ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 36 : Mental Health Disorders of Childhood and Adolescence Questions
Question 1 of 5
The school nurse is caring for a 7-year-old child who has demonstrated a significantly lower-than-average score for mental age on standardized tests in reading. However, the child?s IQ scores were within the average range. The nurse interprets this information as suggesting which of the following?
Correct Answer: D
Rationale: A significantly lower reading score despite an average IQ suggests dyslexia, a learning disorder affecting reading and language processing. Option A is too broad, as communication disorders encompass more than reading issues. Option B (ADH
D) typically affects attention, not specifically reading. Option C (Asperger?s) is less likely, as it primarily involves social and behavioral challenges, not reading-specific deficits.
Question 2 of 5
The nurse is counseling a parent whose child has a communication disorder. Which of the following would the nurse emphasize when teaching the parent about this disorder?
Correct Answer: B
Rationale: Initiating frequent conversations encourages communication practice and skill development, which is key for managing communication disorders. Option A may be helpful but is less central than verbal interaction. Option C is counterproductive, as interrupting stuttering can increase anxiety. Option D is inappropriate, as medication is not typically indicated for communication disorders like stuttering.
Question 3 of 5
A nurse is assessing a child who is suspected of having attention deficit hyperactivity disorder. Which of the following would the nurse identify as reflecting impulsiveness in the child?
Correct Answer: A
Rationale: Inability to wait one?s turn is a hallmark of impulsiveness in ADHD, as it reflects acting without forethought. Option B (restlessness) relates to hyperactivity, and option C (difficulty completing tasks) reflects inattention. Option D (risk-taking) may occur but is less specific to impulsiveness than waiting difficulties.
Question 4 of 5
The history of a child newly diagnosed with ADHD reveals that the child is experiencing sleeping difficulties. Which agent would the nurse most likely use?
Correct Answer: D
Rationale: Clonidine, an alpha-2 agonist, is often used to manage sleep difficulties in children with ADHD, as it has sedative effects. Methylphenidate (option
A) and atomoxetine (option
B) are stimulants or non-stimulants for ADHD symptoms but may worsen sleep. Bupropion (option
C) is an antidepressant and not typically used for ADHD-related sleep issues.
Question 5 of 5
After teaching the parents of a child diagnosed with ADHD about the disorder and its treatment, the nurse determines that the teaching has been effective when the parents state which of the following?
Correct Answer: A
Rationale: The statement in option A reflects an accurate understanding of ADHD as a disorder of impulse control and attention, not a reflection of the child?s character, indicating effective teaching. Option B is a concern but not directly related to core understanding. Option C is incorrect, as stopping medication abruptly is not advisable. Option D is partially correct but downplays the importance of consistent limits.