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The nurse has been working with the family of a small child with a psychiatric disorder. The nurse is feeling very frustrated because the parents refuse to implement effective parenting skills that the nurse has taught. What is the best action for the nurse at this time?
- A. Review effective disciplinary practices with the parents again.
- B. Refer the parents to a family therapist.
- C. Try to remember that the parents are trying to the best of their ability to carry out the suggestions.
- D. Explore alternative living arrangements for the child.
Correct Answer: C
Rationale: Recognizing parents' efforts and challenges fosters empathy and supports continued collaboration without premature escalation.
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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.
The mother of a 6-year-old boy with attention deficit hyperactivity disorder asks to speak to the nurse about her son's disruptive behavior. The nurse would be most therapeutic by saying which of the following?
- A. Your son is a cute child, but he needs to calm down.
- B. It must be difficult to handle your son at home.
- C. You need to take a firmer approach with your son.
- D. Your son sure is active.
Correct Answer: B
Rationale: Acknowledging the challenges of managing a child with ADHD validates the mother's experience and fosters a therapeutic dialogue.
When the prognosis of improvement in a child with psychiatric disorders is poor, what can the nurse do to positively influence children and adolescents and their parents?
- A. Continue to remind the child and parents that the prognosis for improvement is very poor.
- B. Encourage the parents to believe that the child will recover spontaneously.
- C. Assist the child and the parents to develop coping mechanisms.
- D. Focus on their problems instead of their strengths and assets.
Correct Answer: C
Rationale: Helping develop coping mechanisms leverages the child's developmental stage to improve long-term outcomes, focusing on strengths.
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.
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.