NR 326 Mental Health Final Exam Study Set question with
answers
Which child would be most difficult to diagnose for a neurodevelopmental disorder?
A. 3 yr old
B. 5 yr old
C. 8 yr old
D. 12 yr old - -A
-Which statement demonstrates that a parent understands the diagnosis of ADHD?
A. My child will never be able to graduate or go to college but may be able to learn a vocational
skill
B. My child's performance will improve in a structured setting that provides rewards for
appropriate behavior
C. Nothing is wrong with my child. The school hasn't provided qualified teachers and classroom
settings
D. My child is just going through a stage. This problem will go away with time - -B
-In an effort to help the child with mild to moderate intellectual developmental disorder
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. - -b
-The child with autism spectrum disorder 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. - -c
-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 - -a
-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 - -b
-Which of the following groups is most commonly used for drug management of the child with
attention-deficit/hyperactivity disorder?
a. CNS depressants (e.g., diazepam [Valium])
b. CNS stimulants (e.g., methylphenidate [Ritalin])
c. Anticonvulsants (e.g., phenytoin [Dilantin])
d. Major tranquilizers (e.g., haloperidol [Haldol]) - -b
-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?
(SATA)
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. - -b, c, & d
-Which developmental characteristic should a nurse identify as typical of a client diagnosed
with severe intellectual disability?
A. The client can perform some self-care activities independently.
B. The client has advanced speech development.
C. Other than possible coordination problems, the clients psychomotor skills are not affected.
D. The client communicates wants and needs by acting out behaviors. - -D
-Which nursing intervention related to self-care would be most appropriate for a teenager
diagnosed with moderate intellectual disability?
A. Meeting all of the clients self-care needs to avoid injury
B. Providing simple directions and praising clients independent self-care efforts
C. Avoiding interference with the clients self-care efforts in order to promote autonomy
D. Encouraging family to meet the clients self-care needs to promote bonding - -B
, -A child has been diagnosed with autism spectrum disorder. The distraught mother cries out,
Im such a terrible mother. What did I do to cause this? Which nursing reply is most
appropriate?
A. Researchers really dont know what causes autistic disorder, but the relationship between
autistic disorder and fetal alcohol syndrome is being explored.
B. Poor parenting doesnt cause autism. Research has shown that abnormalities in brain
structure and/or function are to blame. This is beyond your control.
C. Research has shown that the mother appears to play a greater role in the development of
this disorder than the father.
D. Lack of early infant bonding with the mother has shown to be a cause of autistic disorder.
Did you breastfeed or bottle-feed? - -B
-In planning care for a child diagnosed with autistic spectrum disorder, which would be a
realistic client outcome?
A. The client will communicate all needs verbally by discharge.
B. The client will participate with peers in a team sport by day 4.
C. The client will establish trust with at least one caregiver by day 5.
D. The client will perform most self-care tasks independently. - -C
-After an adolescent diagnosed with attention deficit-hyperactivity disorder (ADHD) begins
methylphenidate (Ritalin) therapy, a nurse notes that the adolescent loses 10 pounds in a 2-
month period. What is the best explanation for this weight loss?
A. The pharmacological action of Ritalin causes a decrease in appetite.
B. Hyperactivity seen in ADHD causes increased caloric expenditure.
C. Side effects of Ritalin cause nausea; therefore, caloric intake is decreased.
D. Increased ability to concentrate allows the client to focus on activities rather than food. - -A
-A preschool child is admitted to a psychiatric unit with a diagnosis of autism spectrum
disorder. To help the child feel more secure on the unit, which intervention should a nurse
include in this clients plan of care?
A. Encourage and reward peer contact.
B. Provide consistent caregivers
C. Provide a variety of safe daily activities.
D. Maintain close physical contact throughout the day. - -B
-A preschool child diagnosed with autism spectrum disorder has been engaging in constant
head-banging behavior. Which nursing intervention is appropriate?
A. Place client in restraints until the aggression subsides.
answers
Which child would be most difficult to diagnose for a neurodevelopmental disorder?
A. 3 yr old
B. 5 yr old
C. 8 yr old
D. 12 yr old - -A
-Which statement demonstrates that a parent understands the diagnosis of ADHD?
A. My child will never be able to graduate or go to college but may be able to learn a vocational
skill
B. My child's performance will improve in a structured setting that provides rewards for
appropriate behavior
C. Nothing is wrong with my child. The school hasn't provided qualified teachers and classroom
settings
D. My child is just going through a stage. This problem will go away with time - -B
-In an effort to help the child with mild to moderate intellectual developmental disorder
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. - -b
-The child with autism spectrum disorder 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. - -c
-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 - -a
-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 - -b
-Which of the following groups is most commonly used for drug management of the child with
attention-deficit/hyperactivity disorder?
a. CNS depressants (e.g., diazepam [Valium])
b. CNS stimulants (e.g., methylphenidate [Ritalin])
c. Anticonvulsants (e.g., phenytoin [Dilantin])
d. Major tranquilizers (e.g., haloperidol [Haldol]) - -b
-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?
(SATA)
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. - -b, c, & d
-Which developmental characteristic should a nurse identify as typical of a client diagnosed
with severe intellectual disability?
A. The client can perform some self-care activities independently.
B. The client has advanced speech development.
C. Other than possible coordination problems, the clients psychomotor skills are not affected.
D. The client communicates wants and needs by acting out behaviors. - -D
-Which nursing intervention related to self-care would be most appropriate for a teenager
diagnosed with moderate intellectual disability?
A. Meeting all of the clients self-care needs to avoid injury
B. Providing simple directions and praising clients independent self-care efforts
C. Avoiding interference with the clients self-care efforts in order to promote autonomy
D. Encouraging family to meet the clients self-care needs to promote bonding - -B
, -A child has been diagnosed with autism spectrum disorder. The distraught mother cries out,
Im such a terrible mother. What did I do to cause this? Which nursing reply is most
appropriate?
A. Researchers really dont know what causes autistic disorder, but the relationship between
autistic disorder and fetal alcohol syndrome is being explored.
B. Poor parenting doesnt cause autism. Research has shown that abnormalities in brain
structure and/or function are to blame. This is beyond your control.
C. Research has shown that the mother appears to play a greater role in the development of
this disorder than the father.
D. Lack of early infant bonding with the mother has shown to be a cause of autistic disorder.
Did you breastfeed or bottle-feed? - -B
-In planning care for a child diagnosed with autistic spectrum disorder, which would be a
realistic client outcome?
A. The client will communicate all needs verbally by discharge.
B. The client will participate with peers in a team sport by day 4.
C. The client will establish trust with at least one caregiver by day 5.
D. The client will perform most self-care tasks independently. - -C
-After an adolescent diagnosed with attention deficit-hyperactivity disorder (ADHD) begins
methylphenidate (Ritalin) therapy, a nurse notes that the adolescent loses 10 pounds in a 2-
month period. What is the best explanation for this weight loss?
A. The pharmacological action of Ritalin causes a decrease in appetite.
B. Hyperactivity seen in ADHD causes increased caloric expenditure.
C. Side effects of Ritalin cause nausea; therefore, caloric intake is decreased.
D. Increased ability to concentrate allows the client to focus on activities rather than food. - -A
-A preschool child is admitted to a psychiatric unit with a diagnosis of autism spectrum
disorder. To help the child feel more secure on the unit, which intervention should a nurse
include in this clients plan of care?
A. Encourage and reward peer contact.
B. Provide consistent caregivers
C. Provide a variety of safe daily activities.
D. Maintain close physical contact throughout the day. - -B
-A preschool child diagnosed with autism spectrum disorder has been engaging in constant
head-banging behavior. Which nursing intervention is appropriate?
A. Place client in restraints until the aggression subsides.
