Chapter 31: Child Psychiatry
Test Bank
MULTIPLE CHOICE
1. Which complaint is representative of anxiety in a 6-year-old child?
a. I worry that my dad will get hurt at work.
b. I get a stomach ache when its my weekend at my dads house.
c. I cant sleep when I stay at Grandmas because I worry about my mom.
d. Im not going to sports camp because I dont like being away from my friends.
ANS: A
Developmental differences exist with regard to the symptoms of anxiety. Children between the
ages of 5 and 8 years old most commonly report unrealistic worry about harm to their parents.
Between the ages of 9 and 12 years, children report excessive distress during times of separation.
Adolescents typically report somatic complaints.
2. Which of the following meets the DSM-IV-TR criteria for moderate mental retardation?
a. Requires constant one-on-one supervision and total physical care
b. Advanced as far as the sixth grade and works at a warehouse every day and
supports himself
c. Advanced as far as the second grade and provides her own personal care with
supervision
d. Attends the local community college for developmental English and math
courses
ANS: C
Individuals diagnosed as having moderate mental retardation acquire some communication
skills, but rarely advance academically beyond the second grade. With supervision they can
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,provide for their own personal care. Persons requiring constant supervision and total physical
care would be considered profoundly retarded. Persons achieving elementary or above learning
skills would be considered mildly retarded.
3. The nurse is assessing a child with autism. Which of the following behaviors would the nurse
expect to observe?
a. Referring to their imaginary friend, Skipper
b. Asking to telephone my friends on the weekends
c. Repeating, milk, milk, milk, milk until given a drink
d. Is insistent that a dim light be left on in the bedroom at night
ANS: C
Stereotyped and repetitive use of language or idiosyncratic language is one of the characteristic
behaviors seen in autism. The remaining options are normal characteristics of a child in various
developmental stages.
4. Which behavior best supports the diagnosis of attention-deficit/hyperactivity disorder in an 8-
year-old child?
a. Cries when separated from his mother or father
b. Refuses to pick up toys as instructed by his parents
c. Is fascinated with spinning and moving toys and objects
d. Can concentrate on school work for only very short periods of time
ANS: D
Experiencing difficulty concentrating on tasks is a hallmark for ADHD. Crying is a characteristic
of separation anxiety. Disobedience as described may represent oppositional behavior. Focusing
on repetitious motion is characteristic of autism.
5. Which behavior is most characteristic of a conduct disorder?
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, a. Frequently getting up and interrupting while being read to
b. Only apologizes for hitting a friend to avoid being punished
c. Finds it difficult to spend the night away from family members
d. Becomes extremely agitated when the television is turned off
ANS: B
Children or adolescents with conduct disorder generally do not empathize with other peoples
feelings and are unconcerned with others situations or needs. They exhibit uncaring behavior, but
they will often express words of guilt or remorse because they have learned that it reduces or
prevents punishment. ADHD is often characterized by hyperactivity. Separation anxiety is often
responsible for a childs resistance to spending time away from home. Autism can be the cause of
exaggerated responses.
6. Which assessment finding should be considered a high risk factor for adolescent suicide?
a. Being sexually abused
b. Having experienced panic attacks
c. Being mildly cognitively impaired
d. Having a diagnosis of type 1 diabetes
ANS: A
Suicide risk factors include a history of sexual abuse. There is no current research to support a
strong relationship between suicide attempts and any of the other options.
7. Planning for a patient with Aspergers disorder will be facilitated if the nurse understands that
this disorder is different from autism. The nurse will base care on knowledge that Aspergers
disorder is characterized by:
a. Repetitive patterns of behavior
b. Age-appropriate language development
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Test Bank
MULTIPLE CHOICE
1. Which complaint is representative of anxiety in a 6-year-old child?
a. I worry that my dad will get hurt at work.
b. I get a stomach ache when its my weekend at my dads house.
c. I cant sleep when I stay at Grandmas because I worry about my mom.
d. Im not going to sports camp because I dont like being away from my friends.
ANS: A
Developmental differences exist with regard to the symptoms of anxiety. Children between the
ages of 5 and 8 years old most commonly report unrealistic worry about harm to their parents.
Between the ages of 9 and 12 years, children report excessive distress during times of separation.
Adolescents typically report somatic complaints.
2. Which of the following meets the DSM-IV-TR criteria for moderate mental retardation?
a. Requires constant one-on-one supervision and total physical care
b. Advanced as far as the sixth grade and works at a warehouse every day and
supports himself
c. Advanced as far as the second grade and provides her own personal care with
supervision
d. Attends the local community college for developmental English and math
courses
ANS: C
Individuals diagnosed as having moderate mental retardation acquire some communication
skills, but rarely advance academically beyond the second grade. With supervision they can
HTTPS://PASINGGRADES.COM/
,provide for their own personal care. Persons requiring constant supervision and total physical
care would be considered profoundly retarded. Persons achieving elementary or above learning
skills would be considered mildly retarded.
3. The nurse is assessing a child with autism. Which of the following behaviors would the nurse
expect to observe?
a. Referring to their imaginary friend, Skipper
b. Asking to telephone my friends on the weekends
c. Repeating, milk, milk, milk, milk until given a drink
d. Is insistent that a dim light be left on in the bedroom at night
ANS: C
Stereotyped and repetitive use of language or idiosyncratic language is one of the characteristic
behaviors seen in autism. The remaining options are normal characteristics of a child in various
developmental stages.
4. Which behavior best supports the diagnosis of attention-deficit/hyperactivity disorder in an 8-
year-old child?
a. Cries when separated from his mother or father
b. Refuses to pick up toys as instructed by his parents
c. Is fascinated with spinning and moving toys and objects
d. Can concentrate on school work for only very short periods of time
ANS: D
Experiencing difficulty concentrating on tasks is a hallmark for ADHD. Crying is a characteristic
of separation anxiety. Disobedience as described may represent oppositional behavior. Focusing
on repetitious motion is characteristic of autism.
5. Which behavior is most characteristic of a conduct disorder?
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, a. Frequently getting up and interrupting while being read to
b. Only apologizes for hitting a friend to avoid being punished
c. Finds it difficult to spend the night away from family members
d. Becomes extremely agitated when the television is turned off
ANS: B
Children or adolescents with conduct disorder generally do not empathize with other peoples
feelings and are unconcerned with others situations or needs. They exhibit uncaring behavior, but
they will often express words of guilt or remorse because they have learned that it reduces or
prevents punishment. ADHD is often characterized by hyperactivity. Separation anxiety is often
responsible for a childs resistance to spending time away from home. Autism can be the cause of
exaggerated responses.
6. Which assessment finding should be considered a high risk factor for adolescent suicide?
a. Being sexually abused
b. Having experienced panic attacks
c. Being mildly cognitively impaired
d. Having a diagnosis of type 1 diabetes
ANS: A
Suicide risk factors include a history of sexual abuse. There is no current research to support a
strong relationship between suicide attempts and any of the other options.
7. Planning for a patient with Aspergers disorder will be facilitated if the nurse understands that
this disorder is different from autism. The nurse will base care on knowledge that Aspergers
disorder is characterized by:
a. Repetitive patterns of behavior
b. Age-appropriate language development
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