Nokea
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.
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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.
A parent asks the nurse to describe what is meant by a 'learning disability.' Which is the nurse's most helpful response?
- A. A child may have difficulty with perception, language, comprehension, or memory.'
- B. It is characterized by inattention, impulsiveness, and hyperactivity.'
- C. The child's intellectual ability limits his learning.'
- D. The child has difficulty learning because of brain damage.'
Correct Answer: A
Rationale: Learning disability is an educational term. Children with learning disabilities may have average to above-average intelligence but may experience difficulties in perception, language, comprehension, and conceptualization.
The nurse counsels parents that the early school years create nervous tension in the child manifested by which abnormal behavior(s)? (Select all that apply.)
- A. Masturbation
- B. Food fads
- C. Stuttering
- D. Aggressive behavior
- E. Nonnutritive sucking
Correct Answer: C,D,E
Rationale: Stuttering, aggressive behavior, and nonnutritive sucking that appear suddenly are clues to increased nervous tension in the young school-age child.
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.
A mother is concerned because her adolescent son is always in trouble for fighting at school and always seems to be angry. She mentions that her husband drinks a bit. Which understanding will guide the nurse's response?
- A. The boy is displaying antisocial behavior and should be evaluated for mental illness.
- B. The boy is displaying one of the typical defense patterns of children of alcoholics and should receive immediate treatment.
- C. The mother is displaying her own anger with her husband's drinking, and she needs immediate intervention.
- D. The boy is only one member of the family affected by alcoholism, and all members should receive immediate intervention.
Correct Answer: D
Rationale: Early recognition of and intervention for children of alcoholics are paramount. This adolescent is using the coping pattern of acting-out behaviors to deal with the family situation.