TEST BANK Chapter 26: Children and Adolescents Varcarolis: Essen als
of Psychiatric Mental Health Nursing: A Communica on Approach to
Evidence-Based Care
The health care provider prescribes medica on for a child diagnosed with
a en on-deficit/hyperac vity disorder (ADHD). What is the desired behavior for which the nurse should
monitor?
a. Increased expressiveness in communica ng with others.
b. Improved ability for coopera ve play with other children.
c. Ability to iden fy anxiety and implement self-control strategies.
d. Improved socializa on skills with other children and authority figures.
b. Improved ability for coopera ve play with other children.
A desired outcome for a 12-year-old diagnosed with opposi onal defiant disorder (ODD) is to improve
rela onships with other children. Which treatment modality should the nurse suggest
for the plan of care?
a. Bibliotherapy
b. Music therapy
c. Social skills groups
d. Behavior modifica on
c. Social skills groups
A child diagnosed with a en on-deficit/hyperac vity disorder (ADHD) is going to begin medica on
therapy. The nurse should plan to teach the family about which classifica on of medica ons?
a. Central nervous system s mulants and nons mulants
b. Monoamine oxidase inhibitors (MAOIs)
c. An psycho c medica ons
d. Anxioly c medica ons
a. Central nervous system s mulants and nons mulants
Central nervous system s mulants and nons mulants increase blood flow to the brain and have proven
helpful in reducing hyperac vity in children and adolescents with ADHD. The other medica on
categories listed would not be appropriate.
A nurse will prepare teaching materials regarding which medica on for the parents of a child diagnosed
with enuresis?
a. Haloperidol
b. Desmopressin
c. Methylphenidate
d. Carbamazepine
, c. Methylphenidate
Pharmacological treatment of enuresis commonly includes desmopressin, oxybutynin, various
s mulants, indomethacin, and/or SSRI an depressants. Limited evidence exists for the use of
imipramine. None of the other drugs are appropriate to treat enuresis.
Shortly a er a 15-year-old's parents announce a plan to divorce, the adolescent stops par cipa ng in
sports, sits alone at lunch, and avoids former friends. The adolescent says, "All the other kids have
families. If my parents loved me, then they would stay together."
Which nursing interven on is most appropriate?
a. Develop a plan for ac vi es of daily living.
b. Communicate disbelief rela ve to the adolescent's feelings.
c. Assist the adolescent to differen ate reality from percep ons.
d. Assess and document the adolescent's level of depression daily
c. Assist the adolescent to differen ate reality from percep ons.
When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old
in a group that focuses on what?
a. Play ac vi es exclusively.
b. Group discussion exclusively.
c. Talk focused on a specific issue.
d. Play and then talk about the play ac vity
d. Play and then talk about the play ac vity
When assessing a 2-year-old diagnosed with au sm spectrum disorder, what should a nurse expects?
a. Hyperac vity and a en on deficits
b. Failure to develop interpersonal social skills
c. History of disobedience and destruc ve acts
d. High levels of anxiety when separated from a parent
b. Failure to develop interpersonal social skills
A 4-year-old child cries and screams from the me the parents leave the child at preschool un l the child
is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask,
"What should we do?" What is the nurse's best recommenda on?
a. "Send a picture of yourself to school to keep with the child."
b. "Arrange with the teacher to let the child call home at play me."
c. "Talk with the school about withdrawing the child un l maturity increases."
d. "Talk with your health care provider about a referral to a mental health
professional."
d. "Talk with your health care provider about a referral to a mental health
professional."
of Psychiatric Mental Health Nursing: A Communica on Approach to
Evidence-Based Care
The health care provider prescribes medica on for a child diagnosed with
a en on-deficit/hyperac vity disorder (ADHD). What is the desired behavior for which the nurse should
monitor?
a. Increased expressiveness in communica ng with others.
b. Improved ability for coopera ve play with other children.
c. Ability to iden fy anxiety and implement self-control strategies.
d. Improved socializa on skills with other children and authority figures.
b. Improved ability for coopera ve play with other children.
A desired outcome for a 12-year-old diagnosed with opposi onal defiant disorder (ODD) is to improve
rela onships with other children. Which treatment modality should the nurse suggest
for the plan of care?
a. Bibliotherapy
b. Music therapy
c. Social skills groups
d. Behavior modifica on
c. Social skills groups
A child diagnosed with a en on-deficit/hyperac vity disorder (ADHD) is going to begin medica on
therapy. The nurse should plan to teach the family about which classifica on of medica ons?
a. Central nervous system s mulants and nons mulants
b. Monoamine oxidase inhibitors (MAOIs)
c. An psycho c medica ons
d. Anxioly c medica ons
a. Central nervous system s mulants and nons mulants
Central nervous system s mulants and nons mulants increase blood flow to the brain and have proven
helpful in reducing hyperac vity in children and adolescents with ADHD. The other medica on
categories listed would not be appropriate.
A nurse will prepare teaching materials regarding which medica on for the parents of a child diagnosed
with enuresis?
a. Haloperidol
b. Desmopressin
c. Methylphenidate
d. Carbamazepine
, c. Methylphenidate
Pharmacological treatment of enuresis commonly includes desmopressin, oxybutynin, various
s mulants, indomethacin, and/or SSRI an depressants. Limited evidence exists for the use of
imipramine. None of the other drugs are appropriate to treat enuresis.
Shortly a er a 15-year-old's parents announce a plan to divorce, the adolescent stops par cipa ng in
sports, sits alone at lunch, and avoids former friends. The adolescent says, "All the other kids have
families. If my parents loved me, then they would stay together."
Which nursing interven on is most appropriate?
a. Develop a plan for ac vi es of daily living.
b. Communicate disbelief rela ve to the adolescent's feelings.
c. Assist the adolescent to differen ate reality from percep ons.
d. Assess and document the adolescent's level of depression daily
c. Assist the adolescent to differen ate reality from percep ons.
When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old
in a group that focuses on what?
a. Play ac vi es exclusively.
b. Group discussion exclusively.
c. Talk focused on a specific issue.
d. Play and then talk about the play ac vity
d. Play and then talk about the play ac vity
When assessing a 2-year-old diagnosed with au sm spectrum disorder, what should a nurse expects?
a. Hyperac vity and a en on deficits
b. Failure to develop interpersonal social skills
c. History of disobedience and destruc ve acts
d. High levels of anxiety when separated from a parent
b. Failure to develop interpersonal social skills
A 4-year-old child cries and screams from the me the parents leave the child at preschool un l the child
is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask,
"What should we do?" What is the nurse's best recommenda on?
a. "Send a picture of yourself to school to keep with the child."
b. "Arrange with the teacher to let the child call home at play me."
c. "Talk with the school about withdrawing the child un l maturity increases."
d. "Talk with your health care provider about a referral to a mental health
professional."
d. "Talk with your health care provider about a referral to a mental health
professional."
