SHEILA L. VIDEBECK TEST BANK
Chapter 22: Neurodevelopmental Disorders
1. The nurse is assessing a 16-month-old child during a well-baby checkup.
Which of the following behaviors would be consistent with autism spectrum disorder?
Select all that apply.
A) The child displays little eye contact with others.
B) The child thrives on changes in routine.
C) The child makes few facial expressions toward others.
D) The child does not like repetition.
E) The child answers questions verbally.
Ans: A, C, D
Feedback:
Children with autism display little eye contact with and make few facial expressions
toward others; they use limited gestures to communicate. They have limited capacity to
relate to peers or parents. They lack spontaneous enjoyment, express no moods or
emotional affect, and cannot engage in play or make-believe with toys. There is little
intelligible speech. These children engage in stereotyped motor behaviors such as hand
flapping, body twisting, or head banging.
2. A mother expresses concern to the nurse that the child's regularly scheduled vaccines
may not be safe. The mother states that she has heard reports that they cause autism. The
most appropriate response by the nurse is,
A) ìIt is recommended that you wait until the child is older to vaccinate.î
B) ìThere are safer alternative immunizations available now.î
C) ìThere has been no research to establish a relationship between vaccines and
autism.î
D) ìThe risks do not outweigh the benefits of immunization against childhood
diseases.î
Ans: C
Feedback:
The National Institute of Child Health and Human Development, Centers for Disease
control (CDC) and the Academy of Pediatrics have all conducted research studies for
several years and have concluded that there is no relationship between vaccines and
autism and that the MMR vaccine is safe.
Page 1
, SHEILA L. VIDEBECK TEST BANK
3. A parent is concerned that his child might suffer from attention deficit hyperactivity
disorder (ADHD). Which of the following behaviors reported by the parent would be
consistent with this diagnosis?
A) The child interrupts others.
B) The child has been hoarding objects.
C) The child has lots of friends.
D) The child is excelling academically in school.
Ans: A
Feedback:
By the time the child starts school, symptoms of ADHD begin to interfere significantly
with behavior and performance. He or she cannot listen to directions or complete tasks.
The child interrupts and blurts out answers before questions are completed. Academic
performance suffers because the child makes hurried, careless mistakes in schoolwork,
often loses or forgets homework assignments, and fails to follow directions. Socially,
peers may ostracize or even ridicule the child for his or her behavior. The child often
loses necessary things.
4. Which of the following symptoms are characteristic of ADHD? Select all that apply.
A) Enuresis
B) Inattentiveness
C) Encopresis
D) Overactivity
E) Impulsiveness
Ans: B, D, E
Feedback:
ADHD is characterized by inattentiveness, overactivity, and impulsiveness. Encopresis
is the repeated passage of feces into inappropriate places such as clothing or the floor by
a child who is at least 4 years of age either chronologically or developmentally. Enuresis
is the repeated voiding of urine during the day or at night into clothing or bed by a child
at least 5 years of age either chronologically or developmentally. Encopresis and
enuresis are elimination disorders that are unrelated to ADHD.
Page 2
Chapter 22: Neurodevelopmental Disorders
1. The nurse is assessing a 16-month-old child during a well-baby checkup.
Which of the following behaviors would be consistent with autism spectrum disorder?
Select all that apply.
A) The child displays little eye contact with others.
B) The child thrives on changes in routine.
C) The child makes few facial expressions toward others.
D) The child does not like repetition.
E) The child answers questions verbally.
Ans: A, C, D
Feedback:
Children with autism display little eye contact with and make few facial expressions
toward others; they use limited gestures to communicate. They have limited capacity to
relate to peers or parents. They lack spontaneous enjoyment, express no moods or
emotional affect, and cannot engage in play or make-believe with toys. There is little
intelligible speech. These children engage in stereotyped motor behaviors such as hand
flapping, body twisting, or head banging.
2. A mother expresses concern to the nurse that the child's regularly scheduled vaccines
may not be safe. The mother states that she has heard reports that they cause autism. The
most appropriate response by the nurse is,
A) ìIt is recommended that you wait until the child is older to vaccinate.î
B) ìThere are safer alternative immunizations available now.î
C) ìThere has been no research to establish a relationship between vaccines and
autism.î
D) ìThe risks do not outweigh the benefits of immunization against childhood
diseases.î
Ans: C
Feedback:
The National Institute of Child Health and Human Development, Centers for Disease
control (CDC) and the Academy of Pediatrics have all conducted research studies for
several years and have concluded that there is no relationship between vaccines and
autism and that the MMR vaccine is safe.
Page 1
, SHEILA L. VIDEBECK TEST BANK
3. A parent is concerned that his child might suffer from attention deficit hyperactivity
disorder (ADHD). Which of the following behaviors reported by the parent would be
consistent with this diagnosis?
A) The child interrupts others.
B) The child has been hoarding objects.
C) The child has lots of friends.
D) The child is excelling academically in school.
Ans: A
Feedback:
By the time the child starts school, symptoms of ADHD begin to interfere significantly
with behavior and performance. He or she cannot listen to directions or complete tasks.
The child interrupts and blurts out answers before questions are completed. Academic
performance suffers because the child makes hurried, careless mistakes in schoolwork,
often loses or forgets homework assignments, and fails to follow directions. Socially,
peers may ostracize or even ridicule the child for his or her behavior. The child often
loses necessary things.
4. Which of the following symptoms are characteristic of ADHD? Select all that apply.
A) Enuresis
B) Inattentiveness
C) Encopresis
D) Overactivity
E) Impulsiveness
Ans: B, D, E
Feedback:
ADHD is characterized by inattentiveness, overactivity, and impulsiveness. Encopresis
is the repeated passage of feces into inappropriate places such as clothing or the floor by
a child who is at least 4 years of age either chronologically or developmentally. Enuresis
is the repeated voiding of urine during the day or at night into clothing or bed by a child
at least 5 years of age either chronologically or developmentally. Encopresis and
enuresis are elimination disorders that are unrelated to ADHD.
Page 2
