Steve is a 15-year-old Vietnamese boy referred by his homeroom teacher to the school
nurse for evaluation. The teacher has expressed concern that Steve may be suffering
from major depression. Who is the best source of information for investigating the
concerns about Steve? Answer Steve
The mother is reporting to the school nurse her concerns with her 13-year-old daughter
who is complaining of headaches. Her current grades have fallen and she has been
sleeping late into the morning and retiring to bed early every evening. The nurse
explains to the mother that the first course of action should be to: - Answer schedule an
immediate history and physical examination.
The nurse is providing education to several school nurses regarding the treatment for a
child with attention deficit hyperactivity disorder. Which of the following would be an
appropriate learning environment for a child with ADHD? A classroom that utilizes a
plan of study followed each day.
The nurse is discussing substance abuse with a teenager. Of the following statements
the teenager makes, which one should the nurse want to explore further? - Answer "I
might drink too much on weekends but I never drink during the week."
Rumination disorder is not well-understood in children under age. It involves: - Answer
rechewing undigested food.
You have been working with an adolescent with an eating disorder for several days.
What is an indication that she is developing trust in you? - Answer Her telling you that
she is still inducing vomiting after each meal
Which behavior manifested by a boy with ADHD is most indicative of the syndrome? -
Answer A lack of concentration
, The nurse is caring for a 12-month-old with autism spectrum disorder (ASD). What
description would you expect to elicit from his mother on history-taking? - Answer He
stares at a rotating wheel on his crib mobile.
To feed lunch to a child with autism spectrum disorder (ASD), which action would it be
most important for the nurse to take? - Answer Use a repetitive series of movements.
Which of the following behaviors typical of children with ASD requires you to maintain
special care to keep them safe? Select the best answer. Insensitivity to pain
The nurse is caring for a 10-year-old recently diagnosed with attention
deficit/hyperactivity disorder (ADHD). The nurse would expect to provide teaching
regarding the use of which medication? Methylphenidate
The nurse is teaching a mother of a 12-year-old boy about risk factors associated with
drug and alcohol abuse. Which of the following statements by the mother would indicate
the need for further teaching? Select "Just because his friends are experimenting does
not mean that he will."
What would make the nurse suspect an adolescent has bulimia? Calluses on back of
knuckles
Samuel is an autistic 6 yr old boy. Which of the following symptoms would you expect
Samuel to exhibit? - Answer He spends time alone and shows little interest in making
friends.
Susan's parents have initiated a program of therapy that includes giving Susan a token
each time she follows directions. The following theoretical framework provides the
background for such a program: - Answer Behavioral theory
An 11-year-old boy has recently been started on methylphenidate (Ritalin) for ADHA.
The mother calls the pediatrician's office requesting to speak with the advanced
practice pediatric nurse practitioner. Thus far, this mother has been very resistant to
medication and states the medication is not working. What is the best response by the
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