Nokea
The mother of a 15-year-old boy tells the nurse that her son is becoming more assertive in conflict situations and wants to get a job. She asks if it is healthy for a 15-year-old to be so independent. Which is valid information for the nurse to offer the mother?
- A. His behaviors reflect normal growth and development.
- B. He is overly independent.
- C. It sounds like he is trying to avoid her.
- D. She should observe for signs of substance abuse.
Correct Answer: A
Rationale: Increased assertiveness and seeking a job are normal developmental behaviors for a 15-year-old.
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A nurse asks an assigned client, 'How are you doing today?' The client responds with 'doing today, doing today, doing today.' Which speech pattern disturbance is this an example of?
- A. Reactive attachment disorder
- B. Stereotypic movement disorder
- C. Selective mutism
- D. Echolalia
Correct Answer: D
Rationale: Echolalia involves repeating the last heard words or phrases, as seen in the client's response, unlike the other disorders listed.
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.
Which one of the following statements about educating parents of a child with ADHD is true?
- A. It is unimportant to educate the family members about ADHD as they already know the problem too well.
- B. Parents feel empowered and relieved to have specific strategies that can help them and their child be more successful.
- C. It is important for the nurse to spend the majority of his or her time with parents of children with ADHD in talking to the parents.
- D. If the child receives special school services under the Individuals with Disabilities Education Act, there is no need for further services.
Correct Answer: B
Rationale: Educating parents with specific strategies empowers them to manage ADHD effectively, improving outcomes for the child.
A mother expresses concern to the nurse that the child's regularly scheduled vaccines may not be safe. The mother states that she has heard reports that they cause autism. The most appropriate response by the nurse is.
- A. It is recommended that you wait until the child is older to vaccinate.
- B. There are safer alternative immunizations available now.
- C. There has been no research to establish a relationship between vaccines and autism.
- D. The risks do not outweigh the benefits of immunization against childhood diseases.
Correct Answer: C
Rationale: Extensive research by reputable institutions like the CDC has found no link between vaccines and autism, making this the most accurate and reassuring response.
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.