Module 11 - Chapter 32

Which of the following groups is most commonly used for drug management of the child with attention deficit-hyperactivity disorder?

• CNS depressants (e.g., diazepam [Valium])

• CNS stimulants (e.g., methylphenidate [Ritalin])

• Anticonvulsants (e.g., phenytoin [Dilantin])

• Major tranquilizers (e.g., haloperidol [Haldol])

The nursing history and assessment of an adolescent with conduct disorder might reveal all of the following behaviors except:

• Manipulation of others for fulfillment of own desires.

• Chronic violation of rules.

• Feelings of guilt associated with the exploitation of others.

• Inability to form close peer relationships.

Certain family dynamics often predispose adolescents to the development of conduct disorder. Which of the following patterns is thought to be a contributing factor?

• Parents who are overprotective

• Parents who have high expectations for their children

• Parents who consistently set limits on their children’s behavior

• Parents who are alcohol dependent

Which of the following is least likely to predispose a child to Tourette’s disorder?

• Absence of parental bonding

• Family history of the disorder

• Abnormalities of brain neurotransmitters

• Structural abnormalities of the brain

Which of the following medications is used to treat Tourette’s disorder?

• Methylphenidate (Ritalin)

• Haloperidol (Haldol)

• Imipramine (Tofranil)

• Phenytoin (Dilantin)

The child with attention deficit-hyperactivity disorder has a nursing diagnosis of impaired social interaction. Which of the following nursing interventions are appropriate for this child? (Select all that apply.)

• Socially isolate the child when interactions with others are inappropriate.

• Set limits with consequences on inappropriate behaviors.

• Provide rewards for appropriate behaviors.

• Provide group situations for the child.

To help the child with mild to moderate intellectual developmental disorder develop satisfying relationships with others, which of the following nursing interventions is most appropriate?

• Interpret the child’s behavior for others.

• Set limits on behavior that is socially inappropriate.

• Allow the child to behave spontaneously because he or she has no concept of right or wrong.

• This child is not capable of forming social relationships.

The child with autism spectrum disorder has difficulty with trust. With this in mind, which of the following nursing actions would be most appropriate?

• Encourage all staff to hold the child as often as possible, conveying trust through touch.

• Assign a different staff member each day so the child will learn that everyone can be trusted.

• Assign the same staff person as often as possible to promote feelings of security and trust.

• Avoid eye contact because it is extremely uncomfortable for the child and may even discourage trust.

Which of the following nursing diagnoses would be considered the priority in planning care for the child with severe autism spectrum disorder?

• Risk for self-mutilation evidenced by banging head against wall

• Impaired social interaction evidenced by unresponsiveness to people

• Impaired verbal communication evidenced by absence of verbal expression

• Disturbed personal identity evidenced by inability to differentiate self from others

A child with ADHD is admitted to a residential treatment program. Which of the following group activities would be most appropriate for the nurse to recommend?

• Monopoly

• Volleyball

• Pool

• Checkers