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An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. What does the nurse suspect the adolescent has used?
- A. Alcohol
- B. Cocaine
- C. Amphetamines
- D. PCP
Correct Answer: A
Rationale: Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness, combativeness, and ataxia.
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The nurse explains that use of stimulants will decrease hyperactivity in the autistic child. What is a negative aspect of stimulants?
- A. Sedating the child
- B. Impairing cognition
- C. Causing hypotension
- D. Creating fluid retention
Correct Answer: B
Rationale: Stimulants that decrease hyperactivity in autistic children also impair cognition and may increase the potential for self-injuring behavior.
The school nurse cautions a group of parents about the prevalence of children who get high by inhaling hydrocarbons and fluorocarbons. Which products contain these substances? (Select all that apply.)
- A. Glue
- B. Chlorine
- C. Cleaning fluid
- D. Copy machine toner
- E. Aerosol sprays
Correct Answer: A,C,E
Rationale: The most frequently used products for inhaling hydrocarbons and fluorocarbons are glue, cleaning fluid, and aerosol sprays.
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.
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 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.