For which reason is it crucial for nurses to advocate for children and adolescents regarding psychiatric disorders?
- A. It is much more difficult to diagnose psychiatric disorders in children and adolescents.
- B. It is not necessary because psychiatric disorders do not occur in children and adolescents.
- C. Children and adolescents experience some of the same mental health problems as adults.
- D. Psychiatric disorders in children manifest themselves very quickly.
Correct Answer: A
Rationale: Diagnosing psychiatric disorders in children is challenging due to their developmental stages and limited communication abilities.
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A child with attention deficit hyperactivity disorder is taking methylphenidate (Ritalin) in divided doses. If the child takes the first dose at 8 am, which behavior might the school nurse expect to see at noon?
- A. Increased impulsivity or hyperactive behavior
- B. Lack of appetite for lunch
- C. Sleepiness or drowsiness
- D. Social isolation from peers
Correct Answer: A
Rationale: Ritalin's short half-life means its effects may wear off by noon, leading to increased impulsivity or hyperactivity.
Which of the following disorders involves problems with forming sounds associated with speech?
- A. Phonologic disorder
- B. Mixed receptive-expressive language disorder
- C. Expressive language disorder
- D. Stuttering
Correct Answer: A
Rationale: Phonologic disorder specifically involves difficulties with articulation, unlike the broader language or fluency issues in the other options.
A nurse is providing education to a group of parents who have children with ADHD. Which of the following statements would be accurate and should be included in the education? Select all that apply.
- A. Medication alone will adequately treat children with ADHD.
- B. It is important for parents of children with ADHD to learn how to rebuild their child's self-esteem.
- C. Because raising a child with ADHD can be frustrating and exhausting, it often helps parents to attend support groups that can provide information and encouragement from other parents with the same problems.
- D. ADHD is not the fault of the parents or the child, and that techniques and school programs are available to help.
- E. Children with ADHD do not qualify for special school services under the Individuals with Disabilities Education Act.
Correct Answer: B,C,D
Rationale: Educating parents on rebuilding self-esteem, support groups, and available resources, while clarifying ADHD's non-blame nature, is critical for effective management.
Which of the following symptoms are characteristic of ADHD? Select all that apply.
- A. Enuresis
- B. Inattentiveness
- C. Encopresis
- D. Overactivity
- E. Impulsiveness
Correct Answer: B,D,E
Rationale: ADHD is defined by inattentiveness, overactivity, and impulsiveness, while enuresis and encopresis are unrelated elimination disorders.
Which one of the following nursing interventions should take priority for a child with ADHD?
- A. Structured daily routine
- B. Ensuring the child's safety and that of others
- C. Simplifying instructions and directions
- D. Improved role performance
Correct Answer: B
Rationale: Safety is the priority due to the impulsive and hyperactive behaviors in ADHD that can pose risks to the child and others.
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