Health Nursing 09/09/2026
11th Edition
Test Bank for Davis Advantage for Townsend’s
Psychiatric Mental Health Nursing 11th Edition
by Karyn I. Morgan | Complete Chapters |
2026/2027 Latest Update | Complete Chapter
Questions & Answers with Rationales | Verified
Questions & Answers | Graded A+
A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is most associated with
the child's disorder? The child:
a. has occasional toileting accidents.
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11th Edition
b. is unable to read children's books.
c. cries when separated from a parent.
d. continuously rocks in place for 30 minutes. –
Correct Answer :D
Autism spectrum disorder involves distortions in development of social skills and language that include
perception, motor movement, attention, and reality testing. Body rocking for extended periods suggests autism
spectrum disorder. The distracters are expected findings for a 3-year-old.
A 4-year-old cries for 5 minutes when the parents leave the child at preschool. The parents ask the nurse, "What
should we do?" Select the nurse's best response.
a. "Ask the teacher to let the child call you at play time."
b. "Withdraw the child from preschool until maturity increases."
c. "Remain with your child for the first hour of preschool time."
d. "Give your child a kiss before you leave the preschool program." –
Correct Answer :D
The child demonstrates age-appropriate behavior for a 4-year-old. The nurse should reassure the parents. The
distracters are over-reactions.
Which assessment finding would cause the nurse to consider a child to be most at risk for the development of
mental illness?
a. The child has been raised by a parent with chronic major depression.
b. The child's best friend was absent from the child's birthday party.
c. The child was not promoted to the next grade one year.
d. The child moved to three new homes over a 2-year period. –
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Correct Answer :A
Children raised by a depressed parent have an increased risk of developing an emotional disorder. Familial risk
factors correlate with child psychiatric disorders, including severe marital discord, low socioeconomic status,
large families and overcrowding, parental criminality, maternal psychiatric disorders, and foster-care placement.
The chronicity of the parent's depression means it has been a consistent stressor. The other factors are not as
risk- enhancing.
The child prescribed an antipsychotic medication to manage violent behavior is one most likely diagnosed with:
a. attention deficit hyperactivity disorder.
b. posttraumatic stress disorder.
c. communication disorder.
d. an anxiety disorder. –
Correct Answer :A
Antipsychotic medication is useful for managing aggressive or violent behavior in some children diagnosed with
attention deficit hyperactivity disorder. If medication were prescribed for a child with an anxiety disorder, it
would be a benzodiazepine. Medications are generally not needed for children with communication disorder.
Treatment of PTSD is more often associated with SSRI medications.
A child reports to the school nurse of being verbally bullied by an aggressive classmate. What is the nurse's best
first action?
a. Give notice to the chief administrator at the school regarding the events.
b. Encourage the victimized child to share feelings about the experience.
c. Encourage the victimized child to ignore the bullying behavior.
d. Discuss the events with the aggressive classmate. –
Correct Answer :B
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The behaviors by the bullying child create emotional pain and present the risk for physical pain. The nurse should
first listen to the child's complaints and validate the child for reporting the events. Later, school authorities
should be notified. School administrators are the most appropriate personnel to deal with the bullying child. The
behavior should not be ignored; it will only get worse.
Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a
question is complete, and frequently interrupting others' conversations. How should the nurse document these
behaviors?
a. Disobedience c. Impulsivity
b. Hyperactivity d. Anxiety
- Correct Answer :C
These behaviors are most directly related to impulsivity. Hyperactive behaviors are more physical in nature, such
as running, pushing, and the inability to sit. Inattention is demonstrated by failure to listen. Defiance is
demonstrated by willfully doing what an authority figure has said not to do.
A child diagnosed with attention deficit hyperactivity disorder (ADHD) shows hyperactivity, aggression, and
impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for
which desired behavior?
a. Increased expressiveness in communication with others
b. Abilities to identify anxiety and implement self-control strategies
c. Improved abilities to participate in cooperative play with other children
d. Tolerates social interactions for short periods without disruption or frustration –
Correct Answer :C
The goal is improvement in the child's hyperactivity, aggression, and play. The remaining options are more
relevant for a child with intellectual development disorder or an anxiety disorder.
When group therapy is prescribed as a treatment modality, the nurse would suggest placement of a 9-year-old in
a group that uses:
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