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A 12-year-old child is brought to the mental health clinic by his parents because of a court-ordered evaluation. When assessing the child, which of the following would lead the nurse to suspect that the child has a conduct disorder? Select all that apply.
- A. Destruction of neighbor?s car on two separate occasions
- B. Arrests for petty larceny several times
- C. Repetitive disobedience of parents
- D. Blaming of others for problems
- E. Evidence of overt lying
Correct Answer: A,B,C,D,E
Rationale: Conduct disorder involves persistent patterns of behavior that violate societal norms or others? rights. Destruction of property (A), petty larceny (B), disobedience (C), blaming others (D), and lying (E) are all indicative of conduct disorder, as they reflect aggression, deceit, and rule-breaking.
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The nurse is counseling a family whose child has autism. When describing this condition, which of the following would the nurse most likely include?
- A. Connection to ineffective parental practices
- B. Detection after the child enters school
- C. Onset before child is 2.5 years old
- D. Girls are more frequently affected than boys
Correct Answer: C
Rationale: Autism spectrum disorder (ASD) is characterized by symptoms that typically appear before the age of 3, often by 2.5 years, including challenges in social interaction and communication. Option A is incorrect, as autism is not caused by parenting practices but is neurodevelopmental. Option B is misleading, as detection often occurs before school age. Option D is false, as boys are more frequently affected than girls.
The mother of a child with Asperger disorder tells the nurse that her child has few playmates. She states, 'He has such poor social skills with other children, and he strongly rejects any change in his routine by throwing a tantrum.' Based on this information, the nurse identifies which nursing diagnosis as the priority?
- A. Self-Care Deficits related to repeated tantrums
- B. Risk for Injury related to Asperger disorder
- C. Ineffective Family Coping related to having a child with Asperger disorder
- D. Risk for Social Isolation related to poor social skills of the child
Correct Answer: D
Rationale: The child?s poor social skills and resulting lack of playmates directly point to the nursing diagnosis of Risk for Social Isolation, as this is a primary concern based on the mother?s statement. Option A is less relevant, as tantrums do not directly relate to self-care deficits. Option B is not supported, as no immediate physical danger is described. Option C may apply but is less specific than social isolation in this context.
A nurse is assessing an 8-year-old girl with a mood disorder. Which of the following would the nurse most likely expect to assess?
- A. Statement from the child that she feels sad
- B. Behavioral problems
- C. Recurrent obsessions
- D. Ritualistic behavior
Correct Answer: A
Rationale: Mood disorders in children, such as depression, often present with verbalized feelings of sadness (option A). Behavioral problems (option B) may occur but are less specific. Options C and D are more characteristic of obsessive-compulsive disorder, not a mood disorder.
After teaching the parents of a child diagnosed with ADHD about the disorder and its treatment, the nurse determines that the teaching has been effective when the parents state which of the following?
- A. We need to remember that our son is not a bad kid; he just has difficulty with impulse control and attention.
- B. We need to be careful so he doesn?t develop a substance abuse problem as he grows older.
- C. We should stop the medication after 2 months to see how effective it is in really controlling his symptoms.
- D. We should set up regular routines for him but not worry if he violates the limits once in a while.
Correct Answer: A
Rationale: The statement in option A reflects an accurate understanding of ADHD as a disorder of impulse control and attention, not a reflection of the child?s character, indicating effective teaching. Option B is a concern but not directly related to core understanding. Option C is incorrect, as stopping medication abruptly is not advisable. Option D is partially correct but downplays the importance of consistent limits.
A 10-year-old child with Tourette?s disorder is receiving haloperidol as part of his treatment plan. When assessing the child at a follow-up visit, which statement by the child would lead the nurse to suspect that he is experiencing a side effect of the drug?
- A. Sometimes I feel like I?m so sleepy.
- B. I?m eating about the same amount as before.
- C. My muscles seem pretty flexible lately.
- D. I think I?m much more alert with this drug.
Correct Answer: A
Rationale: Haloperidol, an antipsychotic, commonly causes sedation as a side effect, so the child?s report of feeling sleepy (option A) suggests this. Option B (unchanged eating) and option C (flexible muscles) are not typical side effects. Option D (increased alertness) is opposite to haloperidol?s sedative effect.