Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A 14-year-old girl with obsessive-compulsive disorder (OCD) tells a nurse other
adolescents tease her because she washes her hands many times during the school day.
For what does this disorder put the adolescent at greater risk?
a. Anorexia nervosa
b. Anxiety
c. ADHD
d. A learning disability
ANS: B
OCD is related to anxiety and other psychiatric disorders.
DIF: Cognitive Level: Comprehension REF: 766 OBJ: 5
TOP: Obsessive-Compulsive Disorder KEY: Nursing Process Step: Data
Collection
2. A 16-year old teenager attends the clinic stating feelings of decreased interest in previous
activities, social isolation, and decreased performance in school. What is the first action a
nurse should perform?
a. Refer to a psychiatrist
b. Screen using the Patient Health Questionnaire
c. Initiate cognitive behaviour therapy
d. Encourage the teen to get a prescription for an antidepressant
ANS: B
The first action of the nurse is to screen the child to determine if there is a depressive
disorder. If depression is diagnosed further treatment will be required.
DIF: Cognitive Level: Application REF: 763 OBJ: 8
, TOP: Diagnosis of Depression KEY: Nursing Process Step:
Implementation
3. What is an appropriate nursing intervention for a hospitalized child who has autism
spectrum disorder?
a. Place the child in a location where she can watch all of the activity on the unit.
b. Use the child’s chronological age as a guide for communication.
c. Keep the child’s room free of toys or objects that she might want to take home
with her.
d. Approach the child with a slow pace and few distractions.
ANS: D
During hospitalization, the nurse should provide a highly structured environment with
few distractions for a child who is autistic.
DIF: Cognitive Level: Application REF: 771 OBJ: 7
TOP: Autism KEY: Nursing Process Step: Implementation
4. A nurse is planning to speak with a parent support group about childhood autism. What
will the nurse include in the class?
a. Significant signs of the disorder manifest by 2 years of age.
b. The earliest signs of autism are impulsivity and overactivity.
c. Autism is usually diagnosed when the child goes to elementary school.
d. Medications can cure childhood autism.
ANS: A
Failure to babble or point by 12 months and no two-word spontaneous phrases by 24
months are signs to seek early interventions. In Canada it is recommended that all
children are screened for ASD between 18 and 24 months if any of the following are
present: failed items on the social, emotional, or communication skills inquiry; a
sibling with autism; or developmental concern expressed by the parent, caregiver, or
health care provider.
DIF: Cognitive Level: Comprehension REF: 770 OBJ: 5
TOP: Autism KEY: Nursing Process Step: Planning
MULTIPLE CHOICE
1. A 14-year-old girl with obsessive-compulsive disorder (OCD) tells a nurse other
adolescents tease her because she washes her hands many times during the school day.
For what does this disorder put the adolescent at greater risk?
a. Anorexia nervosa
b. Anxiety
c. ADHD
d. A learning disability
ANS: B
OCD is related to anxiety and other psychiatric disorders.
DIF: Cognitive Level: Comprehension REF: 766 OBJ: 5
TOP: Obsessive-Compulsive Disorder KEY: Nursing Process Step: Data
Collection
2. A 16-year old teenager attends the clinic stating feelings of decreased interest in previous
activities, social isolation, and decreased performance in school. What is the first action a
nurse should perform?
a. Refer to a psychiatrist
b. Screen using the Patient Health Questionnaire
c. Initiate cognitive behaviour therapy
d. Encourage the teen to get a prescription for an antidepressant
ANS: B
The first action of the nurse is to screen the child to determine if there is a depressive
disorder. If depression is diagnosed further treatment will be required.
DIF: Cognitive Level: Application REF: 763 OBJ: 8
, TOP: Diagnosis of Depression KEY: Nursing Process Step:
Implementation
3. What is an appropriate nursing intervention for a hospitalized child who has autism
spectrum disorder?
a. Place the child in a location where she can watch all of the activity on the unit.
b. Use the child’s chronological age as a guide for communication.
c. Keep the child’s room free of toys or objects that she might want to take home
with her.
d. Approach the child with a slow pace and few distractions.
ANS: D
During hospitalization, the nurse should provide a highly structured environment with
few distractions for a child who is autistic.
DIF: Cognitive Level: Application REF: 771 OBJ: 7
TOP: Autism KEY: Nursing Process Step: Implementation
4. A nurse is planning to speak with a parent support group about childhood autism. What
will the nurse include in the class?
a. Significant signs of the disorder manifest by 2 years of age.
b. The earliest signs of autism are impulsivity and overactivity.
c. Autism is usually diagnosed when the child goes to elementary school.
d. Medications can cure childhood autism.
ANS: A
Failure to babble or point by 12 months and no two-word spontaneous phrases by 24
months are signs to seek early interventions. In Canada it is recommended that all
children are screened for ASD between 18 and 24 months if any of the following are
present: failed items on the social, emotional, or communication skills inquiry; a
sibling with autism; or developmental concern expressed by the parent, caregiver, or
health care provider.
DIF: Cognitive Level: Comprehension REF: 770 OBJ: 5
TOP: Autism KEY: Nursing Process Step: Planning
