Test 3: Ch 54 Cognitive/Mental Health Disorders PrepU

The nurse is educating the parents of an 8-year-old boy about his learning disorder. Which of the following facts would be included in the discussion? The disorder is caused by a difference in brain development. Which sign or symptom suggests that a 5-year-old boy who does not maintain eye contact or speak may have autism spectrum disorder (ASD)? The child constantly pats his legs. Repetitive motor mannerisms such as the boy constantly patting his legs are a typical behavior pattern for ASD. The nurse recognizes in working with children that the child who has polyphagia will likely exhibit which of the following? Compulsive overeating The nurse is educating a parent support group for teens with anorexia. Which of the following statements would the nurse suggest for the parents? Avoid making comments about the teen's appearance. The mother of a 10-year-old boy phones the school nurse. The child has attention deficit/hyperactivity disorder (ADHD) and must go to the office to take medication at lunchtime. The child informed the mother that kids have been making fun that he no longer wants to take the medication. Which is the nurse's best response? "You can speak with your doctor about extended-release medications for treatment of ADHD." The nurse is performing a physical assessment of 16-year-old girl who is cognitively challenged. This client attended her local public elementary school through fifth grade and has since been enrolled at a special education school where she has received social and vocational training. She plans on getting a job in the coming month and on living independently in a few years. The nurse recognizes this client's level of cognitive challenge as: Mild The mother of an 8-year-old boy is concerned that her son has attention-deficit/hyperactivity disorder. She describes the symptoms he demonstrates. Which behavior should the nurse recognize as an example of impulsiveness? Jumping out of his seat in the middle of class and running to the bathroom without the teacher's permission A mother has presented with her 2 year old child. She states that the child was talking in earlier months but recently has "kind of withdrawn." The child does not interact with other children or adults much but does enjoy throwing a ball, retrieving it and throwing it again. The nurse realizes that the child needs further assessment for which disorder? Autism The football coach notices that one of the players has been more energetic and overly happy lately during practice. The player also got in fight with a teammate last week. The coach contacts the health care provider, concerned that the student is using anabolic steroids. What physical sign would the nurse advise the coach to be on the lookout for that would further validate the illicit drug use? gynecomastia Anabolic steroid use can cause periods of euphoria and decreased fatigue, not more fatigue. Gynecomastia is a common side effect of prolonged steroid use, as well as liver damage, hypertension, psychotic episodes, and aggression A parent brings a child to the pediatric clinic, stating that the child was diagnosed with attention deficit hyperactivity disorder (ADHD). Which symptom does the nurse anticipate finding with this child? inattention, impulsive, and hyperactivity What finding would suggest that a 5-year-old boy might have a developmental disorder? The child is not able to follow directions. The nurse is collecting data from the caregiver of an 8-year-old child who recently started soiling his underwear each day rather than using the toilet to defecate. How would the nurse document this in the medical record? The client has regressed to encopresis.