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A mother is concerned because her adolescent son is always in trouble for fighting at school and always seems to be angry. She mentions that her husband drinks a bit. Which understanding will guide the nurse's response?
- A. The boy is displaying antisocial behavior and should be evaluated for mental illness.
- B. The boy is displaying one of the typical defense patterns of children of alcoholics and should receive immediate treatment.
- C. The mother is displaying her own anger with her husband's drinking, and she needs immediate intervention.
- D. The boy is only one member of the family affected by alcoholism, and all members should receive immediate intervention.
Correct Answer: D
Rationale: Early recognition of and intervention for children of alcoholics are paramount. This adolescent is using the coping pattern of acting-out behaviors to deal with the family situation.
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A child is diagnosed with attention-deficit hyperactivity disorder (ADHD). Which characteristics would the nurse assess in this child? (Select all that apply.)
- A. Social anxiety
- B. Impulsivity
- C. Hyperactivity
- D. Distractibility
- E. Inattention
Correct Answer: B,C,D,E
Rationale: ADHD is characterized by inattention, hyperactivity, impulsivity, and distractibility.
The nurse is answering phone calls at a local suicide prevention hotline. Which statement would be recognized as the greatest risk of suicide?
- A. I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself.'
- B. My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to work. I've got a hundred of them.'
- C. My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the cabinet.'
- D. My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.'
Correct Answer: B
Rationale: The risk of death increases when there is a definite plan of action, the means are readily available, and the person has few resources for help and support.
A parent asks the nurse to describe what is meant by a 'learning disability.' Which is the nurse's most helpful response?
- A. A child may have difficulty with perception, language, comprehension, or memory.'
- B. It is characterized by inattention, impulsiveness, and hyperactivity.'
- C. The child's intellectual ability limits his learning.'
- D. The child has difficulty learning because of brain damage.'
Correct Answer: A
Rationale: Learning disability is an educational term. Children with learning disabilities may have average to above-average intelligence but may experience difficulties in perception, language, comprehension, and conceptualization.
What role has the child of an alcoholic assumed if he tries to do everything perfectly?
- A. Perfect child
- B. Super coper
- C. Flight
- D. Helper
Correct Answer: B
Rationale: The super coper is a child of an alcoholic who tries to do everything perfectly and feels overly responsible.
A 15-year-old boy was previously active in a band and saved money to buy a special guitar. What would a nurse assess as an early sign of depression in this boy?
- A. He gives up the band to spend time with his girlfriend.
- B. He spends all of his time at the library studying to qualify for the honor society.
- C. He gives his guitar away and spends his time listening to music in his room.
- D. He withdraws all of his money out of the bank to buy an expensive leather jacket.
Correct Answer: C
Rationale: A major depression is characterized by a prolonged behavioral change from baseline that interferes with school, family life, and age-specific activities, frequently signaled by giving prized possessions away.