NUR 355 Exam 4 Review Questions and Detailed
Answers 2026
1. In an effort to help the child with mild to moderate intellectual disability develop satisfying
relationships with others, which of the following nursing interventions is most appropriate?
a. interpret the child's behavior for others
b. set limits on behavior that is socially inappropriate
c. Allow the child to behave spontaneously, for he or she has no concept of right or wrong
d. this child is not capable of forming social relationships - Correct Answers b. set limits on
behavior that is socially inappropriate
2. A child with autism spectrum disorder (ASD) has difficulty with trust. With this in mind, which
of the following nursing actions would be most appropriate?
a. encourage all staff to hold the child as often as possible, conveying trust through touch.
b. assign a different staff member each day so the child will learn that everyone can be trusted.
c. assign the same staff person as often as possible to promote feelings of security and trust.
d. avoid eye contact because it is extremely uncomfortable for the child and may even
discourage trust. - Correct Answers c. assign the same staff person as often as possible to
promote feelings of security and trust.
3. Which of the following nursing diagnoses would be considered the priority in planning care
for the child with severe autism spectrum disorder?
a. risk for self-mutilation evidenced by banging head against wall.
, b. impaired social interaction evidenced by unresponsiveness to people.
c. impaired verbal communication evidenced by absence of verbal expression.
d. disturbed personal identity evidenced by inability to differentiate self from others. - Correct
Answers a. risk for self-mutilation evidenced by banging head against wall.
4. Which of the following activities would be most appropriate for the child with attention-
deficit/hyperactivity disorder?
a. monopoly
b. volleyball
c. pool
d. checkers - Correct Answers b. volleyball
5. Which of the following groups is most commonly used for drug management of the child with
attention-deficit hyperactivity disorder?
a. CNS depressants (diazepam, valium)
b. CNS stimulants (methylphenidate (Ritalin)
c. Anticonvulsants (phenytoin (Dilantin)
d. Major tranquilizers (haloperidol (Haldol) - Correct Answers b. CNS stimulants
(methylphenidate (Ritalin)
6. The child with attention-deficit/hyperactivity disorder has a nursing diagnosis of impaired
social interaction. Which of the following nursing interventions are appropriate for this child?
Select all that apply.
a. socially isolate the child when interactions with others are inappropriate.
b. set limits with consequences on inappropriate behaviors
c. provide rewards for appropriate behaviors.
d. provide group situations for the child. - Correct Answers b. set limits with consequences on
inappropriate behaviors
Answers 2026
1. In an effort to help the child with mild to moderate intellectual disability develop satisfying
relationships with others, which of the following nursing interventions is most appropriate?
a. interpret the child's behavior for others
b. set limits on behavior that is socially inappropriate
c. Allow the child to behave spontaneously, for he or she has no concept of right or wrong
d. this child is not capable of forming social relationships - Correct Answers b. set limits on
behavior that is socially inappropriate
2. A child with autism spectrum disorder (ASD) has difficulty with trust. With this in mind, which
of the following nursing actions would be most appropriate?
a. encourage all staff to hold the child as often as possible, conveying trust through touch.
b. assign a different staff member each day so the child will learn that everyone can be trusted.
c. assign the same staff person as often as possible to promote feelings of security and trust.
d. avoid eye contact because it is extremely uncomfortable for the child and may even
discourage trust. - Correct Answers c. assign the same staff person as often as possible to
promote feelings of security and trust.
3. Which of the following nursing diagnoses would be considered the priority in planning care
for the child with severe autism spectrum disorder?
a. risk for self-mutilation evidenced by banging head against wall.
, b. impaired social interaction evidenced by unresponsiveness to people.
c. impaired verbal communication evidenced by absence of verbal expression.
d. disturbed personal identity evidenced by inability to differentiate self from others. - Correct
Answers a. risk for self-mutilation evidenced by banging head against wall.
4. Which of the following activities would be most appropriate for the child with attention-
deficit/hyperactivity disorder?
a. monopoly
b. volleyball
c. pool
d. checkers - Correct Answers b. volleyball
5. Which of the following groups is most commonly used for drug management of the child with
attention-deficit hyperactivity disorder?
a. CNS depressants (diazepam, valium)
b. CNS stimulants (methylphenidate (Ritalin)
c. Anticonvulsants (phenytoin (Dilantin)
d. Major tranquilizers (haloperidol (Haldol) - Correct Answers b. CNS stimulants
(methylphenidate (Ritalin)
6. The child with attention-deficit/hyperactivity disorder has a nursing diagnosis of impaired
social interaction. Which of the following nursing interventions are appropriate for this child?
Select all that apply.
a. socially isolate the child when interactions with others are inappropriate.
b. set limits with consequences on inappropriate behaviors
c. provide rewards for appropriate behaviors.
d. provide group situations for the child. - Correct Answers b. set limits with consequences on
inappropriate behaviors
