Peds - Chapter 30: Nursing Care of the
Child With a Cognitive or Mental Health
Disorder
The nurse is caring for a child with ADHD. Which behavior would the nurse not expect
the child to display:
1. moody, morose behavior with pouting
2. interruption and inability to take turns
3. forgetfulness and easy distractibility
4. excessive motor activities and fidgeting - answer moody, morose behavior with
pouting
An adolescent girl who has been receiving treatment for anorexia nervosa has failed to
gain weight over the past week despite eating all of her meals and snacks. What is the
priority nursing intervention?
1. increase the teen's daily caloric tinake by at least 500 calories
2. ensure that the teen's entire fluid intake includes calories
3. supervise the teen for 2h post meals/snacks
4. assess the teen's anxiety level to determine need for medication - answer supervise
the teen for 2h post meals/snacks
A 15y/o girl has been making demands all day, exaggerating her every need. She is
now crying, saying she has nothing to live for and threatening to kill herself. What is the
priority nursing action?
1. ignore her continured exaggerated and melodramatic behavior
2. consult with the physician or NP to increase her antidepressant dose
3. leave the girl alone for a little whle unitl she compses herself
4. take the girl's suicidal threat seriously and provide close supervision - answer take
the girl's suicidal threat seriously and provide close supervision
When trying to manage aggressive or impulsive behaviors in children or adolescents,
what is the best nursing intervention?
1. train the child to be assertive
2. provide consistency and limit setting
3. allow the child to negotiate the rules
4. encourage the child to express feelings - answer provide consistency and limit setting
The nurse is caring for an adolescent who says, "I'm sick of this. I wish I weren't alive
anymore." What is the best response by the nurse?
1. "I often feel sad and sick of things."
2. "Have you thought about hurting yourself."
,Peds - Chapter 30: Nursing Care of the
Child With a Cognitive or Mental Health
Disorder
3. "Are you trying to escape your problems?"
4. "Do your parents know about this feeling?" - answer "Have you thought about hurting
yourself."
You have been working with an adolescent with an eating disorder for several days.
Which of the following is an indication that she is developing trust in you?
a) Her telling you that she is now ready to eat again
b) Her saying to you that she trusts you more than anyone else
c) Her saying to you that she'll follow your orders but not those of the nurse on the next
shift
d) Her telling you that she is still inducing vomiting after each meal - answer Her telling
you that she is still inducing vomiting after each meal
The nurse is collecting data on a 16-year-old adolescent girl with the diagnosis of
bulimia. Which of the following would the nurse most likely note in this child?
a) The child socializes with friends and shares all her dreams and secrets with them.
b) The child is of normal weight for her height according to the growth charts.
c) The child has a ritualistic program of exercise that she does every day after school.
d) The child is a perfectionist and tries hard to please her parents and teachers. -
answer The child is of normal weight for her height according to the growth charts.
A 6-year-old is seen in a mental health clinic for possible hyperactivity. His mother
reports that he is just "all boy." He has always been active and does not like to sit still
for more than a minute. Which of the following data would be most important to assess
to help evaluate his behavior?
a) Whether he was breastfed or bottle-fed as an infant
b) Family medical history for circulatory illnesses
c) A review of the boy's typical day
d) Medical history for communicable diseases - answer A review of the boy's typical
day
Sixteen-year-old Candace is being seen for a long overdue checkup. Her caregiver has
come with her. Candace is calm, pleasant, and in good spirits. The caregiver reports to
the nurse that she is relieved because for the past six months Candace has been
lethargic, angry, and sad. The mother reports that since she got her driver's license two
days earlier, her child's mood has changed dramatically. Rather than resist this
appointment, Candace had simply smiled and said, "It won't matter much, but okay, I'll
be ready in a minute." The nurse recognizes that the child's seeming well-being and
, Peds - Chapter 30: Nursing Care of the
Child With a Cognitive or Mental Health
Disorder
drastic change in behavior should be further investigated to determine which of the
following?
a) If the child has been smoking marijuana.
b) If the child is excited that she can drive now.
c) If the child is planning to commit suicide.
d) If the child is experimenting with alcohol. - answer If the child is planning to commit
suicide.
A 9-year-old girl with an anxiety disorder is experiencing a panic attack in the waiting
room of the pediatrician's office. Which is the first action the nurse should take?
a) Calmly move the child to a quiet, comfortable area.
b) Quickly find the pediatrician to administer medication.
c) Calmly tell the child to relax.
d) Quickly enlist the assistance of the child's parent. - answer Calmly move the child to
a quiet, comfortable area.
The nurse is assessing a 6-year-old with attention deficit/hyperactivity disorder (ADHD).
The nurse observes the boy making repeated clicking noises and notes he has a slight
grimace. The nurse recommends the boy receive further evaluation for:
a) Tourette syndrome.
b) autism spectrum disorder.
c) anxiety disorder.
d) Asperger syndrome. - answer Tourette syndrome
Repeated vocal tics such as sniffling, grunting, clicking, or word utterances are
associated with Tourette syndrome. The syndrome consists of multiple motor tics and
one or more motor tics occurring simultaneously at different times. ADHD and
obsessive-compulsive disorder occur in 90% of children with Tourette syndrome. Vocal
and motor tics are not typical indicators of Asperger syndrome, anxiety disorder, or
autism spectrum disorder.
To feed lunch to a child with autism spectrum disorder (ASD), which of the following
actions would be most important to take?
a) Use a repetitive series of movements.
b) Use an authoritarian manner to gain control.
c) Allow the child to ask questions about the procedure.
d) Don't allow him to see the spoon approach his mouth. - answer Use a repetitive
series of movements.
Child With a Cognitive or Mental Health
Disorder
The nurse is caring for a child with ADHD. Which behavior would the nurse not expect
the child to display:
1. moody, morose behavior with pouting
2. interruption and inability to take turns
3. forgetfulness and easy distractibility
4. excessive motor activities and fidgeting - answer moody, morose behavior with
pouting
An adolescent girl who has been receiving treatment for anorexia nervosa has failed to
gain weight over the past week despite eating all of her meals and snacks. What is the
priority nursing intervention?
1. increase the teen's daily caloric tinake by at least 500 calories
2. ensure that the teen's entire fluid intake includes calories
3. supervise the teen for 2h post meals/snacks
4. assess the teen's anxiety level to determine need for medication - answer supervise
the teen for 2h post meals/snacks
A 15y/o girl has been making demands all day, exaggerating her every need. She is
now crying, saying she has nothing to live for and threatening to kill herself. What is the
priority nursing action?
1. ignore her continured exaggerated and melodramatic behavior
2. consult with the physician or NP to increase her antidepressant dose
3. leave the girl alone for a little whle unitl she compses herself
4. take the girl's suicidal threat seriously and provide close supervision - answer take
the girl's suicidal threat seriously and provide close supervision
When trying to manage aggressive or impulsive behaviors in children or adolescents,
what is the best nursing intervention?
1. train the child to be assertive
2. provide consistency and limit setting
3. allow the child to negotiate the rules
4. encourage the child to express feelings - answer provide consistency and limit setting
The nurse is caring for an adolescent who says, "I'm sick of this. I wish I weren't alive
anymore." What is the best response by the nurse?
1. "I often feel sad and sick of things."
2. "Have you thought about hurting yourself."
,Peds - Chapter 30: Nursing Care of the
Child With a Cognitive or Mental Health
Disorder
3. "Are you trying to escape your problems?"
4. "Do your parents know about this feeling?" - answer "Have you thought about hurting
yourself."
You have been working with an adolescent with an eating disorder for several days.
Which of the following is an indication that she is developing trust in you?
a) Her telling you that she is now ready to eat again
b) Her saying to you that she trusts you more than anyone else
c) Her saying to you that she'll follow your orders but not those of the nurse on the next
shift
d) Her telling you that she is still inducing vomiting after each meal - answer Her telling
you that she is still inducing vomiting after each meal
The nurse is collecting data on a 16-year-old adolescent girl with the diagnosis of
bulimia. Which of the following would the nurse most likely note in this child?
a) The child socializes with friends and shares all her dreams and secrets with them.
b) The child is of normal weight for her height according to the growth charts.
c) The child has a ritualistic program of exercise that she does every day after school.
d) The child is a perfectionist and tries hard to please her parents and teachers. -
answer The child is of normal weight for her height according to the growth charts.
A 6-year-old is seen in a mental health clinic for possible hyperactivity. His mother
reports that he is just "all boy." He has always been active and does not like to sit still
for more than a minute. Which of the following data would be most important to assess
to help evaluate his behavior?
a) Whether he was breastfed or bottle-fed as an infant
b) Family medical history for circulatory illnesses
c) A review of the boy's typical day
d) Medical history for communicable diseases - answer A review of the boy's typical
day
Sixteen-year-old Candace is being seen for a long overdue checkup. Her caregiver has
come with her. Candace is calm, pleasant, and in good spirits. The caregiver reports to
the nurse that she is relieved because for the past six months Candace has been
lethargic, angry, and sad. The mother reports that since she got her driver's license two
days earlier, her child's mood has changed dramatically. Rather than resist this
appointment, Candace had simply smiled and said, "It won't matter much, but okay, I'll
be ready in a minute." The nurse recognizes that the child's seeming well-being and
, Peds - Chapter 30: Nursing Care of the
Child With a Cognitive or Mental Health
Disorder
drastic change in behavior should be further investigated to determine which of the
following?
a) If the child has been smoking marijuana.
b) If the child is excited that she can drive now.
c) If the child is planning to commit suicide.
d) If the child is experimenting with alcohol. - answer If the child is planning to commit
suicide.
A 9-year-old girl with an anxiety disorder is experiencing a panic attack in the waiting
room of the pediatrician's office. Which is the first action the nurse should take?
a) Calmly move the child to a quiet, comfortable area.
b) Quickly find the pediatrician to administer medication.
c) Calmly tell the child to relax.
d) Quickly enlist the assistance of the child's parent. - answer Calmly move the child to
a quiet, comfortable area.
The nurse is assessing a 6-year-old with attention deficit/hyperactivity disorder (ADHD).
The nurse observes the boy making repeated clicking noises and notes he has a slight
grimace. The nurse recommends the boy receive further evaluation for:
a) Tourette syndrome.
b) autism spectrum disorder.
c) anxiety disorder.
d) Asperger syndrome. - answer Tourette syndrome
Repeated vocal tics such as sniffling, grunting, clicking, or word utterances are
associated with Tourette syndrome. The syndrome consists of multiple motor tics and
one or more motor tics occurring simultaneously at different times. ADHD and
obsessive-compulsive disorder occur in 90% of children with Tourette syndrome. Vocal
and motor tics are not typical indicators of Asperger syndrome, anxiety disorder, or
autism spectrum disorder.
To feed lunch to a child with autism spectrum disorder (ASD), which of the following
actions would be most important to take?
a) Use a repetitive series of movements.
b) Use an authoritarian manner to gain control.
c) Allow the child to ask questions about the procedure.
d) Don't allow him to see the spoon approach his mouth. - answer Use a repetitive
series of movements.
