nausea,
and, therefore, caloric intake is
decreased.
4. Increased ability to concentrate
allows the client to focus on activities
rather than food.
,6. A nurse assesses an adolescent 1
client diagnosed with conduct
disorder who, at the age of 8, was
sentenced to juvenile detention. How
should the nurse interpret this
assessment data?
1. Childhood-onset conduct disorder
is more severe than the adolescent-
onset type, and these individuals likely
develop antisocial personality
disorder in adulthood.
2. Childhood-onset conduct disorder
is caused by a difficult temperament,
and the child is likely to outgrow these
behaviors by adulthood.
3. Childhood-onset conduct disorder
is diagnosed only when behaviors
emerge before the age of 5, and,
therefore, improvement is likely.
4. Childhood-onset conduct disorder
has no treatment or cure, and children
diagnosed with this disorder are likely
to develop progressive oppositional
defiant disorder.
7. Which finding should a nurse expect 2
when assessing a child diagnosed with
separation anxiety disorder?
1. The child has a history of antisocial
behaviors.
2. The child's mother is diagnosed with
an anxiety disorder.
3. The child previously had an
extroverted temperament.
4. The child's mother and father have
an inconsistent parenting style.
, 10. A preschool child is admitted to a 2
psychiatric unit with the diagnosis
autistic spectrum disorder. To help the
child feel more secure on the unit,
which intervention should a nurse
include in this client's plan of care?
1. Encourage and reward peer contact.
2. Provide consistent caregivers.
3. Provide a variety of safe daily
activities.
4. Maintain close physical contact
throughout the day.
11. A preschool child diagnosed with 3
autistic spectrum disorder has been
engaging in constant head-banging
behavior. Which nursing intervention is
appropriate?
1. Place client in restraints until the
aggression subsides.
2. Sedate the client with neuroleptic
medications.
3. Hold client's head steady and apply
a helmet.
4. Distract the client with a variety of
games and puzzles.
13. Which behavioral approach should 2
a nurse use when caring for children
diagnosed with disruptive behavior
disorders?
1. Involving parents in designing and
implementing the treatment process
2. Reinforcing positive actions to
encourage repetition of desirable
behaviors
3. Providing opportunities to learn
appropriate peer interactions
4. Administering psychotropic
medications to improve quality of life
