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  • Varcarolis Ch. 11 Childhood And Neurodevelopmental

Varcarolis Ch. 11 Childhood and Neurodevelopmental Disorders 1. Which factor presents the highest risk for a child to develop a psychiatric disorder? a. Having an uncle with schizophrenia c. Living with an alcoholic parent b. Being the oldest child in a family d. Being an only child ️c....

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  • 16 augustus 2024
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Varcarolis Ch. 11 Childhood and Neurodevelopmental Disorders
1. Which factor presents the highest risk for a child to develop a psychiatric disorder?



a. Having an uncle with schizophrenia



c. Living with an alcoholic parent



b. Being the oldest child in a family



d. Being an only child ✔️c. Living with an alcoholic parent



Having a parent with a substance abuse problem has been designated an adverse psychosocial condition
that increases the risk of a child developing a psychiatric condition. Being in a middle-income family and
being the oldest child do not represent psychosocial adversity. Having a family history of schizophrenia
presents a risk, but an alcoholic parent in the family offers a greater risk.



2. Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum
disorders?



a. Impaired social interaction related to difficulty relating to others



b. Chronic low self-esteem related to excessive negative feedback



c. Deficient fluid volume related to abnormal eating habits



d. Anxiety related to nightmares and repetitive activities ✔️a. Impaired social interaction related to
difficulty relating to others



Children diagnosed with autism spectrum disorders display profoundly disturbed social relatedness.
They seem aloof and indifferent to others, often preferring inanimate objects to human interaction.

,Language is often delayed and deviant, further complicating relationship issues. The other nursing
diagnoses might not be appropriate in all cases.



3. Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum
disorder was effective? The child:



a. plays with one toy for 30 minutes.



b. repeats words spoken by a parent.



c. holds the parents hand while walking.



d. spins around and claps hands while walking., ✔️c. holds the parents hand while walking.



Holding the hand of another person suggests relatedness. Usually, a child with an autism spectrum
disorder would resist holding someones hand and stand or walk alone, perhaps flapping arms or moving
in a stereotyped pattern. The incorrect options reflect behaviors that are consistent with autism
spectrum disorders.



4. A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time,
inattentive to the teacher, screams while the teacher is talking, and is aggressive toward other children.
The nurse plans interventions designed to:



a. promote integration of self-concept.



b. provide inpatient treatment for the child.



c. reduce loneliness and increase self-esteem.



d. improve language and communication skills. ✔️c. reduce loneliness and increase self-esteem.

, Because of their disruptive behaviors, children with ADHD often receive negative feedback from
parents, teachers, and peers, leading to self-esteem disturbance. These behaviors also cause peers to
avoid the child with ADHD, leaving the child with ADHD vulnerable to loneliness. The child does not need
inpatient treatment at this time. The incorrect options might or might not be relevant.



5. A nurse will prepare teaching materials for the parents of a child newly diagnosed with attention
deficit hyperactivity disorder (ADHD). Which medication will the information focus on?



a. Paroxetine (Paxil)



c. Methyphenidate (Ritalin)



b. Imipramine (Tofranil)



d. Carbamazepine (Tegretol) ✔️c. Methyphenidate (Ritalin)



CNS stimulants are the drugs of choice for treating children with ADHD: Ritalin and dexedrine are
commonly used. None of the other drugs are psychostimulants used to treat ADHD.



6. What is the nurses priority focused assessment for side effects in a child taking methylphenidate
(Ritalin) for attention deficit hyperactivity disorder (ADHD)?



a. Dystonia, akinesia, and extrapyramidal symptoms



b. Bradycardia and hypotensive episodes



c. Sleep disturbances and weight loss



d. Neuroleptic malignant syndrome ✔️c. Sleep disturbances and weight loss

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