Chapter 34: Children and Adolescents
Steele: Keltner’s Psychiatric Nursing,
MULTIPLE CHOICE
1. Which factor presents the most imminent risk for the development of a childhood psychiatric
disorder?
a. Having an uncle diagnosed with schizophrenia
b. Living in a low-income family
c. Being the oldest child in a family
d. Living with an alcoholic parent
ANS: D
Having a parent with a substance abuse problem has been designated an adverse psychosocial
condition that increases the risk of a child developing a psychiatric condition. Neither being in a
low-income family nor being the oldest child are considered psychosocial adversity situations.
While having an extended family history of schizophrenia presents a risk, the negative childhood
events associated with having an alcoholic parent present a higher level of risk.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: Client Needs: Psychosocial Integrity
2. Which behavior indicates that the treatment plan for a 5-year-old child diagnosed with autistic
disorder has been effective?
a. Is content to play with one toy for hours.
b. Repeats words spoken by a parent.
c. Holds the parent‘s hand while walking.
d. Finds enjoyment in clapping his or her hands while walking.
ANS: C
, Holding the hand of another person suggests relatedness. Usually, a child with autism would
resist holding someone‘s hand and stand or walk alone, perhaps flapping arms or moving in a
stereotyped pattern. The other options reflect behaviors that are consistent with autistic disorder.
DIF: Cognitive level: Analyzing TOP: Nursing process: Evaluation
MSC: Client Needs: Psychosocial Integrity
Steele: Keltner’s Psychiatric Nursing,
MULTIPLE CHOICE
1. Which factor presents the most imminent risk for the development of a childhood psychiatric
disorder?
a. Having an uncle diagnosed with schizophrenia
b. Living in a low-income family
c. Being the oldest child in a family
d. Living with an alcoholic parent
ANS: D
Having a parent with a substance abuse problem has been designated an adverse psychosocial
condition that increases the risk of a child developing a psychiatric condition. Neither being in a
low-income family nor being the oldest child are considered psychosocial adversity situations.
While having an extended family history of schizophrenia presents a risk, the negative childhood
events associated with having an alcoholic parent present a higher level of risk.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: Client Needs: Psychosocial Integrity
2. Which behavior indicates that the treatment plan for a 5-year-old child diagnosed with autistic
disorder has been effective?
a. Is content to play with one toy for hours.
b. Repeats words spoken by a parent.
c. Holds the parent‘s hand while walking.
d. Finds enjoyment in clapping his or her hands while walking.
ANS: C
, Holding the hand of another person suggests relatedness. Usually, a child with autism would
resist holding someone‘s hand and stand or walk alone, perhaps flapping arms or moving in a
stereotyped pattern. The other options reflect behaviors that are consistent with autistic disorder.
DIF: Cognitive level: Analyzing TOP: Nursing process: Evaluation
MSC: Client Needs: Psychosocial Integrity
