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Test Bank For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition Karyn Morgan(CHAPTER 23 AND 24)$2.99
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Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which developmental characteristic would a nurse identify as typical of a client diagnosed with
severe intellectual developmental disorder (IDD)?
1. The client can perform some self-care activities independently.
2. The client has more advanced speech development.
3. Other than possible coordination problems, the client’s psychomotor skills are
not affected.
4. The client communicates wants and needs by “acting out” behaviors.
2. Which nursing intervention related to self-care would be most appropriate for a child diagnosed
with moderate IDD?
1. Meeting all of the client’s self-care needs to avoid injury to the client
2. Providing simple directions and praising client’s independent self-care efforts
3. Avoid interfering with the client’s self-care efforts in order to promote autonomy
4. Encouraging family to meet the client’s self-care needs to promote bonding
3. A child has been diagnosed with autism spectrum disorder. The distraught mother cries out, “I’m
such a terrible mother. What did I do to cause this?” Which nursing response is most appropriate?
1. “Researchers really don’t know what causes autism spectrum disorder, but
the relationship between
aNEuUtxisatiSmcIdiNnisoGerrTd0eB0r.a1Cn@dOfMsettaulvaila
co.choolmsyndrome is being explored.”
2. “Poor parenting doesn’t cause autism spectrum disorder. Research has shown
that abnormalities in brain structure or function are to blame. This is beyond your
control.”
3. “Research has shown that the mother appears to play a greater role in
the development of autism spectrum disorder than the father.”
4. “Lack of early infant bonding with the mother has shown to be a cause of
4. autism spectrum disorder. Did you breastfeed or bottle-feed?”
In planning care for a child diagnosed with autism spectrum disorder, which would be a realistic
client outcome?
1. The client will communicate all needs verbally by discharge.
2. The client will participate with peers in a team sport by day four.
3. The client will establish trust with at least one caregiver by day five.
5. 4. The client will perform most self-care tasks independently.
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. Which is the best explanation for this weight loss?
1. The pharmacological action of Ritalin causes a decrease in appetite.
2. Hyperactivity seen in ADHD causes increased caloric expenditure.
3. Side effects of Ritalin cause nausea, and, therefore, caloric intake is decreased.
4. Increased ability to concentrate allows the client to focus on activities rather than
, food.
6.
A nurse assesses an adolescent client diagnosed with conduct disorder who, at the age of 8, was
sentenced to juvenile detention. How would the nurse interpret this assessment data?
1. Childhood-onset conduct disorder is more severe than the adolescent-onset
type, and these individuals likely develop antisocial personality disorder in
adulthood.
2. Childhood-onset conduct disorder is caused by a difficult temperament, and
the child is likely to outgrow these behaviors by adulthood.
3. Childhood-onset conduct disorder is diagnosed only when behaviors
emerge before the age of 5, and, therefore, improvement is likely.
4. Childhood-onset conduct disorder has no treatment or cure, and children
7. diagnosed with this disorder are likely to develop progressive oppositional defiant
disorder.
Which finding would a nurse expect when assessing a child diagnosed with separation anxiety
disorder?
1. The child has a history of antisocial behaviors.
2. The child’s mother was stressed during the pregnancy.
8. 3. The child previously had an extroverted temperament.
4. The child’s mother and father have an inconsistent parenting style.
Which information about mild IDD would the nurse include when teaching the child’s mother?
1. Children with mild IDD need constant supervision.
2. Children with mild IDD develop academic skills up to a sixth-grade level.
9. 3. Children with mild IDD appear different from their peers.
4. Children with mild
IDNEDUxhRaaSvmeIisNnigGenrTi0fBic0.a1nCt@OseMsntsuorvyi-am.cootomr
impairment.
Which student statement indicates that further instruction is needed regarding developmental
characteristics of individuals with moderate IDD?
1. “These clients can work in a sheltered workshop setting.”
2. “These clients can perform some personal care activities.”
3. “These clients may have difficulties relating to peers.”
4. “These clients can successfully complete elementary school.”
10. A preschool child is admitted to a psychiatric unit with a diagnosis of autism spectrum disorder.
To help the child feel more secure on the unit, which intervention would a nurse include in this
client’s plan of care?
1. Encourage and reward peer contact.
2. Provide consistent caregivers.
3. Provide a variety of safe daily activities.
4. Maintain close physical contact throughout the day.
11. A preschool child diagnosed with autism spectrum disorder has been engaging in
constant head-banging behavior. Which nursing intervention is appropriate?
1. Place client in restraints until the aggression subsides.
2. Sedate the client with antipsychotic medications.
3. Hold the client’s head steady and apply a helmet.
4. Distract the client with a variety of games and puzzles.
, 12. When planning care for a client, which medication classification would a nurse recognize as
effective in the treatment of Tourette’s syndrome?
1. Antipsychotic medications
2. Antimanic medications
3. Tricyclic antidepressant medications
4. Monoamine oxidase inhibitor medications
13. Which behavioral approach would a nurse use when caring for children diagnosed with
disruptive behavior disorders?
1. Involving parents in designing and implementing the treatment process
2. Reinforcing positive actions to encourage repetition of desirable behaviors
3. Providing opportunities to learn appropriate peer interactions
4. Administering psychotropic medications to improve quality of life
14. A child diagnosed with severe autism spectrum disorder has the nursing diagnosis
disturbed personal identity. Which outcome would best address this client diagnosis?
1. The client will name own body parts as separate from others by day five.
2. The client will establish a means of communicating personal needs by discharge.
3. The client will initiate social interactions with caregivers by day four.
4. The client will not harm self or others by discharge.
15. A nursing instructor presents a case study in which a three-year-old child is in constant motion
and is unable to sit still during story time. She asks a student to evaluate this child’s behavior.
Which student response indicates an appropriate evaluation of the situation?
1. “This child’s
behaviorNEmUxuRasStmbIieNneeGvraT0luB0a.t1eC@dOaMscctourvdiiang.ctoo
mdevelopmental norms.”
2. “This child has symptoms of attention deficit/hyperactivity disorder.”
3. “This child has symptoms of the early stages of autism spectrum disorder.”
4. “This child’s behavior indicates possible symptoms of oppositional
defiant disorder.”
16. A client has an IQ of 47. Which nursing diagnosis best addresses a client problem associated with
this degree of IDD?
1. Risk for injury R/T self-mutilation
2. Altered social interaction R/T nonadherence to social convention
3. Altered verbal communication R/T delusional thinking
4. Social isolation R/T severely decreased gross motor skills
17. Which would the nurse identify as risk factors related to family dynamics for predisposition to a
conduct disorder?
1. Stable residence
2. Consistency in discipline
3. Excessive supervision
4. Economic stressors
18. Which would be the priority nursing intervention when caring for a child diagnosed with
conduct disorder?
1. Modify environment to decrease stimulation and provide opportunities for
quiet reflection.
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