NUR 2488 Mental Health Study Guide Final Exam,Exam 2 Study Guide & ATI
Mental Health B! RATED A+
What is Autism Spectrum Disorder? - Answer- impairment in communication/interaction
- restrictive or repetitive behaviors/sensory interests
- difficulty with transitions
- language difficulties vary
- co-occurs with sleep disorders, feeding disorders, epilepsy
- wide variation in functioning
- not prone to violence
A nurse is caring for a 5 y/o child. Parents report expected development until age 3 then began speaking
less, avoiding physical touch, and showing less emotion. Child is now withdrawn, doesn't want to play
with other children, places toys and shoes in rows, eats only 3 foods. Last physical exam was 3 years ago.
Child does not attend school bc parents say they 'aren't ready'. Child is awake and alert but doesn't
respond when spoken to and avoids eye contact. Persistently shakes both hands and rocks back and
forth when sitting still. What actions should the nurse take to aid in determining a diagnosis for the
child? - Answer- complete physical assessment
- intervene for children with high risk behaviors
- obtain family history
- obtain complete medical history
- obtain pregnancy and birth history
- provide reassurance to parents
- assess parental acceptance
- provide referral to appropriate services (speech, PT, special education)
, A nurse working at a wellness center discussing developmental milestones with guardians of a 2 y/o.
One parent says the 'child does not behave like others at the park or at play dates, I think there might be
something wrong'. Which is a therapeutic response to the guardians concern?
A. Since neurodevelopmental disorders aren't usually apparent until a child goes to school, it's best to
wait until they are of school age to do testing.
B. Some children lag slightly in neurodevelopment, so your child will likely catch up to other children
their age as they grow.
C. Let's do a neurodevelopmental screening for your child at this visit to investigate your concerns
D. We should arrange for a cognitive function assessment right away if there is a history of
neurodevelopmental disorders in your family - AnswerC. Because a child usually manifests
neurodevelopmental disorder cues at an early age, regular screenings at visits are important and should
occur whenever a concern is raised.
A nurse is providing an inservice training to a group of newly licensed nurses about their function as part
of the interdisciplinary team providing care to clients who have neurodevelopmental disorders. Which
of the following statements should the nurse include in the presentation?
A. The presence of comorbidities in many clients who have neurodevelopmental disorders requires
working with various providers in order to deliver effective services
B. A nurse who works in an interprofessional team shares liability for any treatment problems or errors
C. Nurses are limited to facilitating the treatment team's agenda
D. Working in an interprofessional team provides a better protection against client violence - AnswerA.,
person centered care requires the nurse to help coordinate all aspects of care, ensuring that the whole
person and each condition receives appropriate attention
Which of the following behaviors is commonly associated with clients who have autism spectrum
disorder?
A. Pretends by role-playing
B. Lines up toys in their bedroom
C. Washes their hands multiple times a day
D. Repetitive involuntary movement - AnswerB. Lines up toys in their bedroom, clients who have ASD
might participate in repetitive and restrictive activities
ADHD or ASD?
Mental Health B! RATED A+
What is Autism Spectrum Disorder? - Answer- impairment in communication/interaction
- restrictive or repetitive behaviors/sensory interests
- difficulty with transitions
- language difficulties vary
- co-occurs with sleep disorders, feeding disorders, epilepsy
- wide variation in functioning
- not prone to violence
A nurse is caring for a 5 y/o child. Parents report expected development until age 3 then began speaking
less, avoiding physical touch, and showing less emotion. Child is now withdrawn, doesn't want to play
with other children, places toys and shoes in rows, eats only 3 foods. Last physical exam was 3 years ago.
Child does not attend school bc parents say they 'aren't ready'. Child is awake and alert but doesn't
respond when spoken to and avoids eye contact. Persistently shakes both hands and rocks back and
forth when sitting still. What actions should the nurse take to aid in determining a diagnosis for the
child? - Answer- complete physical assessment
- intervene for children with high risk behaviors
- obtain family history
- obtain complete medical history
- obtain pregnancy and birth history
- provide reassurance to parents
- assess parental acceptance
- provide referral to appropriate services (speech, PT, special education)
, A nurse working at a wellness center discussing developmental milestones with guardians of a 2 y/o.
One parent says the 'child does not behave like others at the park or at play dates, I think there might be
something wrong'. Which is a therapeutic response to the guardians concern?
A. Since neurodevelopmental disorders aren't usually apparent until a child goes to school, it's best to
wait until they are of school age to do testing.
B. Some children lag slightly in neurodevelopment, so your child will likely catch up to other children
their age as they grow.
C. Let's do a neurodevelopmental screening for your child at this visit to investigate your concerns
D. We should arrange for a cognitive function assessment right away if there is a history of
neurodevelopmental disorders in your family - AnswerC. Because a child usually manifests
neurodevelopmental disorder cues at an early age, regular screenings at visits are important and should
occur whenever a concern is raised.
A nurse is providing an inservice training to a group of newly licensed nurses about their function as part
of the interdisciplinary team providing care to clients who have neurodevelopmental disorders. Which
of the following statements should the nurse include in the presentation?
A. The presence of comorbidities in many clients who have neurodevelopmental disorders requires
working with various providers in order to deliver effective services
B. A nurse who works in an interprofessional team shares liability for any treatment problems or errors
C. Nurses are limited to facilitating the treatment team's agenda
D. Working in an interprofessional team provides a better protection against client violence - AnswerA.,
person centered care requires the nurse to help coordinate all aspects of care, ensuring that the whole
person and each condition receives appropriate attention
Which of the following behaviors is commonly associated with clients who have autism spectrum
disorder?
A. Pretends by role-playing
B. Lines up toys in their bedroom
C. Washes their hands multiple times a day
D. Repetitive involuntary movement - AnswerB. Lines up toys in their bedroom, clients who have ASD
might participate in repetitive and restrictive activities
ADHD or ASD?
