Nokea
A nurse prepares to lead a discussion at a community health center regarding children's health. The nurse wants to use current terminology when teaching about these issues. Which terms are appropriate for the nurse to use?
- A. Mental retardation
- B. Asperger's disorder
- C. Autism spectrum disorder
- D. Pervasive developmental disorder
- E. Intellectual development disorder
Correct Answer: C,E
Rationale: The terms 'Autism spectrum disorder' and 'Intellectual development disorder' are current and appropriate, as they reflect the terminology used in the DSM-5. 'Mental retardation' and 'Pervasive developmental disorder' are outdated, and 'Asperger's disorder' is no longer used as a distinct diagnosis, as it is now included under autism spectrum disorder.
You may also like to solve these questions
A nurse will prepare teaching materials regarding which medication for the parents of a child diagnosed with enuresis?
- A. Haloperidol
- B. Desmopressin
- C. Methylphenidate
- D. Carbamazepine
Correct Answer: B
Rationale: Pharmacological treatment of enuresis commonly includes desmopressin, oxybutynin, various stimulants, indomethacin, and/or SSRI antidepressants. Limited evidence exists for the use of imipramine. None of the other drugs are appropriate to treat enuresis.
A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask, 'What should we do?' What is the nurse's best recommendation?
- A. Send a picture of yourself to school to keep with the child.
- B. Arrange with the teacher to let the child call home at playtime.
- C. Talk with the school about withdrawing the child until maturity increases.
- D. Talk with your health care provider about a referral to a mental health professional.
Correct Answer: D
Rationale: Separation anxiety disorder becomes apparent when the child is separated from the attachment figure. The symptoms are considered normal up to age 1. Often, the first-time separation occurs when the child goes to kindergarten or nursery school. Separation anxiety may be based on the child's fear that something will happen to the attachment figure. The child needs professional help. None of the distractors accounts for the severity and length of the child's reaction.
A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child's disorder?
- A. Has occasional toileting accidents.
- B. Is unable to read children's books.
- C. Cries when separated from a parent.
- D. Continuously rocks in place for 30 minutes.
Correct Answer: D
Rationale: Autism spectrum disorder involves distortions in development of social skills and language that include perception, motor movement, attention, and reality testing. Body rocking for extended periods suggests autism spectrum disorder. The distracters are expected findings for a 3-year-old.
Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder?
- A. Being raised by a parent with chronic major depressive disorder
- B. Moving to three new homes over a 2-year period
- C. Not being promoted to the next grade
- D. Having an imaginary friend
Correct Answer: A
Rationale: If the caregiver is unable to respond positively to the child, there is an increased risk of insecure attachment, developmental problems, and mental disorders. The chronicity of the parent's depression means it has been a consistent stressor. The other factors do not create ongoing stress.
The parent of a child diagnosed with Tourette's disorder says to the nurse, 'I think my child is faking the tics because they come and go.' Which response by the nurse is accurate?
- A. Perhaps your child was misdiagnosed.
- B. Your observation indicates the medication is effective.
- C. Tics often change frequency or severity. That does not mean they aren't real.
- D. This finding is unexpected. How have you been administering your child's medication?
Correct Answer: C
Rationale: Tics are sudden, rapid, involuntary, repetitive movements, or vocalizations characteristic of Tourette's disorder. They often fluctuate in frequency and severity and are reduced or absent during sleep.