NURS 302 Final Questions with Detailed Verified
Answers
3. A child has been diagnosed with autistic spectrum disorder. The distraught mother
cries out, "I'm such a terrible mother. What did I do to cause this?" Which nursing
response is most appropriate?
1. "Researchers really don't know what causes autistic spectrum disorder, but the
relationship between autistic disorder and fetal alcohol syndrome is being explored."
2. "Poor parenting doesn't cause autistic spectrum disorder. Research has shown that
abnormalities in brain structure or function are to blame. This is beyond your control."
3. "Research has shown that the mother appears to play a greater role in the
development of autistic spectrum disorder than the father."
4. "Lack of early infant bonding with the mother has shown to be a cause of autistic
spectrum disorder. Did you breastfeed or bottle-feed?" Ans: 2
4. In planning care for a child diagnosed with autistic spectrum disorder, which would
be a realistic client outcome?
1. The client will communicate all needs verbally by discharge.
2. The client will participate with peers in a team sport by day four.
3. The client will establish trust with at least one caregiver by day five.
4. The client will perform most self-care tasks independently. Ans: 3
5. 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?
,1. The pharmacological action of Ritalin causes a decrease in appetite.
2. Hyperactivity seen in ADHD causes increased caloric expenditure.
3. Side effects of Ritalin cause nausea, and, therefore, caloric intake is decreased.
4. Increased ability to concentrate allows the client to focus on activities rather than
food. Ans: 1
6. A nurse assesses an adolescent client diagnosed with conduct disorder who, at the
age of 8, was sentenced to juvenile detention. How should the nurse interpret this
assessment data?
1. Childhood-onset conduct disorder is more severe than the adolescent-onset type,
and these individuals likely develop antisocial personality disorder in adulthood.
2. Childhood-onset conduct disorder is caused by a difficult temperament, and the
child is likely to outgrow these behaviors by adulthood.
3. Childhood-onset conduct disorder is diagnosed only when behaviors emerge before
the age of 5, and, therefore, improvement is likely.
4. Childhood-onset conduct disorder has no treatment or cure, and children diagnosed
with this disorder are likely to develop progressive oppositional defiant disorder. Ans:
1
7. Which finding should a nurse expect when assessing a child diagnosed with
separation anxiety disorder?
1. The child has a history of antisocial behaviors.
2. The child's mother is diagnosed with an anxiety disorder.
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,3. The child previously had an extroverted temperament.
4. The child's mother and father have an inconsistent parenting style. Ans: 2
10. A preschool child is admitted to a psychiatric unit with the diagnosis autistic
spectrum disorder. To help the child feel more secure on the unit, which intervention
should a nurse include in this client's plan of care?
1. Encourage and reward peer contact.
2. Provide consistent caregivers.
3. Provide a variety of safe daily activities.
4. Maintain close physical contact throughout the day. Ans: 2
11. A preschool child diagnosed with autistic spectrum disorder has been engaging in
constant head-banging behavior. Which nursing intervention is appropriate?
1. Place client in restraints until the aggression subsides.
2. Sedate the client with neuroleptic medications.
3. Hold client's head steady and apply a helmet.
4. Distract the client with a variety of games and puzzles. Ans: 3
13. Which behavioral approach should a nurse use when caring for children diagnosed
with disruptive behavior disorders?
1. Involving parents in designing and implementing the treatment process
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, 2. Reinforcing positive actions to encourage repetition of desirable behaviors
3. Providing opportunities to learn appropriate peer interactions
4. Administering psychotropic medications to improve quality of life Ans: 2
14. A child diagnosed with severe autistic spectrum disorder has the nursing diagnosis
disturbed personal identity. Which outcome would best address this client diagnosis?
1. The client will name own body parts as separate from others by day five.
2. The client will establish a means of communicating personal needs by discharge.
3. The client will initiate social interactions with caregivers by day four.
4. The client will not harm self or others by discharge. Ans: 1
15. A nursing instructor presents a case study in which a three-year-old child is in
constant motion and is unable to sit still during story time. She asks a student to
evaluate this child's behavior. Which student response indicates an appropriate
evaluation of the situation?
1. "This child's behavior must be evaluated according to developmental norms."
2. "This child has symptoms of attention deficit-hyperactivity disorder."
3. "This child has symptoms of the early stages of autistic disorder."
4. "This child's behavior indicates possible symptoms of oppositional defiant disorder."
Ans: 1
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Answers
3. A child has been diagnosed with autistic spectrum disorder. The distraught mother
cries out, "I'm such a terrible mother. What did I do to cause this?" Which nursing
response is most appropriate?
1. "Researchers really don't know what causes autistic spectrum disorder, but the
relationship between autistic disorder and fetal alcohol syndrome is being explored."
2. "Poor parenting doesn't cause autistic spectrum disorder. Research has shown that
abnormalities in brain structure or function are to blame. This is beyond your control."
3. "Research has shown that the mother appears to play a greater role in the
development of autistic spectrum disorder than the father."
4. "Lack of early infant bonding with the mother has shown to be a cause of autistic
spectrum disorder. Did you breastfeed or bottle-feed?" Ans: 2
4. In planning care for a child diagnosed with autistic spectrum disorder, which would
be a realistic client outcome?
1. The client will communicate all needs verbally by discharge.
2. The client will participate with peers in a team sport by day four.
3. The client will establish trust with at least one caregiver by day five.
4. The client will perform most self-care tasks independently. Ans: 3
5. 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?
,1. The pharmacological action of Ritalin causes a decrease in appetite.
2. Hyperactivity seen in ADHD causes increased caloric expenditure.
3. Side effects of Ritalin cause nausea, and, therefore, caloric intake is decreased.
4. Increased ability to concentrate allows the client to focus on activities rather than
food. Ans: 1
6. A nurse assesses an adolescent client diagnosed with conduct disorder who, at the
age of 8, was sentenced to juvenile detention. How should the nurse interpret this
assessment data?
1. Childhood-onset conduct disorder is more severe than the adolescent-onset type,
and these individuals likely develop antisocial personality disorder in adulthood.
2. Childhood-onset conduct disorder is caused by a difficult temperament, and the
child is likely to outgrow these behaviors by adulthood.
3. Childhood-onset conduct disorder is diagnosed only when behaviors emerge before
the age of 5, and, therefore, improvement is likely.
4. Childhood-onset conduct disorder has no treatment or cure, and children diagnosed
with this disorder are likely to develop progressive oppositional defiant disorder. Ans:
1
7. Which finding should a nurse expect when assessing a child diagnosed with
separation anxiety disorder?
1. The child has a history of antisocial behaviors.
2. The child's mother is diagnosed with an anxiety disorder.
© Get it right 2025 Getaway - Stuvia US All rights reserved
,3. The child previously had an extroverted temperament.
4. The child's mother and father have an inconsistent parenting style. Ans: 2
10. A preschool child is admitted to a psychiatric unit with the diagnosis autistic
spectrum disorder. To help the child feel more secure on the unit, which intervention
should a nurse include in this client's plan of care?
1. Encourage and reward peer contact.
2. Provide consistent caregivers.
3. Provide a variety of safe daily activities.
4. Maintain close physical contact throughout the day. Ans: 2
11. A preschool child diagnosed with autistic spectrum disorder has been engaging in
constant head-banging behavior. Which nursing intervention is appropriate?
1. Place client in restraints until the aggression subsides.
2. Sedate the client with neuroleptic medications.
3. Hold client's head steady and apply a helmet.
4. Distract the client with a variety of games and puzzles. Ans: 3
13. Which behavioral approach should a nurse use when caring for children diagnosed
with disruptive behavior disorders?
1. Involving parents in designing and implementing the treatment process
© Get it right 2025 Getaway - Stuvia US All rights reserved
, 2. Reinforcing positive actions to encourage repetition of desirable behaviors
3. Providing opportunities to learn appropriate peer interactions
4. Administering psychotropic medications to improve quality of life Ans: 2
14. A child diagnosed with severe autistic spectrum disorder has the nursing diagnosis
disturbed personal identity. Which outcome would best address this client diagnosis?
1. The client will name own body parts as separate from others by day five.
2. The client will establish a means of communicating personal needs by discharge.
3. The client will initiate social interactions with caregivers by day four.
4. The client will not harm self or others by discharge. Ans: 1
15. A nursing instructor presents a case study in which a three-year-old child is in
constant motion and is unable to sit still during story time. She asks a student to
evaluate this child's behavior. Which student response indicates an appropriate
evaluation of the situation?
1. "This child's behavior must be evaluated according to developmental norms."
2. "This child has symptoms of attention deficit-hyperactivity disorder."
3. "This child has symptoms of the early stages of autistic disorder."
4. "This child's behavior indicates possible symptoms of oppositional defiant disorder."
Ans: 1
© Get it right 2025 Getaway - Stuvia US All rights reserved
