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Chapter 12 Attention deficit hyperactivity disorder and its treatment
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Chapter 12 Attention deficit hyperactivity disorder andits treatment
MULTIPLE CHOICE
1. Which complaint is representative of anxiety in a 6-year-old child?
a. I worry that my dad will get hurt at work.
b. I get a stomach ache when its my weekend at my dads house.
c. I cant sleep when I stay at Grandmas because I worry about my mom.
d. Im not going to sports camp because I dont like being away from my friends.
ANS: A
Developmental differences exist with regard to the symptoms of anxiety. Children
between the ages of 5 and 8 years old most commonly report unrealistic worry about
harm to their parents. Between the ages of 9 and 12 years, children report excessive
distress during times of separation. Adolescents typically report somatic complaints.
2. Which of the following meets the DSM-IV-TR criteria for moderate mental
retardation?
a. Requires constant one-on-one supervision and total physical care
Advanced as far as the sixth grade and works at a warehouse every day and
b. supports himself
c.
Advanced as far as the second grade and provides her own personal care with
d.
supervision
ANS: C
Attends the local community college for developmental English and math
courses
Individuals diagnosed as having moderate mental retardation acquire some
communication skills, but rarely advance academically beyond the second grade. With
supervision they can provide for their own personal care. Persons requiring constant
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,supervision and total physical care would be considered profoundly retarded. Persons
achieving elementary or above learning skills would be considered mildly retarded.
3. The nurse is assessing a child with autism. Which of the following behaviors would
the nurse expect to observe?
a. Referring to their imaginary friend, Skipper
b. Asking to telephone my friends on the weekends
c. Repeating, milk, milk, milk, milk until given a drink
d. Is insistent that a dim light be left on in the bedroom at night
ANS: C
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, Stereotyped and repetitive use of language or idiosyncratic language is one of the
characteristic behaviors seen in autism. The remaining options are normal
characteristics of a child in various developmental stages.
4. Which behavior best supports the diagnosis of attention-deficit/hyperactivity
disorder in an 8-year-old child?
a. Cries when separated from his mother or father
b. Refuses to pick up toys as instructed by his parents
c. Is fascinated with spinning and moving toys and objects
d. Can concentrate on school work for only very short periods of time
ANS: D
Experiencing difficulty concentrating on tasks is a hallmark for ADHD. Crying is a
characteristic of separation anxiety. Disobedience as described may represent
oppositional behavior. Focusing on repetitious motion is characteristic of autism.
5. Which behavior is most characteristic of a conduct disorder?
a. Frequently getting up and interrupting while being read to
b. Only apologizes for hitting a friend to avoid being punished
c. Finds it difficult to spend the night away from family members
d. Becomes extremely agitated when the television is turned off
ANS: B
Children or adolescents with conduct disorder generally do not empathize with other
peoples feelings and are unconcerned with others situations or needs. They exhibit
uncaring behavior, but they will often express words of guilt or remorse because they
have learned that it reduces or prevents punishment. ADHD is often characterized by
hyperactivity. Separation anxiety is often responsible for a childs resistance to
spending time away from home. Autism can be the cause of exaggerated responses.
6. Which assessment finding should be considered a high risk factor for adolescent
suicide?
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