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When a 5-year-old is disruptive, the nurse says, "You must take a time-out." The expectation is that the child will


A) go to a quiet room until called for the next activity.
B) slowly count to 20 before returning to the group activity.
C) sit on the edge of the activity until able to regain self-control.
D) sit quietly on the lap of a staff member until able to apologize for the behavior.

E) B) and D)
F) None of the above

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A child diagnosed with ADHD will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications?


A) CNS stimulants
B) Tricyclic antidepressants
C) Antipsychotics
D) Anxiolytics

E) B) and C)
F) None of the above

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


A) Impaired social interaction related to difficulty maintaining relationships
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

E) B) and D)
F) B) and C)

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The parent of a child diagnosed with Tourette's disorder says to the nurse, "I think my child is faking the tics because they come and go." Which response by the nurse is accurate?


A) "Perhaps your child was misdiagnosed."
B) "Your observation indicates the medication is effective."
C) "Tics often change frequency or severity. That doesn't mean they aren't real."
D) "This finding is unexpected. How have you been administering your child's medication?"

E) C) and D)
F) None of the above

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The child prescribed an antipsychotic medication to manage violent behavior is one most likely diagnosed with


A) ADHD.
B) posttraumatic stress disorder (PTSD) .
C) communication disorder.
D) an anxiety disorder.

E) C) and D)
F) None of the above

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A child diagnosed with ADHD had this nursing diagnosis: impaired social interaction related to excessive neuronal activity as evidenced by aggression and demanding behavior with others. Which finding indicates the plan of care was effective? The child


A) has an improved ability to identify anxiety and use self-control strategies.
B) has increased expressiveness in communication with others.
C) shows increased responsiveness to authority figures.
D) engages in cooperative play with other children.

E) All of the above
F) A) and D)

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Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?


A) The child has been raised by a parent with recurring major depressive disorder.
B) The child's best friend was absent from the child's birthday party.
C) The child was not promoted to the next grade one year.
D) The child moved to three new homes over a 2-year period.

E) B) and C)
F) None of the above

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Which assessment findings present familial risks for a child to develop a psychiatric disorder? (Select all that apply.)


A) Having a mother diagnosed with schizophrenia
B) Being the oldest child in a family
C) Living with an alcoholic parent
D) Being an only child
E) Living in an urban community

F) A) and E)
G) All of the above

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