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A nurse is planning to speak with a parent support group about childhood autism. What will the nurse include?
- A. Significant signs of the disorder manifest by 1 year of age.
- B. The earliest signs of autism are impulsivity and overactivity.
- C. Autism is usually diagnosed when the child goes to elementary school.
- D. Medications can cure childhood autism.
Correct Answer: A
Rationale: Failure to use eye contact, poor attention span, and poor orienting to one's name are significant signs of autism by 1 year of age.
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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.
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.
Which statement made by a parent of an adolescent with anorexia nervosa indicates an understanding of this condition?
- A. There really isn't anything to worry about. Don't they say you can never be too thin?'
- B. My daughter just doesn't have much of an appetite.'
- C. She is just trying to punish me for divorcing her father.'
- D. She seems to see herself as fat, even though her weight is below normal.'
Correct Answer: D
Rationale: Individuals with anorexia nervosa have a disturbed body image, which this parent correctly recognizes.
When the nurse is collecting a nursing history, an adolescent states that she has tried speed. For what does the nurse recognize this as the street name?
- A. Barbiturates
- B. Cocaine
- C. Methamphetamine
- D. Marijuana
Correct Answer: C
Rationale: Speed' is the street name for methamphetamine.
The nurse counsels parents that the early school years create nervous tension in the child manifested by which abnormal behavior(s)? (Select all that apply.)
- A. Masturbation
- B. Food fads
- C. Stuttering
- D. Aggressive behavior
- E. Nonnutritive sucking
Correct Answer: C,D,E
Rationale: Stuttering, aggressive behavior, and nonnutritive sucking that appear suddenly are clues to increased nervous tension in the young school-age child.