Chapter 11- Childhood and Neurodevelopmental Disorders

Which factor can reduce the vulnerability of a child to etiological influences predisposing to the development of psychopathology?

A. Resilience

B. Malnutrition

C. Child abuse

D. Having a depressed parent

A. Resilience

When a nurse assesses the style of behavior a child habitually uses to cope with the demands and expectations of the environment, he or she is assessing characteristic?

A. Temperament

B. Resilience

C. Vulnerability

D. Cultural assimilation

A. Temperament

A child diagnosed with autism will demonstrate impaired development in which area?

A. Adhering to routines

B. playing with other children

C. swallowing and chewing

D. eye-hand coordination

B. playing with other children

A 5-year-old who consistently omits the sound for 'r' and 's' when speaking is demonstrating which type of disorder?

A. Speech

B. Language

C. Social communication

D. Specific learning

A. Speech

Which nursing diagnosis should be considered for a child with attention deficit hyperactivity disorder ADHD?

A. Anxiety

B. risk for injury

C. defensive coping

D. impaired verbal communication

B. risk for injury

When a child demonstrates a temperament that prompts the mother to say, "She is just so different from me; I just can't seem to connect with her." The nurse should plan to provide which intervention?

A. Suggest that the child's father become her primary caregiver.

B. Encourage the mother to consider attending parenting classes.

C. Counsel the mother regarding ways to better bond with her child.

D. Educate the father regarding signs that the child is being physically abused.

C. Counsel the mother regarding ways to better bond with her child.

Which social behavior is often a result of a child having been exposed to some form of abuse?

A. Speech disorders

B. Bullying others

C. Eating disorders

D. Delayed motor skills

B. Bullying others

A 7-year-old, who is described as impulsive and hyperactive, tells the nurse, "I am a dummy, because I don't pay attention, and I can't read like the other kids." The nurse notes that these behaviors are most consistent with which diagnosis?

A. Attention deficit disorder

B. Attention deficit hyperactivity disorder

C. Autism

D. Conduct disorder

B. Attention deficit hyperactivity disorder

Which behavior is most indicative of a 4-year-old child diagnosed with Tourette's syndrome?

A. Difficulty in social relationships

B. Humming while performing activities that require concentration

C. Frequent eye blinking

D. Difficulty in completing tasks on time

C. Frequent eye blinking

A child diagnosed with attention deficit hyperactivity disorder (ADHD) is reprimanded for taking the nurse's pen without asking first. He responds by shouting, "You don't like me! You won't let me have anything, even a pen!" The nurse is most therapeutic when responding with which statement?

A."I do like you, but I don't like it when you grab my pen."

B. "Liking you has nothing to do with whether I will loan you my pen."

C. "It sounds as though you are feeling helpless and insecure."

D. "You must ask for permission before taking someone else's things."

A."I do like you, but I don't like it when you grab my pen."

A 10-year-old who is frequently disruptive in the classroom begins to fidget and then moves on to disruptive behavior. What is the most appropriate initial technique for managing this sort of disruptive behavior?

A. Therapeutic holding

B. Seclusion

C. Quiet room

D. Touch control

D. Touch control

The family of a child diagnosed with attention deficit hyperactivity disorder (ADHD), inattentive type, is told the evaluation of their child's care will focus on symptom patterns and severity. What is the focus of child's evaluation? (Select all that apply.)

A. Academic performance

B. Activities of daily living

C. Physical growth

D. Social relationships

E. Personal perception

A. Academic performance

B. Activities of daily living

D. Social relationships

E. Personal perception

The mother of a 3-year-old boy just diagnosed with autism spectrum is tearful and states, "The doctor said we need to start therapy right away. I just don't understand how helpful it will be—he's only 3 years old!" What response should the nurse provide to the mother's statement?

A. "You are right, 3 years old is very young to start therapy, but it will make you feel better to be doing something."

B. "Starting him on treatment now gives Taylor a much greater chance for a productive life."

C. "If your child starts therapy now, he will be able to stop therapy sooner."

D. "If you have questions, its best to ask the doctor."

B. "Starting him on treatment now gives Taylor a much greater chance for a productive life."

What are the foundational concerns regarding the use of restraint and seclusion when providing care to children? (Select all that apply.)

A. Parents may initiate a lawsuit if injury occurs.

B. Staff have conflicted feelings leading to ineffectiveness.

C. Research suggests both are psychologically and physically harmful.

D. Staff tends to be undertrained in use of restraints in children.

E. The principle of least restrictive intervention is a primary concern.

C. Research suggests both are psychologically and physically harmful.

E. The principle of least restrictive intervention is a primary concern.

A 12-year-old male patient diagnosed with Tourette's disorder is visiting his provider. The nurse will prepare medication teaching on which class of medication to help manage the tics associated with this disorder? (Select all that apply.)

A. Mood stabilizers

B. Antianxiety agents

C. Anticholinesterase inhibitors

D. First-generation antipsychotics

E. Second-generation antipsychotics

B. Antianxiety agents

D. First-generation antipsychotics

E. Second-generation antipsychotics

A 9-year-old patient has been diagnosed with an intellectual development disorder (IDD). Which assessment findings support this diagnosis? (Select all that apply.)

A. Unable to explain the phrase, "Raining cats and dogs"

B. Reads below age level

C. Is capable of providing effective oral self care

D. Enjoy interacting with developmentally similar peers

E. Physically lashes out when frustrated

A. Unable to explain the phrase, "Raining cats and dogs"

B. Reads below age level

E. Physically lashes out when frustrated

An 8-year-old patient is newly diagnosed with attention deficit hyperactivity disorder (ADHD). It is important that the parents be educated to the fact that symptoms will take which form? (Select all that apply). of, inattention, and impulsivity have to be apparent:

A. Low frustration tolerance

B. Poor school performance

C. Impulsive behaviors

D. Easily intimidated

E. Mood swings

A. Low frustration tolerance

B. Poor school performance

C. Impulsive behaviors

E. Mood swings