Nokea
The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa. Which assessment finding(s) would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply.)
- A. Amenorrhea
- B. Severe weight loss
- C. Oily skin
- D. Hypertension
- E. Lanugo on back
Correct Answer: A,B,E
Rationale: Primary symptoms of anorexia nervosa include severe weight loss, amenorrhea, and lanugo hair over the back and extremities.
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What is the most appropriate classroom intervention for a child with attention-deficit hyperactivity disorder (ADHD) for the school nurse to suggest?
- A. Seat the child in the back of the room to prevent distractions for other children.
- B. Pair the child with a student buddy to offer reminders to pay attention.
- C. Divide work assignments into shorter periods with breaks in between.
- D. Separate the child from others to increase his focus on schoolwork.
Correct Answer: C
Rationale: The child with ADHD needs breaks between periods of work and study to help maintain focus.
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.
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.
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.
The pediatric nurse listens to a 9-year-old child read to his 6-year-old roommate. What action by 9-year-old child leads the nurse to question possible dyslexia?
- A. Becomes hyperactive and ceases to read.
- B. Reads the word dog as God.
- C. Makes up a story rather than reading the text.
- D. Stutters as he reads.
Correct Answer: B
Rationale: Dyslexics often transpose a word as they read; for example, the word 'dog' appears as 'God.'