Which factor presents the highest risk for a child to develop a psychiatric disorder?

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Pediatric Mental Health Depression NCLEX Questions Quizlet Questions

Question 1 of 5

Which factor presents the highest risk for a child to develop a psychiatric disorder?

Correct Answer: C

Rationale: Living with an alcoholic parent (C) poses the highest risk due to environmental stress, neglect, and potential abuse, which are strong predictors of psychiatric disorders. (A) indicates genetic risk but is less direct than immediate environment; (B) and (D) lack evidence as primary risk factors.

Question 2 of 5

When a 5-year-old diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair and slaps another child, what is true about forming therapeutic relationships with children who exhibit impulsive behavior?

Correct Answer: C

Rationale: Acceptance and trust (C) are foundational in therapeutic relationships, providing security to impulsive children, fostering cooperation. (A) is partial, (B) is beneficial but less core, and (D) is ideal but not the primary principle here.

Question 3 of 5

A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is most associated with the child’s disorder? The child:

Correct Answer: D

Rationale: Rocking for extended periods (D) is a repetitive, self-soothing behavior strongly associated with ASD. (A) is developmental, (B) expected at 3, and (C) typical separation anxiety, none specific to ASD.

Question 4 of 5

When a 5-year-old is disruptive, the nurse says, 'You must take a time-out.' The expectation is that the child will:

Correct Answer: C

Rationale: A time-out expects the child to pause and regain self-control (C), a standard behavior management technique. (A) is too long, (B) too specific, and (D) impractical.

Question 5 of 5

The nurse is caring for an autistic child who has been hospitalized. The child rocks continuously, but the rocking does not seem to present any risk to the child's safety. The nurse should take which action?

Correct Answer: B

Rationale: If rocking is safe and self-soothing, as common in autism, allowing it (B) respects the child’s coping mechanism. Holding (A) or time out (C) may escalate distress, and distraction (D) may not address the underlying need.

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