Chapter 36, Pediatric Clients Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

A 6-year-old girl was hospitalized for a bowel obstruction. When visiting the child at home after discharge, the nurse assessed the following: flat affect, reports of nightmares, and new onset of bedwetting. The nurse suspects which of the following?
a. Conduct disorder
b. Adjustment disorder
c. Dysthymia
d. Generalized anxiety disorder

Dennis Howard

Numerade Educator

Problem 2

The parents of a child newly diagnosed with ADHD relate that their son cannot focus on school activities for more than a minute or two at a time. Which of the following responses by the nurse would be most appropriate regarding the child's planned treatment?
a. "We can develop a system of negative consequences for inattentive behavior that will help your son focus on schoolwork."
b. "A system of rewards will be the most helpful intervention for improving his ability to focus."
c. "Medication therapy can be most helpful in improving your son's ability to focus on activities."
d. "We will begin social skills training to help improve his behavior at school."

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Problem 3

The nurse is planning a discussion group for parents of children and adolescents with depression. Which of the following would the nurse include as the major reason for this condition being underdiagnosed in this age group?
a. Teenagers and children often deliberately cover up their true feelings.
b. Transient depression is a normal part of growing up.
c. Teenagers and children may be unable verbally to express their feelings and act out instead.
d. Health care providers do not believe childhood depression is real.

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Problem 4

Substance abuse is a significant problem among adolescents, one that puts them at risk for other mental health disorders, negative life events, and injury. When assessing the adolescent client for signs and symptoms of substance abuse, the nurse should consider which of the following as a possible indicator of a substance problem?
a. Change in or loss of friends
b. Family history of substance abuse
c. Sleep disturbances and rapid mood swings
d. Avoidance of contact with unfamiliar people

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