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A nurse in an outpatient clinic is assessing a child, and the nurse will interview the child and the child?s parents separately. Which of the following comments would the nurse anticipate the child making during the upcoming interview?
- A. I can?t get along with my parents.
- B. I yell at my parents a lot.
- C. I?m sad a lot, and I have trouble sleeping.
- D. I refuse to do what my parents tell me to.
Correct Answer: C
Rationale: Sadness and sleep issues (C) are common psychological symptoms in children that may be expressed in a clinical setting, especially given school behavior concerns. Parent conflict (A, B, D) may be reported, but sadness and sleep issues are more directly tied to internal distress.
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A nurse is interviewing a 12-year-old child in an outpatient psychiatric setting. Which of the following would be most appropriate for the nurse to say to establish a high degree of credibility?
- A. How would you describe your parents?
- B. Tell me about your best friend.
- C. I have several teddy bears; would you like one to hold?
- D. You?d get along better with your parents if you?d follow their advice.
Correct Answer: B
Rationale: Asking about the child?s best friend (B) is age-appropriate and non-threatening, building rapport and credibility. Asking about parents (A) may feel confrontational, offering a teddy bear (C) is too juvenile for a 12-year-old, and giving advice (D) is judgmental and undermines trust.
The nurse is caring for an adolescent in the outpatient psychiatric setting. To help the adolescent feel more in control of the initial therapy sessions, which statement by the nurse would be most appropriate?
- A. I won?t share anything that you don?t want me to with your parents.
- B. Adolescents often feel a distrust of authority figures. Is that true with you?
- C. Your parents care a great deal about you. That?s why you are here.
- D. If something is uncomfortable for you, you don?t have to talk about it.
Correct Answer: D
Rationale: Allowing the adolescent to opt out of uncomfortable topics (D) empowers them and enhances control. Promising confidentiality (A) may conflict with legal obligations, questioning distrust (B) may alienate, and focusing on parental care (C) shifts attention from the adolescent?s autonomy.
The nurse is assessing an 8-year-old child?s self-concept. Which of the following would be least appropriate for the nurse to ask?
- A. If you had three wishes, what would you wish for?
- B. What would you like to be when you grow up?
- C. What subjects do you like best in school?
- D. What did you have for breakfast this morning?
Correct Answer: D
Rationale: Asking about breakfast (D) is unrelated to self-concept, which involves self-perception and aspirations. Questions about wishes (A), future goals (B), and school preferences (C) elicit insights into the child?s self-view and identity.
A nurse is interviewing a 12-year-old boy who has been diagnosed with depression. The client?s depression was triggered by the death of his father 2 years ago. The nurse interprets which comment made by the boy as reflecting egocentrism?
- A. If I hadn?t yelled at my dad and told him to go away, he never would have died.
- B. I?m still sad because my dad died a couple of years ago.
- C. I think I?m just experiencing normal grieving.
- D. My father was the best friend I ever had; I still can?t believe he?s gone for good.
Correct Answer: A
Rationale: Blaming himself for his father?s death (A) reflects egocentrism, a developmental trait where the child believes their actions directly cause external events. Sadness (B), normal grieving (C), and loss acknowledgment (D) are typical grief responses, not egocentrism.
A child and the child?s family visit a psychiatric outpatient setting because the parent is concerned about the child?s behavior at school. The child scores 65 on the Global Assessment of Functioning (GAF) scale. The nurse interprets this finding as which of the following?
- A. The child requires inpatient therapy.
- B. The child is experiencing homicidal thoughts.
- C. The child is functioning well in the area of school.
- D. The child can be treated effectively as an outpatient.
Correct Answer: D
Rationale: A GAF score of 65 indicates mild symptoms with generally good functioning, suggesting outpatient treatment (D) is appropriate. Inpatient therapy (A) is for lower scores, homicidal thoughts (B) are not indicated by this score, and school functioning (C) is not specifically supported.