BURNS - CH 30 / Mental Health
Disorders Questions with Correct
Answers
During a well child examination on a 4 month old infant, the primary care pediatric nurse
practitioner evaluates mental health issues. Which statement by the parent indicates a
potential problem with the parent-infant relationship?
a."I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises." - ANSWERSb. "I let my baby cry a
while to learn to be patient."
A child has a difficult temperament. What will the primary care pediatric nurse
practitioner tell the parent about managing this child's behavior?
a. A difficult temperament is its own risk factor for maladjustment disorders.
b. Children with difficult temperaments need strict adherence to rules.
c. Having a difficult temperament limits intelligence and emotional maturity
d. It is important for the parent to learn to manage criticism and power struggles. -
ANSWERSd. It is important for the parent to learn to manage criticism and power
struggles.
During a well child assessment of a preschool age child, the parent voices concerns
that, because the child has behavior problems at school, the child may have a mental
health disorder. Which initial approach will provide the best information?
a. Ask the parent whether other caregivers have voiced similar concerns.
b. Interview the child separately from the parent to encourage sharing of feelings.
c. Take time to actively listen to the parent's and child's perceptions of the problem.
d. Use a validated screening tool to ensure that all aspects of behaviors are evaluated. -
ANSWERSc. Take time to actively listen to the parent's and child's perceptions of the
problem.
The primary care pediatric nurse practitioner attempts to learn more about the emotional
health of an 18monthold child through which assessment strategy?
a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or herself and other family members
c. Interviewing the child separately from caretakers and parents
, d. Observation of the child with caretakers in structured and unstructured situations -
ANSWERSd. Observation of the child with caretakers in structured and unstructured
situations
A middle school age child is skipping school frequently and getting poor grades since
the child's father was killed while deployed in the military. How will the primary care
pediatric nurse practitioner manage this situation?
a. Prescribe short term antidepressants for this situational depression.
b. Refer the child to a mental health specialist for evaluation and treatment.
c. Schedule extended appointments for counseling and mental health intervention. d.
Suggest that the child have close follow-up by a school counselor. - ANSWERSb. Refer
the child to a mental health specialist for evaluation and treatment.
The parent of a 4yearold child reports that the child seems to be having trouble
adjusting to a new day care and reportedly is always engaging in solitary play when the
parent arrives to pick up the child. What will the primary care pediatric nurse practitioner
do?
a. Ask the parent if the child is slow to warm up to other new situations.
b. Reassure the parent that parallel play is common among preschool age children.
c. Recommend that the parent spend time encouraging the child to play with others.
d. Suggest that the day care center may be neglecting the child. - ANSWERSa. Ask the
parent if the child is slow to warm up to other new situations.
The parent of a schoolage child is concerned because the child has started to express
anger about a grandparent's death even though this occurred when the child was a
toddler. What will the primary care pediatric nurse practitioner tell the parent?
a. Anger is an abnormal reaction to bereavement and loss in this age child.
b. Counseling is needed since the child has had sufficient time to resolve this issue.
c. Grief and bereavement lasting longer than a year may require medication.
d. The significance of this loss must be reworked at each developmental level. -
ANSWERSd. The significance of this loss must be reworked at each developmental
level.
The parent of a schoolage child reports that the child doesn't like being alone in rooms
because of a fear of aliens hiding in closets. What will the primary care pediatric nurse
practitioner tell the parent?
a. "Fear of imaginary creatures does not usually occur at this age."
b. "I may need to refer your child to a pediatric mental health specialist."
c. "Your child is expressing normal fears for a school age child."
d. "Your child may be watching too much violence on television." - ANSWERSa. "Fear
of imaginary creatures does not usually occur at this age."
Disorders Questions with Correct
Answers
During a well child examination on a 4 month old infant, the primary care pediatric nurse
practitioner evaluates mental health issues. Which statement by the parent indicates a
potential problem with the parent-infant relationship?
a."I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises." - ANSWERSb. "I let my baby cry a
while to learn to be patient."
A child has a difficult temperament. What will the primary care pediatric nurse
practitioner tell the parent about managing this child's behavior?
a. A difficult temperament is its own risk factor for maladjustment disorders.
b. Children with difficult temperaments need strict adherence to rules.
c. Having a difficult temperament limits intelligence and emotional maturity
d. It is important for the parent to learn to manage criticism and power struggles. -
ANSWERSd. It is important for the parent to learn to manage criticism and power
struggles.
During a well child assessment of a preschool age child, the parent voices concerns
that, because the child has behavior problems at school, the child may have a mental
health disorder. Which initial approach will provide the best information?
a. Ask the parent whether other caregivers have voiced similar concerns.
b. Interview the child separately from the parent to encourage sharing of feelings.
c. Take time to actively listen to the parent's and child's perceptions of the problem.
d. Use a validated screening tool to ensure that all aspects of behaviors are evaluated. -
ANSWERSc. Take time to actively listen to the parent's and child's perceptions of the
problem.
The primary care pediatric nurse practitioner attempts to learn more about the emotional
health of an 18monthold child through which assessment strategy?
a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or herself and other family members
c. Interviewing the child separately from caretakers and parents
, d. Observation of the child with caretakers in structured and unstructured situations -
ANSWERSd. Observation of the child with caretakers in structured and unstructured
situations
A middle school age child is skipping school frequently and getting poor grades since
the child's father was killed while deployed in the military. How will the primary care
pediatric nurse practitioner manage this situation?
a. Prescribe short term antidepressants for this situational depression.
b. Refer the child to a mental health specialist for evaluation and treatment.
c. Schedule extended appointments for counseling and mental health intervention. d.
Suggest that the child have close follow-up by a school counselor. - ANSWERSb. Refer
the child to a mental health specialist for evaluation and treatment.
The parent of a 4yearold child reports that the child seems to be having trouble
adjusting to a new day care and reportedly is always engaging in solitary play when the
parent arrives to pick up the child. What will the primary care pediatric nurse practitioner
do?
a. Ask the parent if the child is slow to warm up to other new situations.
b. Reassure the parent that parallel play is common among preschool age children.
c. Recommend that the parent spend time encouraging the child to play with others.
d. Suggest that the day care center may be neglecting the child. - ANSWERSa. Ask the
parent if the child is slow to warm up to other new situations.
The parent of a schoolage child is concerned because the child has started to express
anger about a grandparent's death even though this occurred when the child was a
toddler. What will the primary care pediatric nurse practitioner tell the parent?
a. Anger is an abnormal reaction to bereavement and loss in this age child.
b. Counseling is needed since the child has had sufficient time to resolve this issue.
c. Grief and bereavement lasting longer than a year may require medication.
d. The significance of this loss must be reworked at each developmental level. -
ANSWERSd. The significance of this loss must be reworked at each developmental
level.
The parent of a schoolage child reports that the child doesn't like being alone in rooms
because of a fear of aliens hiding in closets. What will the primary care pediatric nurse
practitioner tell the parent?
a. "Fear of imaginary creatures does not usually occur at this age."
b. "I may need to refer your child to a pediatric mental health specialist."
c. "Your child is expressing normal fears for a school age child."
d. "Your child may be watching too much violence on television." - ANSWERSa. "Fear
of imaginary creatures does not usually occur at this age."
