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.
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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.
The nurse is planning the care of an adolescent with anorexia nervosa. What characteristic(s) cause this disorder? (Select all that apply.)
- A. Discomfort relative to emerging sexuality
- B. Fear of intimacy
- C. Pervasive high self-esteem
- D. Egocentricity
- E. Inability to meet developmental needs
Correct Answer: A,B,D,E
Rationale: Discomfort with emerging sexuality, fear of intimacy, egocentricity, and inability to meet developmental needs are causes of anorexia nervosa, while low self-esteem, not high, is also a factor.
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.
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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