Burns Ch. 15 Behavioral and Mental
Health Promotion Questions with
Correct Answers
flexibility - ANSWERSA child who has attentiondeficit/hyperactivity disorder (ADHD) has
difficulty
stopping activities to begin other activities at school. The primary care pediatric nurse
practitioner understands that this is due to difficulty with the selfregulation component of
a. Emotional control
b. Flexibility
c. Inhibition
d. Problem-solving
executive function - ANSWERSThe primary care pediatric nurse practitioner cares for a
preschoolage child
who was exposed to drugs prenatally. The child bites other children and has tantrums
when asked to stop but is able to state later why this behavior is wrong. This child most
likely has a disorder of
a. Executive function
b. Information processing
c. Sensory processing
d. Social cognition
about friends and activities at school. - ANSWERSThe primary care pediatric nurse
practitioner uses the Neurodevelopmental
Learning Framework to assess cognition and learning in an adolescent. When
evaluating
social cognition, the nurse practitioner will ask the adolescent
504 - ANSWERSThe primary care pediatric nurse practitioner is evaluating a schoolage
child
who has been diagnosed with ADHD. Which plan will the nurse practitioner recommend
asking the child's school about to help with academic performance?
Activation - ANSWERSThe parent of a child diagnosed with ADHD tells the primary
care pediatric nurse practitioner that the child gets overwhelmed by homework
assignments, doesn't seem to know which ones to do first, and then doesn't do any
assignments. The nurse practitioner
tells the parent that this represents impairment in which executive function?
a. Activation
b. Effort
c. Emotion
, d. Focus
Moderatedose stimulant - ANSWERSThe primary care pediatric nurse practitioner is
considering medication
options for a schoolage child recently diagnosed with ADHD who has a primarily
hyperactive
presentation. Which medication will the nurse practitioner select initially?
Overresponder - ANSWERSThe parent of a 4yearold child reports that the child gets
upset when the
hall light is left on at night and won't leave the house unless both shoes are tied equally
tight. The primary care pediatric nurse practitioner recognizes that this child likely has
which type of
sensory processing disorder?
Maintaining predictable routines as much as possible - ANSWERSThe parent of a
preschoolage child who is diagnosed with a sensory
processing disorder (SPD) asks the primary care pediatric nurse practitioner how to
help the
child manage the symptoms. What will the nurse practitioner recommend?
a. Establishing a reward system for acceptable behaviors
b. Introducing the child to a variety of new experiences
c. Maintaining predictable routines as much as possible
d. Providing frequent contact, such as hugs and cuddling
Ask the parent to describe the child's earlier behaviors from infancy through preschool. -
ANSWERSThe primary care pediatric nurse practitioner is performing an examination
on
a 5yearold child who exhibits ritualistic behaviors, avoids contact with other children,
and has limited speech. The parent reports having had concerns more than 2 years ago
about autism, but was told that it was too early to diagnose. What will the nurse
practitioner do first?
Administer an M-CHAT screen to screen the child for communication and
socialization delays.
b. Ask the parent to describe the child's earlier behaviors from infancy through
preschool.
c. Reassure the parent that if symptoms weren't present earlier, the likelihood of
autism is low.
d. Refer the child to a pediatric behavioral specialist to develop a plan of treatment
and management.
Autism spectrum disorder - ANSWERSThe primary care pediatric nurse practitioner is
examining a 3yearold child
who speaks loudly, in a monotone, does not make eye contact, and prefers to sit on the
exam room floor moving a toy truck back and forth in a repetitive manner. Which
disorder does the nurse practitioner suspect?
Health Promotion Questions with
Correct Answers
flexibility - ANSWERSA child who has attentiondeficit/hyperactivity disorder (ADHD) has
difficulty
stopping activities to begin other activities at school. The primary care pediatric nurse
practitioner understands that this is due to difficulty with the selfregulation component of
a. Emotional control
b. Flexibility
c. Inhibition
d. Problem-solving
executive function - ANSWERSThe primary care pediatric nurse practitioner cares for a
preschoolage child
who was exposed to drugs prenatally. The child bites other children and has tantrums
when asked to stop but is able to state later why this behavior is wrong. This child most
likely has a disorder of
a. Executive function
b. Information processing
c. Sensory processing
d. Social cognition
about friends and activities at school. - ANSWERSThe primary care pediatric nurse
practitioner uses the Neurodevelopmental
Learning Framework to assess cognition and learning in an adolescent. When
evaluating
social cognition, the nurse practitioner will ask the adolescent
504 - ANSWERSThe primary care pediatric nurse practitioner is evaluating a schoolage
child
who has been diagnosed with ADHD. Which plan will the nurse practitioner recommend
asking the child's school about to help with academic performance?
Activation - ANSWERSThe parent of a child diagnosed with ADHD tells the primary
care pediatric nurse practitioner that the child gets overwhelmed by homework
assignments, doesn't seem to know which ones to do first, and then doesn't do any
assignments. The nurse practitioner
tells the parent that this represents impairment in which executive function?
a. Activation
b. Effort
c. Emotion
, d. Focus
Moderatedose stimulant - ANSWERSThe primary care pediatric nurse practitioner is
considering medication
options for a schoolage child recently diagnosed with ADHD who has a primarily
hyperactive
presentation. Which medication will the nurse practitioner select initially?
Overresponder - ANSWERSThe parent of a 4yearold child reports that the child gets
upset when the
hall light is left on at night and won't leave the house unless both shoes are tied equally
tight. The primary care pediatric nurse practitioner recognizes that this child likely has
which type of
sensory processing disorder?
Maintaining predictable routines as much as possible - ANSWERSThe parent of a
preschoolage child who is diagnosed with a sensory
processing disorder (SPD) asks the primary care pediatric nurse practitioner how to
help the
child manage the symptoms. What will the nurse practitioner recommend?
a. Establishing a reward system for acceptable behaviors
b. Introducing the child to a variety of new experiences
c. Maintaining predictable routines as much as possible
d. Providing frequent contact, such as hugs and cuddling
Ask the parent to describe the child's earlier behaviors from infancy through preschool. -
ANSWERSThe primary care pediatric nurse practitioner is performing an examination
on
a 5yearold child who exhibits ritualistic behaviors, avoids contact with other children,
and has limited speech. The parent reports having had concerns more than 2 years ago
about autism, but was told that it was too early to diagnose. What will the nurse
practitioner do first?
Administer an M-CHAT screen to screen the child for communication and
socialization delays.
b. Ask the parent to describe the child's earlier behaviors from infancy through
preschool.
c. Reassure the parent that if symptoms weren't present earlier, the likelihood of
autism is low.
d. Refer the child to a pediatric behavioral specialist to develop a plan of treatment
and management.
Autism spectrum disorder - ANSWERSThe primary care pediatric nurse practitioner is
examining a 3yearold child
who speaks loudly, in a monotone, does not make eye contact, and prefers to sit on the
exam room floor moving a toy truck back and forth in a repetitive manner. Which
disorder does the nurse practitioner suspect?
