Nokea
How would the nurse identify a member of the child guidance team who is a medical doctor with special training in psychoanalytic theory?
- A. Psychiatrist
- B. Psychoanalyst
- C. Psychologist
- D. Counselor
Correct Answer: A
Rationale: The psychiatrist is a medical doctor with special training in psychoanalytic theory.
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What is an appropriate nursing intervention for a hospitalized child who is autistic?
- A. Place the child in a location where she can watch all of the activity on the unit.
- B. Use the child's chronological age as a guide for communication.
- C. Keep the child's room free of toys or objects that she might want to take home with her.
- D. Organize care to provide as few disruptions to the routine as possible.
Correct Answer: D
Rationale: During hospitalization, the nurse should provide a highly structured environment with few disruptions for a child who is autistic.
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 asks, 'Do your parents drink every day?' The adolescent suddenly shouts, 'I'm not going to talk about that! It's none of your business, anyway! Leave me alone!' How does the nurse interpret the adolescent's behavior?
- A. The adolescent is acting out and needs to be brought under control so the conference can continue.
- B. The adolescent is trying to shift the focus of the conference away from himself, and the nurse needs to refocus.
- C. The adolescent is demonstrating that this problem requires the assistance of a psychiatrist.
- D. The adolescent is responding to the discrediting of his parents, which causes anxiety.
Correct Answer: D
Rationale: Discrediting parents threatens the child's security and creates anxiety.
What role has the child of an alcoholic assumed if he tries to do everything perfectly?
- A. Perfect child
- B. Super coper
- C. Flight
- D. Helper
Correct Answer: B
Rationale: The super coper is a child of an alcoholic who tries to do everything perfectly and feels overly responsible.
A 9-year-old child has been admitted to the hospital after 'huffing' lighter fluid and is in a high euphoric state. For what should the nurse assess?
- A. Depressed respirations
- B. Severe vomiting
- C. Frightening hallucinations
- D. Elevation of temperature
Correct Answer: A
Rationale: Inhaling hydrocarbons depresses the central nervous system, including respiratory rate and general sensorium.