NURS 335 EXAM 3 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS
The parents of a child with attention deficit hyperactivity disorder (ADHD) ask the
nurse to tell them what sorts of therapies are likely to be employed for the child.
The nurse's response should include information about which of the following?
a. Using aversion therapy and valproic acid (Depakote)
b. Using role play and donepezil (Aricept)
c. Providing supportive therapy and lorazepam (Ativan)
d. Minimizing environmental stimuli and methylphenidate (Ritalin) -
ANSWER......d. Minimizing environmental stimuli and methylphenidate (Ritalin)
The nurse is caring for an autistic child who continually repeats phrases spoken by
the nurse. In addition to describing this behavior in a documentation note, what
medical term can the nurse use to refer to this behavior?
a. Echolalia
b. Aphasia
c. Apraxia
d. Clang associations - ANSWER......a. Echolalia
The 10-year-old client and parents arrive for an out-patient appointment. The child
has been taking haloperidol (Haldol) for one year. Which statement by the parents
should the nurse promptly report to the physician?
a. "Is it possible for our child to have that Parkinson-like problem? There's
drooling and stiffness."
,b. "Lately he's been eating much more than usual, and has gained quite a bit of
weight."
c. "We noticed unusual mouth, lip, and trunk movements that weren't there until
recently."
d. "We don't really notice much improvement in his symptoms." - ANSWER......c.
"We noticed unusual mouth, lip, and trunk movements that weren't there until
recently."
The nurse is caring for a child with autism who has been hospitalized. The child
rocks continuously. Before the nurse takes any action, what primary piece of data
might she want to obtain?
a. How long has the rocking been occurring?
b. What are the consequences of the rocking behavior?
c. Does the rocking behavior result in any injury to the child?
d. Does the rocking behavior interfere with his functional capacity? -
ANSWER......c. Does the rocking behavior result in any injury to the child?
The nurse is caring for a child with autism who has been hospitalized. The child
rocks continuously, but the rocking does not seem to present any risk to the child's
safety. The nurse should take which action?
a. Hold the child until he stops rocking
b. Allow the child's rocking behavior to continue
c. Place the child in "time out" to extinguish the rocking behavior
d. Distract the child with a different task to perform - ANSWER......b. Allow the
child's rocking behavior to continue
, When the client is a hospitalized child with autism, which approach should the
nurse include in the plan of care?
a. Provide a consistent structured environment with predictable routines.
b. Provide a variety of stimulating activities for the child to express his creativity.
c. Schedule routine field trips to explore her environment.
d. Place her in time out when she engages in repetitive, ritualistic behaviors. -
ANSWER......a. Provide a consistent structured environment with predictable
routines.
The child with conduct disorder is prone to physical acting out behaviors. Which
nursing intervention is most likely to prevent an episode of acting out?
a. Intervene promptly when behaviors predict onset of aggression.
b. Provide immediate positive reinforcement for acceptable and unacceptable
behaviors.
c. Plan activities that provide opportunities for success.
d. Give the child unconditional positive regard for positive behaviors. -
ANSWER......c. Plan activities that provide opportunities for success.
The client with attention deficit hyperactivity disorder (ADHD) is receiving
dextroamphetamine and amphetamine (Adderall). What information is important
for the nurse to teach the client and family?
a. "Remember to take your medication every night before bed."
b. "Make sure to avoid caffeinated beverages."
c. "You don't need to take your medication on the weekends."
ANSWERS WITH COMPLETE
SOLUTIONS
The parents of a child with attention deficit hyperactivity disorder (ADHD) ask the
nurse to tell them what sorts of therapies are likely to be employed for the child.
The nurse's response should include information about which of the following?
a. Using aversion therapy and valproic acid (Depakote)
b. Using role play and donepezil (Aricept)
c. Providing supportive therapy and lorazepam (Ativan)
d. Minimizing environmental stimuli and methylphenidate (Ritalin) -
ANSWER......d. Minimizing environmental stimuli and methylphenidate (Ritalin)
The nurse is caring for an autistic child who continually repeats phrases spoken by
the nurse. In addition to describing this behavior in a documentation note, what
medical term can the nurse use to refer to this behavior?
a. Echolalia
b. Aphasia
c. Apraxia
d. Clang associations - ANSWER......a. Echolalia
The 10-year-old client and parents arrive for an out-patient appointment. The child
has been taking haloperidol (Haldol) for one year. Which statement by the parents
should the nurse promptly report to the physician?
a. "Is it possible for our child to have that Parkinson-like problem? There's
drooling and stiffness."
,b. "Lately he's been eating much more than usual, and has gained quite a bit of
weight."
c. "We noticed unusual mouth, lip, and trunk movements that weren't there until
recently."
d. "We don't really notice much improvement in his symptoms." - ANSWER......c.
"We noticed unusual mouth, lip, and trunk movements that weren't there until
recently."
The nurse is caring for a child with autism who has been hospitalized. The child
rocks continuously. Before the nurse takes any action, what primary piece of data
might she want to obtain?
a. How long has the rocking been occurring?
b. What are the consequences of the rocking behavior?
c. Does the rocking behavior result in any injury to the child?
d. Does the rocking behavior interfere with his functional capacity? -
ANSWER......c. Does the rocking behavior result in any injury to the child?
The nurse is caring for a child with autism who has been hospitalized. The child
rocks continuously, but the rocking does not seem to present any risk to the child's
safety. The nurse should take which action?
a. Hold the child until he stops rocking
b. Allow the child's rocking behavior to continue
c. Place the child in "time out" to extinguish the rocking behavior
d. Distract the child with a different task to perform - ANSWER......b. Allow the
child's rocking behavior to continue
, When the client is a hospitalized child with autism, which approach should the
nurse include in the plan of care?
a. Provide a consistent structured environment with predictable routines.
b. Provide a variety of stimulating activities for the child to express his creativity.
c. Schedule routine field trips to explore her environment.
d. Place her in time out when she engages in repetitive, ritualistic behaviors. -
ANSWER......a. Provide a consistent structured environment with predictable
routines.
The child with conduct disorder is prone to physical acting out behaviors. Which
nursing intervention is most likely to prevent an episode of acting out?
a. Intervene promptly when behaviors predict onset of aggression.
b. Provide immediate positive reinforcement for acceptable and unacceptable
behaviors.
c. Plan activities that provide opportunities for success.
d. Give the child unconditional positive regard for positive behaviors. -
ANSWER......c. Plan activities that provide opportunities for success.
The client with attention deficit hyperactivity disorder (ADHD) is receiving
dextroamphetamine and amphetamine (Adderall). What information is important
for the nurse to teach the client and family?
a. "Remember to take your medication every night before bed."
b. "Make sure to avoid caffeinated beverages."
c. "You don't need to take your medication on the weekends."
