Nokea
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.'
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The school nurse cautions a group of parents about the prevalence of children who get high by inhaling hydrocarbons and fluorocarbons. Which products contain these substances? (Select all that apply.)
- A. Glue
- B. Chlorine
- C. Cleaning fluid
- D. Copy machine toner
- E. Aerosol sprays
Correct Answer: A,C,E
Rationale: The most frequently used products for inhaling hydrocarbons and fluorocarbons are glue, cleaning fluid, and aerosol sprays.
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. What does the nurse suspect the adolescent has used?
- A. Alcohol
- B. Cocaine
- C. Amphetamines
- D. PCP
Correct Answer: A
Rationale: Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness, combativeness, and ataxia.
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.
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 nurse is hired to work in a psychiatric facility on a unit specializing in obsessive-compulsive disorders (OCD). Which diagnoses might the nurse expect to encounter? (Select all that apply.)
- A. Trichotillomania
- B. Hoarding disorder
- C. Excoriation disorder
- D. Body dysmorphic disorder
- E. Oppositional defiant disorder
Correct Answer: A,B,C,D
Rationale: Trichotillomania, hoarding disorder, excoriation disorder, and body dysmorphic disorder are forms of OCD, while oppositional defiant disorder is not.