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NR 326 Mental Health Final Exam Study Set
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- NR 326 Mental Health Final Exam Study Set
NR 326 Mental Health Final Exam Study Set
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NR 326 Mental Health Final Exam StudySet
Which child would be most difficult to diagnose for a neurodevelopmental
disorder?
A. 3 yr old
B. 5 yr old
C. 8 yr old
D. 12 yr old - -A
-Which statement demonstrates that a parent understands the diagnosis of
ADHD?
A. My child will never be able to graduate or go to college but may be able to
learn a vocational skill
B. My child's performance will improve in a structured setting that provides
rewards for appropriate behavior
C. Nothing is wrong with my child. The school hasn't provided qualified
teachers and classroom settings
D. My child is just going through a stage. This problem will go away with time
- -B
-In an effort to help the child with mild to moderate intellectual
developmental disorder develop satisfying relationships with others, which of
the following nursing interventions is most appropriate?
a. Interpret the child's behavior for others.
b. Set limits on behavior that is socially inappropriate.
c. Allow the child to behave spontaneously, for he or she has no concept of
right or wrong.
d. This child is not capable of forming social relationships. - -b
-The child with autism spectrum disorder has difficulty with trust. With this
in mind, which of the following nursing actions would be most appropriate?
a. Encourage all staff to hold the child as often as possible, conveying trust
through touch.
b. Assign a different staff member each day so the child will learn that
everyone can be trusted.
c. Assign the same staff person as often as possible to promote feelings of
security and trust.
d. Avoid eye contact because it is extremely uncomfortable for the child and
may even discourage trust. - -c
, -Which of the following nursing diagnoses would be considered the priority
in planning care for the child with severe autism spectrum disorder?
a. Risk for self-mutilation evidenced by banging head against wall
b. Impaired social interaction evidenced by unresponsiveness to people
c. Impaired verbal communication evidenced by absence of verbal
expression
d. Disturbed personal identity evidenced by inability to differentiate self from
others - -a
-Which of the following activities would be most appropriate for the child
with attention-deficit/hyperactivity disorder?
a. Monopoly
b. Volleyball
c. Pool
d. Checkers - -b
-Which of the following groups is most commonly used for drug
management of the child with attention-deficit/hyperactivity disorder?
a. CNS depressants (e.g., diazepam [Valium])
b. CNS stimulants (e.g., methylphenidate [Ritalin])
c. Anticonvulsants (e.g., phenytoin [Dilantin])
d. Major tranquilizers (e.g., haloperidol [Haldol]) - -b
-The child with attention-deficit/hyperactivity disorder has a nursing
diagnosis of impaired social interaction. Which of the following nursing
interventions are appropriate for this child? (SATA)
a. Socially isolate the child when interactions with others are inappropriate.
b. Set limits with consequences on inappropriate behaviors.
c. Provide rewards for appropriate behaviors.
d. Provide group situations for the child. - -b, c, & d
-Which developmental characteristic should a nurse identify as typical of a
client diagnosed with severe intellectual disability?
A. The client can perform some self-care activities independently.
B. The client has advanced speech development.
C. Other than possible coordination problems, the clients psychomotor skills
are not affected.
D. The client communicates wants and needs by acting out behaviors. - -D
, -Which nursing intervention related to self-care would be most appropriate
for a teenager diagnosed with moderate intellectual disability?
A. Meeting all of the clients self-care needs to avoid injury
B. Providing simple directions and praising clients independent self-care
efforts
C. Avoiding interference with the clients self-care efforts in order to promote
autonomy
D. Encouraging family to meet the clients self-care needs to promote
bonding - -B
-A child has been diagnosed with autism spectrum disorder. The distraught
mother cries out, Im such a terrible mother. What did I do to cause this?
Which nursing reply is most appropriate?
A. Researchers really dont know what causes autistic disorder, but the
relationship between autistic disorder and fetal alcohol syndrome is being
explored.
B. Poor parenting doesnt cause autism. Research has shown that
abnormalities in brain structure and/or function are to blame. This is beyond
your control.
C. Research has shown that the mother appears to play a greater role in the
development of this disorder than the father.
D. Lack of early infant bonding with the mother has shown to be a cause of
autistic disorder. Did you breastfeed or bottle-feed? - -B
-In planning care for a child diagnosed with autistic spectrum disorder,
which would be a realistic client outcome?
A. The client will communicate all needs verbally by discharge.
B. The client will participate with peers in a team sport by day 4.
C. The client will establish trust with at least one caregiver by day 5.
D. The client will perform most self-care tasks independently. - -C
-After an adolescent diagnosed with attention deficit-hyperactivity disorder
(ADHD) begins methylphenidate (Ritalin) therapy, a nurse notes that the
adolescent loses 10 pounds in a 2-month period. What is the best
explanation for this weight loss?
A. The pharmacological action of Ritalin causes a decrease in appetite.
B. Hyperactivity seen in ADHD causes increased caloric expenditure.
C. Side effects of Ritalin cause nausea; therefore, caloric intake is decreased.
D. Increased ability to concentrate allows the client to focus on activities
rather than food. - -A
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