Chapter 33: The Child with an Emotional or
Behavioral Condition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. An adolescent is brought to the emergency department after an automobile accident. When the
nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred
and his gait is ataxic. What does the nurse suspect the adolescent has used?
a. Alcohol
b. Cocaine
c. Amphetamines
d. PCP
ANS: A
Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness,
combativeness, and violence.
DIF: Cognitive Level: Analysis REF: pp. 775-776 OBJ: 11
TOP: Substance Abuse KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
2. When the nurse is collecting a nursing history, an adolescent states that she has tried speed. For
what does the nurse recognize this as the street name?
a. Barbiturates
b. Cocaine
c. Methamphetamine
d. Marijuana
ANS: C
“Speed” is the street name for methamphetamine.
DIF: Cognitive Level: Knowledge REF: p. 775 | Table 33.2
, OBJ: 11 TOP: Substance Abuse
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
3. How would the nurse identify a member of the child guidance team who is a medical doctor with
special training in psychoanalytic theory?
a. Psychiatrist
b. Psychoanalyst
c. Psychologist
d. Counselor
ANS: A
The psychiatrist is a medical doctor; the psychoanalyst may be a medical doctor or a
psychologist. The psychologist is not a medical doctor, and neither is the counselor.
DIF: Cognitive Level: Knowledge REF: p. 767 OBJ: 2
TOP: Psychoanalytic Professional KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
4. A young child on the pediatric unit cannot express himself well. What therapeutic intervention
might the nurse implement that allows children to act out their feelings?
a. Art therapy
b. Play therapy
c. Music therapy
d. Bibliotherapy
ANS: B
Play therapy allows a young child to act out with dolls or figures concerns that the child may
be unable to adequately express verbally.
DIF: Cognitive Level: Comprehension REF: p. 767 OBJ: 2
TOP: Play Therapy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
Behavioral Condition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. An adolescent is brought to the emergency department after an automobile accident. When the
nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred
and his gait is ataxic. What does the nurse suspect the adolescent has used?
a. Alcohol
b. Cocaine
c. Amphetamines
d. PCP
ANS: A
Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness,
combativeness, and violence.
DIF: Cognitive Level: Analysis REF: pp. 775-776 OBJ: 11
TOP: Substance Abuse KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
2. When the nurse is collecting a nursing history, an adolescent states that she has tried speed. For
what does the nurse recognize this as the street name?
a. Barbiturates
b. Cocaine
c. Methamphetamine
d. Marijuana
ANS: C
“Speed” is the street name for methamphetamine.
DIF: Cognitive Level: Knowledge REF: p. 775 | Table 33.2
, OBJ: 11 TOP: Substance Abuse
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
3. How would the nurse identify a member of the child guidance team who is a medical doctor with
special training in psychoanalytic theory?
a. Psychiatrist
b. Psychoanalyst
c. Psychologist
d. Counselor
ANS: A
The psychiatrist is a medical doctor; the psychoanalyst may be a medical doctor or a
psychologist. The psychologist is not a medical doctor, and neither is the counselor.
DIF: Cognitive Level: Knowledge REF: p. 767 OBJ: 2
TOP: Psychoanalytic Professional KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
4. A young child on the pediatric unit cannot express himself well. What therapeutic intervention
might the nurse implement that allows children to act out their feelings?
a. Art therapy
b. Play therapy
c. Music therapy
d. Bibliotherapy
ANS: B
Play therapy allows a young child to act out with dolls or figures concerns that the child may
be unable to adequately express verbally.
DIF: Cognitive Level: Comprehension REF: p. 767 OBJ: 2
TOP: Play Therapy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
