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Chapters 18 to 19

Total questions: 99

Worksheet time: 50mins

Name
Class
Date
1.

Describe why the conditions discussed are considered mental health issues.

a)

Because they affect a person's emotional, psychological, and social well-being.

b)

Because they only affect physical health.

c)

Because they are always temporary and do not require treatment.

d)

Because they are caused by external injuries only.

2.

Common signs and symptoms of mental health issues in children and adolescents include:

a)

Frequent mood swings, withdrawal from friends, and changes in eating or sleeping patterns

b)

Improved academic performance and increased social activity

c)

Consistent happiness and high energy levels

d)

Lack of any emotional response to situations

3.

Common causes for intellectual and/or developmental disability include:

a)

Genetic conditions, prenatal exposure to toxins, infections, and birth complications

b)

Excessive exercise and healthy diet

c)

Frequent travel and social interaction

d)

High intelligence and advanced education

4.

Treatment options for the child or adolescent with a mental health issue include:

a)

Medication, psychotherapy, and family support

b)

Only medication

c)

Only psychotherapy

d)

No treatment is needed

5.

Coexisting conditions that may be seen in the child or adolescent with a mental health issue include:

a)

Asthma

b)

Diabetes

c)

Learning disabilities

d)

Hypertension

6.

The nursing process for the child or adolescent with a mental health issue includes which of the following steps?

a)

Assessment, diagnosis, planning, implementation, and evaluation

b)

Diagnosis, medication administration, discharge, and follow-up

c)

Assessment, surgery, medication, and discharge

d)

Planning, implementation, surgery, and evaluation

7.

Which of the following is an example of a mental health issue in children and adolescents?

a)

Anxiety

b)

Diabetes

c)

Asthma

d)

Hypertension

8.

Fill in the blank: Many mental health issues will exist for the individual's ________.

a)

lifetime

b)

weekend

c)

breakfast

d)

vacation

9.

What are conditions in which a child displays symptoms affecting expected periods of development typically seen?

a)

In adulthood

b)

Prior to school age

c)

During teenage years

d)

After college

10.

Which of the following is NOT a characteristic of developmental disorders in children?

a)

Differences or delays in expected mentality

b)

Skills and coordination issues

c)

Activity for child’s age and educational level

d)

Sudden improvement in all skills

11.

Developmental disorders in children can include which of the following?

a)

Language and communication disorders

b)

Intellectual and/or developmental disabilities

c)

Autism spectrum disorder

d)

Attention deficit hyperactivity disorder (ADHD)

e)

All of the above

12.

Language and communication disorders are characterized by impairment with _________.

a)

speech/language

b)

hearing/vision

c)

motor skills

d)

cognitive reasoning

13.

Difficulty in acquiring and using language is a sign of language and communication disorders.

a)

True

b)

False

14.

Deficits in comprehension or production are associated with which type of disorder?

a)

Physical disorders

b)

Language and communication disorders

c)

Visual disorders

d)

None of the above

15.

Which of the following is a sign or symptom of language and communication disorders?

a)

Limited speech

b)

Advanced vocabulary

c)

Excessive talking

d)

None of the above

16.

What are the types of disorders included in language and communication disorders?

a)

Only expressive disorders

b)

Only receptive disorders

c)

Expressive, receptive, or mixed disorders

d)

Only mixed disorders

17.

Language and communication disorders involve impairment in both ______ and sign language.

a)

verbal

b)

written

c)

mathematical

d)

visual

18.

Which of the following is a sign or symptom of language and communication disorders?

a)

Limited speech, vocabulary

b)

Expressive or mixed disorders

c)

Both A and B

d)

None of the above

19.

Stuttering is characterized by which of the following?

a)

Repetitive, prolonged sounds/syllables

b)

Pauses and broken words

c)

Both A and B

d)

None of the above

20.

Stuttering can cause discomfort in academic and social situations.

a)

True

b)

False

21.

Dyslexia is a learning disorder that involves difficulty in the ______ reading domain.

a)

visual

b)

auditory

c)

verbal

d)

motor

22.

Trouble with reading and spelling is linked to a child's intellectual ability.

a)

True

b)

False

23.

Which of the following can affect social interactions and academic performance?

a)

Trouble with reading and spelling

b)

Playing sports

c)

Watching TV

d)

Eating healthy

24.

May have difficulty with spelling and writing by hand; letter confusion or reversal. This is a characteristic of _________.

a)

reading and spelling difficulties

b)

mathematical reasoning

c)

physical coordination

d)

musical ability

25.

What is a tic?

a)

A sudden, repetitive, arrhythmic, stereotyped motor movement or verbal speech

b)

A type of food

c)

A kind of sport

d)

A musical instrument

26.

Tourette syndrome is a type of tic disorder where tics are experienced for at least ______ year.

a)

1

b)

2

c)

5

d)

10

27.

Which of the following is NOT a type of tic?

a)

Simple tics

b)

Complex tics

c)

Vocal tics

d)

Cardiac tics

28.

Echopraxia is defined as:

a)

Mimicking movements of someone else without reason

b)

Sudden tic-like obscene gesture

c)

Recurrent sounds like sniffing

d)

Jerking neck or shoulders

29.

A person with tics usually feels an irresistible urge to perform the tic and feels immediate relief after.

a)

True

b)

False

30.

What is selective mutism?

a)

A condition where a child repeatedly does not speak during situations where they are expected to

b)

A condition where a child speaks all the time

c)

A condition where a child only speaks at home

d)

A condition where a child never speaks

31.

Selective mutism needs to occur for at least a ______ and interfere with the individual's schooling or social interactions.

a)

month

b)

week

c)

year

d)

day

32.

Does selective mutism include instances when the child does not know the language and is not comfortable speaking the new language?

a)

True

b)

False

33.

What is the most common treatment for selective mutism?

a)

Medication

b)

Behavioral therapy

c)

Surgery

d)

No treatment

34.

Antianxiety medications may also be used to treat selective mutism.

a)

True

b)

False

35.

What can cause emotional discomfort, shame, and self-consciousness; social isolation or personality changes?

a)

Selective mutism

b)

Intellectual disability

c)

Both A and B

d)

None of the above

36.

Treatment for selective mutism includes medication and cognitive behavioral therapy if the disorder causes individual distress.

a)

True

b)

False

37.

Intellectual and/or Developmental Disability is a broad term covering a variety of conditions that have significant impact on _______.

a)

intellectual

b)

physical fitness

c)

financial status

d)

geographical location

38.

What are the categories of intellectual disability?

a)

Mild, moderate, severe, or profound

b)

Simple, complex, advanced, or basic

c)

Easy, hard, medium, or extreme

d)

None of the above

39.

Intellectual disability is based not on IQ but on an individual's ability to perform daily life skills/activities, meet developmental milestones, and cognitive processing ability.

a)

True

b)

False

40.

Fill in the blank: Treatment for intellectual disability is individualized based on strengths and functional/medical needs to live at the ______ possible level of functioning and independence.

a)

highest

b)

lowest

c)

average

d)

minimum

41.

What is the IQ score range for intellectual disability?

a)

90 to 100

b)

70 to 75 or lower

c)

80 to 85

d)

60 to 65

42.

Cognitive impairment in intellectual disability is seen in delay in skill areas such as reading, language, and self-care.

a)

True

b)

False

43.

Difficulty with practical daily skills as well as communication and interpersonal skills is a sign of intellectual disability.

a)

True

b)

False

44.

What is autism spectrum disorder?

a)

A range of neurodevelopmental disorders that involve differences in communication, social, and other skills

b)

A type of physical disability

c)

A form of cancer

d)

A type of infectious disease

45.

Children with autism spectrum disorder have difficulty processing ________.

a)

input

b)

output

c)

language

d)

emotion

46.

Symptoms of autism spectrum disorder usually appear before what age?

a)

1 year old

b)

3 years old

c)

5 years old

d)

10 years old

47.

Children with autism spectrum disorder often exhibit repetitive behavior or interests and are ________ driven.

a)

routine

b)

emotion

c)

impulse

d)

random

48.

Which of the following is NOT a behavior commonly seen in autism spectrum disorder?

a)

A) Language delays

b)

B) Frequent use of gestures as in peers

c)

C) Heightened responses to stimuli

d)

D) Arranging toys or repetitive actions

49.

What is the incidence of autism spectrum disorder in the United States?

a)

1 in 10 children

b)

1 in 44 children

c)

1 in 100 children

d)

1 in 500 children

50.

Males are diagnosed with autism spectrum disorder more frequently than females.

a)

True

b)

False

51.

No definite cause for autism spectrum disorder has been found, but it may have a ________ or environmental link.

a)

genetic

b)

dietary

c)

mechanical

d)

seasonal

52.

Concurrent health issues with autism spectrum disorder can include which of the following?

a)

Epilepsy

b)

Depression

c)

Obesity

d)

Anxiety

e)

All of the above

53.

Occupational therapy can help individuals with autism spectrum disorder with ________ tasks.

a)

daily

b)

musical

c)

historical

d)

fictional

54.

Some individuals with autism spectrum disorder may benefit from therapy to help with which of the following?

a)

Social skills

b)

Anger management

c)

Speech

d)

All of the above

55.

Medications can treat cooccurring conditions like ________ or depression in individuals with autism spectrum disorder.

a)

anxiety

b)

diabetes

c)

hypertension

d)

asthma

56.

What does ADHD stand for?

a)

Attention deficit hyperactivity disorder

b)

Attention disorder hyperactivity deficit

c)

Active disorder hyperactivity deficit

d)

Attention deficit hyper disorder

57.

Symptoms of ADHD must be present before the age of ____ and for at least ____ months. Fill in the blanks.

a)

12 years; 6 months

b)

10 years; 3 months

c)

7 years; 12 months

d)

15 years; 9 months

58.

Which of the following is NOT a possible symptom or characteristic of ADHD?

a)

Restlessness

b)

Disorganization

c)

High tolerance for frustration

d)

Low self-esteem

59.

ADHD is most commonly diagnosed in which group?

a)

Adults

b)

School-aged children, especially boys

c)

Elderly

d)

Infants

60.

Adults are increasingly being diagnosed with ADHD due to increased understanding of symptoms.

a)

True

b)

False

61.

What is the most common type of medication used to treat ADHD?

a)

Antidepressants

b)

Stimulants

c)

Antipsychotics

d)

Antibiotics

62.

List two possible side effects of stimulant medications used for ADHD.

a)

Insomnia, irritability, nervousness, headaches, stomachaches (any two)

b)

Weight gain, increased appetite, drowsiness, blurred vision (any two)

c)

Hair loss, skin rash, fever, joint pain (any two)

d)

Hearing loss, yellowing of eyes, frequent urination, dry mouth (any two)

63.

Intermittent explosive disorder is characterized by angry, aggressive outbursts to minor situations with rapid onset, typically lasting less than ____ minutes. Fill in the blank.

a)

30

b)

5

c)

60

d)

120

64.

What are the signs and symptoms of an impulsive, aggressive response significantly out of proportion to a stressor?

a)

Chronic pattern; no warning period of behaviors

b)

Unplanned; without ulterior motives

c)

Both A and B

d)

None of the above

65.

Conduct disorder is defined as repetitive and continuous behavior which infringes on basic rights of others and defies societal rules/norms.

a)

True

b)

False

66.

Which of the following is NOT a sign or symptom of conduct disorder?

a)

Aggressive actions resulting in harm to others or animals

b)

Initiate hostile, bullying behavior

c)

Commonplace to lie, manipulate others

d)

Excessive anxiety related to separation from home

67.

Separation anxiety disorder is characterized by excessive anxiety related to separation from home or attachment figures, expected in children from ___ months to ___ years old.

a)

8 months to 4 years old

b)

2 months to 1 year old

c)

12 months to 6 years old

d)

6 months to 2 years old

68.

Which of the following is a possible sign or symptom of separation anxiety disorder?

a)

Uncomfortable to the point of misery when separation occurs

b)

Somatic symptoms

c)

Anxiety range from uneasiness to panic and depression

d)

All of the above

69.

Enuresis is defined as repeated episodes of urine incontinence during the day or night.

a)

True

b)

False

70.

Usually involuntary, may be intentional behavior is a sign and symptom of which disorder?

a)

Enuresis

b)

Dyslexia

c)

Anorexia nervosa

d)

Epilepsy

71.

Pica is the repetitive eating (ingestion) of nonfood substances that lasts more than ___ month.

a)

1 month

b)

3 months

c)

6 months

d)

12 months

72.

Considered a mental health issue when it occurs after ____ years of age (when normal oral sensory learning stops) and occurs outside of a cultural norm. Fill in the blank.

a)

3

b)

1

c)

5

d)

7

73.

Which of the following is NOT part of the assessment in the nursing process for a child's mental health issue?

a)

Assess all potentially contributing factors to child's behavior

b)

History of behaviors

c)

Thorough medical and emotional assessment of child

d)

Prescribe medication immediately

e)

The child's ability to communicate and interact with family members

74.

Selected nursing care focus is determined from ____ review. Fill in the blank.

a)

data

b)

policy

c)

budget

d)

staff

75.

Expected outcomes in the nursing process should target realistic, ____ outcomes. Fill in the blank.

a)

measurable

b)

subjective

c)

temporary

d)

ambiguous

76.

Interventions in the nursing process for a child's mental health issue should be:

a)

Cognitive-behavioral

b)

Safety/security-based

c)

Include parents

d)

All of the above

77.

Evaluation is a step in the nursing process for addressing mental health issues in children.

a)

True

b)

False

78.

What is the definition of aging according to Chapter 19? Fill in the blank: Aging is the manifestation of changes that advance in a continuous and progressive manner during the adult years, such as graying hair, presbyopia, and wrinkling.

a)

Aging is the manifestation of changes that advance in a continuous and progressive manner during the adult years, such as graying hair, presbyopia, and wrinkling.

b)

Aging is the sudden onset of changes that occur only in childhood, such as rapid growth and increased metabolism.

c)

Aging is the process of acquiring new skills and abilities throughout life, such as learning new languages and sports.

d)

Aging is the manifestation of changes that only occur after the age of 80, such as memory loss and decreased mobility.

79.

What is primary aging? Fill in the blank: Primary aging refers to changes resulting from ______ or ______ factors.

a)

genetics; natural

b)

environmental; accidental

c)

dietary; lifestyle

d)

medical; social

80.

What is secondary aging? Fill in the blank: Secondary aging refers to changes influenced by ______ factors.

a)

environmental

b)

genetic

c)

nutritional

d)

hormonal

81.

What are some common changes related to aging?

a)

Changes in employment, finances, family structure

b)

Concerns related to memory, disease, death of loved ones, change in independence level

c)

Both A and B

d)

None of the above

82.

What is ageism?

a)

Prejudice based on age that minimizes the worth of aging person

b)

A type of cognitive disorder

c)

A medical condition

d)

None of the above

83.

Fill in the blank: Ageism incorrectly assumes that cognitive and mental health conditions are part of the _________

a)

normal aging process

b)

childhood development

c)

adolescent phase

d)

workplace environment

84.

Unreported mental health symptoms in older adults may occur when they mistakenly believe they have to accept symptoms as part of aging.

a)

True

b)

False

85.

Which of the following are examples of impaired cognitive functioning in older adults?

a)

Memory loss and difficulty concentrating

b)

Improved physical strength and faster reaction time

c)

Enhanced vision and hearing

d)

Increased social activity and independence

86.

Which of the following is NOT a type of cognitive (mental) disorder in the older adult?

a)

Noticeable change in cognition from former functioning

b)

Underlying medical condition: medication, toxin, both

c)

Delirium

d)

Diabetes

87.

Fill in the blank: Delirium is characterized by a disturbance in ________ and a change in cognition developing over a short time.

a)

consciousness

b)

memory

c)

speech

d)

appetite

88.

Which of the following are signs and symptoms of delirium in older adults?

a)

Sudden confusion, disorientation, and changes in alertness

b)

Gradual memory loss over years

c)

Consistent mood and behavior

d)

Improved cognitive function

89.

What is dementia?

a)

A) A reversible decline in cognitive functioning

b)

B) An irreversible, progressive decline in cognitive functioning

c)

C) A temporary loss of memory

d)

D) A type of infection

90.

Which of the following is NOT a symptom of dementia due to Alzheimer disease?

a)

Neuritic plaques in the brain

b)

Improved memory

c)

Impaired judgment

d)

Loss of abstract thinking

91.

Fill in the blank: Memory impairment is common to both ______ and dementia, making it necessary to recognize that ______ can also exist with a pre-existing dementia.

a)

delirium; delirium

b)

depression; depression

c)

anxiety; anxiety

d)

psychosis; psychosis

92.

Which part of the brain is involved in conscious thought and language and is affected in Alzheimer disease?

a)

Cerebellum

b)

Cerebral cortex

c)

Brainstem

d)

Hippocampus

93.

Select two signs or symptoms of dementia due to Alzheimer disease.

a)

Memory loss and confusion

b)

Fever and rash

c)

Joint pain and swelling

d)

Cough and sore throat

94.

Personality changes and loss of mental processing are signs of dementia due to Alzheimer disease.

a)

True

b)

False

95.

Which of the following is a sign of advanced Alzheimer disease?

a)

Improved social skills

b)

Totally unaware of surroundings

c)

Enhanced memory

d)

Increased ability to calculate mathematically

96.

What are some common complications associated with dementia?

a)

Pneumonia

b)

UTIs

c)

Infected decubitus ulcers

d)

Diabetes

97.

Dementia due to vascular disorder is caused by the effects of ______ upon the brain portion where it occurs.

a)

CVA

b)

infection

c)

tumor

d)

trauma

98.

The two types of dementia can coexist in the same person.

a)

True

b)

False

99.

Vascular dementia tends to be more common in ______ than in ______.

a)

men; women

b)

women; men

c)

children; adults

d)

adults; children

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