A 14-year-old girl with obsessive-compulsive disorder (OCD) tells the nurse other adolescents tease her because she washes her hands many times during the school day. For what does this disorder put the adolescent at greater risk?
- A. Anorexia nervosa
- B. Depression
- C. ADHD
- D. A learning disability
Correct Answer: B
Rationale: OCD is related to depression and other psychiatric disorders. Suicidal behavior is a high risk for adolescents with OCD.
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Which substance puts a person at the greatest risk for HIV and hepatitis B?
- A. Alcohol
- B. Opiates
- C. Cocaine
- D. Marijuana
Correct Answer: B
Rationale: The use of opiates coupled with sharing needles puts the user at risk for HIV and hepatitis B.
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
Correct Answer: A
Rationale: The psychiatrist is a medical doctor with special training in psychoanalytic theory.
What is the most appropriate classroom intervention for a child with attention-deficit hyperactivity disorder (ADHD) for the school nurse to suggest?
- A. Seat the child in the back of the room to prevent distractions for other children.
- B. Pair the child with a student buddy to offer reminders to pay attention.
- C. Divide work assignments into shorter periods with breaks in between.
- D. Separate the child from others to increase his focus on schoolwork.
Correct Answer: C
Rationale: The child with ADHD needs breaks between periods of work and study to help maintain focus.
The nurse states that the members of a mental health team for child guidance include which member(s)? (Select all that apply.)
- A. Psychiatrist
- B. Pediatrician
- C. Psychologist
- D. Dietitian
- E. Social worker
Correct Answer: A,B,C,E
Rationale: The traditional members of the child guidance team are the psychiatrist, pediatrician, psychologist, and social worker.
What would be the appropriate response to an adolescent who states, 'This has been the worst day of my life?'
- A. You should focus your mind on positive thoughts.'
- B. Everybody has a bad day now and then.'
- C. You're young. What could be so terrible?'
- D. Tell me about the worst day of your life.'
Correct Answer: D
Rationale: The nurse establishes a rapport with the adolescent by acknowledging his or her feelings and giving the adolescent full attention.
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