Chapter 33 testbank peds
A - ANSWER✔ � -1. When a parent asks the nurse to describe what is meant by a "learning disability,"
the nurse's most helpful response would be:
A. "A child may have difficulty with perception, language, comprehension, or memory."
B. "It is characterized by inattention, impulsiveness, and hyperactivity."
C. "The child's intellectual ability limits his learning."
D. "The child has difficulty learning because of brain damage."
D - ANSWER✔ � -2. What would be the appropriate response to an adolescent who states, "This has
been the worst day of my life"?
A. "You should focus your mind on positive thoughts."
B. "Everybody has a bad day now and then."
C. "You're young. What could be so terrible?"
D. "Tell me about the worst day of your life."
D - ANSWER✔ � -3. The nurse asks, "Do your parents drink every day?" The adolescent suddenly
shouts, "I'm not going to talk about that! It's none of your business, anyway! Leave me alone!" The
nurse recognizes that the outburst was stimulated by the fact that the adolescent is:
A. Acting out and needs to be brought under control so the conference can continue.
B. Trying to shift the focus of the conference away from himself, and the nurse needs to refocus.
C. Demonstrating that this problem requires the assistance of a psychiatrist.
D. Responding to the discrediting of his parents, which causes anxiety in the child.
, B - ANSWER✔ � -4. The nurse ANSWERing phone calls at a local suicide prevention hotline would
recognize the statement indicating the greatest risk of suicide is:
A. "I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself."
B. "My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to
work. I've got a hundred of them."
C. "My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the
cabinet."
D. "My girlfriend is here with me. She told me to call because I was talking crazy about killing myself."
C - ANSWER✔ � -5. The nurse assesses an early sign of depression in a 15-year-old boy who previously
was active in a band and had saved his money to buy a special guitar when he:
A. Gives up the band to spend time with his girlfriend.
B. Spends all of his time at the library studying in order to qualify for the honor society.
C. Gives his guitar away and spends his time listening to music in his room.
D. Withdraws all of his money out of the bank to buy an expensive leather jacket.
D - ANSWER✔ � -6. A mother is concerned because her adolescent son is always in trouble for fighting
at school and always seems to be angry. She mentions that her husband drinks a bit. The understanding
guiding the nurse's response is:
A. The boy is displaying antisocial behavior and should be evaluated for mental illness.
B. The boy is displaying one of the typical defense patterns of children of alcoholics and should receive
immediate treatment.
C. The mother is displaying her own anger with her husband's drinking, and she needs immediate
intervention.
D. The boy is only one member of the family affected by alcoholism, and all members should receive
immediate intervention.
A - ANSWER✔ � -1. When a parent asks the nurse to describe what is meant by a "learning disability,"
the nurse's most helpful response would be:
A. "A child may have difficulty with perception, language, comprehension, or memory."
B. "It is characterized by inattention, impulsiveness, and hyperactivity."
C. "The child's intellectual ability limits his learning."
D. "The child has difficulty learning because of brain damage."
D - ANSWER✔ � -2. What would be the appropriate response to an adolescent who states, "This has
been the worst day of my life"?
A. "You should focus your mind on positive thoughts."
B. "Everybody has a bad day now and then."
C. "You're young. What could be so terrible?"
D. "Tell me about the worst day of your life."
D - ANSWER✔ � -3. The nurse asks, "Do your parents drink every day?" The adolescent suddenly
shouts, "I'm not going to talk about that! It's none of your business, anyway! Leave me alone!" The
nurse recognizes that the outburst was stimulated by the fact that the adolescent is:
A. Acting out and needs to be brought under control so the conference can continue.
B. Trying to shift the focus of the conference away from himself, and the nurse needs to refocus.
C. Demonstrating that this problem requires the assistance of a psychiatrist.
D. Responding to the discrediting of his parents, which causes anxiety in the child.
, B - ANSWER✔ � -4. The nurse ANSWERing phone calls at a local suicide prevention hotline would
recognize the statement indicating the greatest risk of suicide is:
A. "I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself."
B. "My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to
work. I've got a hundred of them."
C. "My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the
cabinet."
D. "My girlfriend is here with me. She told me to call because I was talking crazy about killing myself."
C - ANSWER✔ � -5. The nurse assesses an early sign of depression in a 15-year-old boy who previously
was active in a band and had saved his money to buy a special guitar when he:
A. Gives up the band to spend time with his girlfriend.
B. Spends all of his time at the library studying in order to qualify for the honor society.
C. Gives his guitar away and spends his time listening to music in his room.
D. Withdraws all of his money out of the bank to buy an expensive leather jacket.
D - ANSWER✔ � -6. A mother is concerned because her adolescent son is always in trouble for fighting
at school and always seems to be angry. She mentions that her husband drinks a bit. The understanding
guiding the nurse's response is:
A. The boy is displaying antisocial behavior and should be evaluated for mental illness.
B. The boy is displaying one of the typical defense patterns of children of alcoholics and should receive
immediate treatment.
C. The mother is displaying her own anger with her husband's drinking, and she needs immediate
intervention.
D. The boy is only one member of the family affected by alcoholism, and all members should receive
immediate intervention.
