INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 305
Chapter 33: The Child with an Emotional or Behavioral Condition
MULTIPLE CHOICE
1. A parent asks the nurse to describe what is meant by a learning disability. Which is the nurses 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 childs 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 768
TOP: Learning Disability KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. 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. Youre 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.
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DIF: Cognitive Level: Application REF: Page 773
OBJ: 6 TOP: Suicide KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. The nurse asks, Do your parents drink every day? The adolescent suddenly shouts, Im not going to talk
about that! Its none of your business, anyway! Leave me alone! How does the nurse interpret the adolescents
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 childs security and creates anxiety.
DIF: Cognitive Level: Analysis REF: Page 776
OBJ: 10 TOP: Children of Alcoholics
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
4. 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 arent home and wont be back for 4 hours. That should be enough time for the pills to work. Ive
got a hundred of them.
c. My dad will be home first, so hell find me. So I think Ill use his gun. I hope he didnt lock the cabinet.
d. My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 306
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 771
OBJ: 6 TOP: Suicide KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. 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 770
OBJ: 6 TOP: Depression KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
6. A mother is concerned because her adolescent son is always in trouble for fighting at school and always
seems to be angry. She mentions that her husband drinks a bit. Which understanding will guide the nurses
response?
a. The boy is displaying antisocial behavior and should be evaluated for mental illness.
b. The boy is displaying one of the typical defense patterns of children of alcoholics and should receive
immediate treatment.
c. The mother is displaying her own anger with her husbands drinking, and she needs immediate intervention.
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d. The boy is only one member of the family affected by alcoholism, and all members should receive
immediate intervention.
ANS: D
Early recognition of and intervention for children of alcoholics are paramount. This adolescent is using the
coping pattern of acting-out behaviors to deal with the family situation.
DIF: Cognitive Level: Comprehension REF: Page 776
OBJ: 10 TOP: Children of Alcoholics
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. What is the most appropriate classroom intervention for a child with attention deficit hyperactivity disorder
(ADHD) for the school nurse to suggest?
a. Seat the child in the back of the room to prevent distractions for other children.
b. Pair the child with a student buddy to offer reminders to pay attention.
c. Divide work assignments into shorter periods with breaks in between.
d. Separate the child from others to increase his focus on schoolwork.
ANS: C
The child with ADHD needs breaks between periods of work and study.
DIF: Cognitive Level: Application REF: Page 769
OBJ: 12 TOP: Attention Deficit Hyperactivity Disorder
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. How does the nurse describe a person who is bulimic?
a. Severely underweight
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 305
Chapter 33: The Child with an Emotional or Behavioral Condition
MULTIPLE CHOICE
1. A parent asks the nurse to describe what is meant by a learning disability. Which is the nurses 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 childs 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 768
TOP: Learning Disability KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. 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. Youre 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.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 773
OBJ: 6 TOP: Suicide KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. The nurse asks, Do your parents drink every day? The adolescent suddenly shouts, Im not going to talk
about that! Its none of your business, anyway! Leave me alone! How does the nurse interpret the adolescents
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 childs security and creates anxiety.
DIF: Cognitive Level: Analysis REF: Page 776
OBJ: 10 TOP: Children of Alcoholics
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
4. 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 arent home and wont be back for 4 hours. That should be enough time for the pills to work. Ive
got a hundred of them.
c. My dad will be home first, so hell find me. So I think Ill use his gun. I hope he didnt lock the cabinet.
d. My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 306
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 771
OBJ: 6 TOP: Suicide KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. 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 770
OBJ: 6 TOP: Depression KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
6. A mother is concerned because her adolescent son is always in trouble for fighting at school and always
seems to be angry. She mentions that her husband drinks a bit. Which understanding will guide the nurses
response?
a. The boy is displaying antisocial behavior and should be evaluated for mental illness.
b. The boy is displaying one of the typical defense patterns of children of alcoholics and should receive
immediate treatment.
c. The mother is displaying her own anger with her husbands drinking, and she needs immediate intervention.
NURSINGTB.COM
d. The boy is only one member of the family affected by alcoholism, and all members should receive
immediate intervention.
ANS: D
Early recognition of and intervention for children of alcoholics are paramount. This adolescent is using the
coping pattern of acting-out behaviors to deal with the family situation.
DIF: Cognitive Level: Comprehension REF: Page 776
OBJ: 10 TOP: Children of Alcoholics
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. What is the most appropriate classroom intervention for a child with attention deficit hyperactivity disorder
(ADHD) for the school nurse to suggest?
a. Seat the child in the back of the room to prevent distractions for other children.
b. Pair the child with a student buddy to offer reminders to pay attention.
c. Divide work assignments into shorter periods with breaks in between.
d. Separate the child from others to increase his focus on schoolwork.
ANS: C
The child with ADHD needs breaks between periods of work and study.
DIF: Cognitive Level: Application REF: Page 769
OBJ: 12 TOP: Attention Deficit Hyperactivity Disorder
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. How does the nurse describe a person who is bulimic?
a. Severely underweight
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