C HAPTER 33: T HE C HILD WITH AN
E MOTIONAL OR B EHAVIORAL C ONDITION
Introduction to Maternity and Pedi atric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. A nurse is planning to speak with a parent support group about childhood
autism. What will the nurse include?
a. Significant signs of the disorder manifest by 1 year of age.
b. The earliest signs of autism are impulsivity and overactivit y.
c. Autism is usuall y diagnosed when t he child goes to elementary
school.
d. Medications can cure childhood autism.
ANS: A
Failure to use eye contact and look at others, poor attention span, and
poor orienting to ones name are significant signs of dysfunction by 1
year of age.
DIF: Cognitive Le vel: Comprehension REF: Page 767
TOP: Autism KEY: Nursing Process Step: Planning
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
2. An adolescent is brought to the emergency department after an automobile
accident. When the nurse approaches the adolescent, he becomes
, combative. The nurse notes his speech is slurred and his gait is ataxic.
What does the nurse suspect the adolescent has used?
a. Alcohol
b. Cocaine
c. Amphetamines
d. PCP
ANS: A
Behavioral signs of alcohol ingestio n include slurred speech, short
attention span, drowsiness, combativeness, and violence.
DIF: Cognitive Level: Anal ysis REF: Page 774 OBJ: 8
TOP: Substance Abuse KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Psychosocial Integrit y: Coping
and Adaptation
3. When the nurse is collecting a nursing history, an adolescent states that
she has tried speed. For what does the nurse recognize this as the street
name?
a. Barbiturates
b. Cocaine
c. Methamphetamine
d. Marijuana
ANS: C
Speed is the street name for metham phetamine.
, DIF: Cognitive Level: Knowledge REF: Page 774 OBJ: 8
TOP: Substance Abuse KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Psychosocial Integrit y: Coping
and Adaptation
4. How would the nurse identify a member of the child guidance team who is
a medical doctor with special training in psychoanal ytic theory?
a. Psychiatrist
b. Psychoanal yst
c. Psychologist
d. Counselor
ANS: A
The psychiatrist is a medical doctor; the psychoanal yst may be a
medical doctor or a psychologist. The psychologist is not a m edical
doctor, and neither is the counselor.
DIF: Cognitive Level: Knowledge REF: Page 766 TOP:
Psychoanal ytic Professional KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Prevention and Earl y Detection of Disease
5. A young child on the pediatric unit cannot express himself well. What
therapeutic intervention might the nurse implement that allows children to
act out their feelings?
a. Art therapy
b. Play therapy
c. Music therapy
d. Bibliotherapy
E MOTIONAL OR B EHAVIORAL C ONDITION
Introduction to Maternity and Pedi atric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. A nurse is planning to speak with a parent support group about childhood
autism. What will the nurse include?
a. Significant signs of the disorder manifest by 1 year of age.
b. The earliest signs of autism are impulsivity and overactivit y.
c. Autism is usuall y diagnosed when t he child goes to elementary
school.
d. Medications can cure childhood autism.
ANS: A
Failure to use eye contact and look at others, poor attention span, and
poor orienting to ones name are significant signs of dysfunction by 1
year of age.
DIF: Cognitive Le vel: Comprehension REF: Page 767
TOP: Autism KEY: Nursing Process Step: Planning
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
2. An adolescent is brought to the emergency department after an automobile
accident. When the nurse approaches the adolescent, he becomes
, combative. The nurse notes his speech is slurred and his gait is ataxic.
What does the nurse suspect the adolescent has used?
a. Alcohol
b. Cocaine
c. Amphetamines
d. PCP
ANS: A
Behavioral signs of alcohol ingestio n include slurred speech, short
attention span, drowsiness, combativeness, and violence.
DIF: Cognitive Level: Anal ysis REF: Page 774 OBJ: 8
TOP: Substance Abuse KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Psychosocial Integrit y: Coping
and Adaptation
3. When the nurse is collecting a nursing history, an adolescent states that
she has tried speed. For what does the nurse recognize this as the street
name?
a. Barbiturates
b. Cocaine
c. Methamphetamine
d. Marijuana
ANS: C
Speed is the street name for metham phetamine.
, DIF: Cognitive Level: Knowledge REF: Page 774 OBJ: 8
TOP: Substance Abuse KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Psychosocial Integrit y: Coping
and Adaptation
4. How would the nurse identify a member of the child guidance team who is
a medical doctor with special training in psychoanal ytic theory?
a. Psychiatrist
b. Psychoanal yst
c. Psychologist
d. Counselor
ANS: A
The psychiatrist is a medical doctor; the psychoanal yst may be a
medical doctor or a psychologist. The psychologist is not a m edical
doctor, and neither is the counselor.
DIF: Cognitive Level: Knowledge REF: Page 766 TOP:
Psychoanal ytic Professional KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Prevention and Earl y Detection of Disease
5. A young child on the pediatric unit cannot express himself well. What
therapeutic intervention might the nurse implement that allows children to
act out their feelings?
a. Art therapy
b. Play therapy
c. Music therapy
d. Bibliotherapy
