Questions and Answers
Which of the following characteristics does the child display?
Which terms regarding children's health problems is appropriate for the nurse to use? (Select all that apply)
What are the highest outcomes that are realistic for a 15-year-old diagnosed with moderate intellectual developmental disorder within 5 years? (Select all that apply)
Which nursing actions are appropriate after observing a family using personal online communication devices in separate areas? (Select all that apply)
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Which factor presents the highest risk for a child to develop a psychiatric disorder? (Select all that apply)
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Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders?
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Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective?
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A kindergartener is disruptive in class. The nurse plans interventions designed to:
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Which medication will the information focus on for a child newly diagnosed with ADHD?
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What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin)?
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A desired outcome for a 12-year-old diagnosed with ADHD is to improve relationships with other children. Which treatment modality should the nurse suggest?
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The child's behavior is most consistent with diagnostic criteria for which disorder?
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Which finding indicates the nursing care plan was effective for a child diagnosed with ADHD?
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When a 5-year-old diagnosed with ADHD acts aggressively, what is the nurse's best action?
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Which classification of medications should the nurse prepare to teach the family about for a child beginning medication therapy for ADHD?
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Which nursing diagnosis has the highest priority for a child exhibiting social isolation after the parents announced divorce?
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Why is establishing a therapeutic alliance with a child whose parents are divorcing a priority?
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Which finding is most associated with a 3-year-old diagnosed with autism spectrum disorder?
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What is the nurse's best response to a parent who thinks their child with Tourette's disorder is faking tics?
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When a 5-year-old is disruptive, what is the expectation for using time-out?
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A child developing a trusting relationship with a shelter volunteer shows which positive sign?
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Study Notes
Psychiatric Disorders in Children
- Presence of an alcoholic parent significantly heightens risk for a child developing a psychiatric disorder compared to other familial factors.
- Autism spectrum disorders (ASD) lead to impaired social interactions, as affected children often prefer inanimate objects and may exhibit language delays.
Effective Treatments for ASD
- Child’s ability to hold a parent's hand while walking is an indicator of effective treatment for ASD, reflecting improved social relatedness.
- Social skills training is essential in plans of care to enhance peer relationships for children diagnosed with ADHD.
Common Behaviors of ADHD
- Disruptive behaviors in children with ADHD may lead to feelings of loneliness and low self-esteem due to negative feedback from adults and peers.
- CNS stimulants, such as methylphenidate (Ritalin), are primary medications for managing ADHD.
Monitoring ADHD Medication Side Effects
- Key side effects of methylphenidate include sleep disturbances and weight loss, potentially affecting a child's growth and development.
Therapeutic Approaches for ADHD
- Engaging children in cooperative play can reveal improvements in behavior and social interaction for those with ADHD.
Anxiety and Social Isolation
- Signs of social isolation should be prioritized when a child exhibits withdrawal following familial issues like divorce.
Therapeutic Alliance with Children
- Establishing trust is crucial for children experiencing family stress, as it promotes feelings of security.
Indicators of Neurodevelopmental Disorders
- A 3-year-old continuously rocking in place is indicative of autism spectrum disorders, while other behaviors listed align with normative developments.
Addressing Bullying
- Encouraging victims of bullying to express their feelings is a fundamental initial response by the nurse before informing school authorities.
Documentation of Impulsive Behaviors
- Behaviors such as blurting out answers are categorized as impulsivity, a key characteristic of ADHD.
Therapy for Young Children
- Group therapy for younger children effectively combines play with discussion, fostering development and social engagement.
Resilience in Children
- A child living in challenging circumstances yet forming trusting relationships demonstrates resilience, allowing them to cope with adversity effectively.
Recognizing Current Terminology
- Use terms like "autism spectrum disorder" and "intellectual development disorder" in contemporary discussions on children's health to avoid stigma.
Realistic Outcomes for Children with Intellectual Disabilities
- Individuals with moderate intellectual developmental disorder may realistically achieve skills like personal hygiene and employment in sheltered settings, but graduating high school may be overly ambitious.### Learning and Supervision
- Individuals can learn to navigate familiar areas and engage in unskilled or semiskilled work.
- With supervision, they can integrate into the community, although independent living remains improbable.
Nursing Actions During Home Visit
- Observation reveals each family member is using their personal online communication device separately within the home.
- Appropriate actions include:
- Educating family members on the risks of cyberbullying.
- Discussing parental controls on children's devices to facilitate safe internet use.
- Encouraging scheduled family time without devices to strengthen familial bonds and availability for communication.
Rationale for Actions
- Education on cyberbullying aims to raise awareness, reducing harmful online behavior.
- Implementing parental controls ensures monitored and secure online experiences for children.
- Family activities without devices foster connectivity, security, and support in relationships.
Inappropriate Actions
- Reporting the situation to child protection services is unnecessary if there are no indicators of danger.
- Requesting the family’s network password to inspect online sites visited is considered an invasion of privacy and inappropriate.
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Description
Test your knowledge on Childhood and Neurodevelopmental Disorders from Varcarolis Chapter 11. This quiz focuses on key risk factors and definitions associated with psychiatric disorders in children. Prepare to deepen your understanding of child psychology and its implications.
