Chapter 29 Infant, Child, and Adolescent Clients

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Chapter 29  Infant, Child, and Adolescent Clients

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

During well-child clinic, the nurse suspects depression in an 8-year-old child who has which of the following symptoms?
A)
He or she expresses boredom and watches TV but cannot remember what was watched.
B)
He or she likes to collect baseball cards and plays on a baseball team.
C)
He or she talks excessively and brags about the ability to play baseball.
D)
He or she enjoys playing the piano and going to dance class.
Ans:
A

Feedback:

Depression in children may be manifested by loss of interest in age-appropriate activities and poor memory. Collecting baseball cards, playing on a baseball team, playing piano, and going to dance class are all normal activities for an 8-year-old child. At this age, children tend to boast about their abilities.

2.
Which of the following approaches is included in milieu therapy for the child with autism?
A)
Providing a routine and predictive environment
B)
Scheduling a group in which the children talk about school
C)
Having a playroom with climbing structures and rolling chairs
D)
Activities that promote interpersonal interaction
Ans:
A

Feedback:

Verbal and nonverbal communication is impaired in children with autism; therefore, a group modality would not be appropriate. Children with autism have difficulty with interpersonal interaction; thus, these activities would increase anxiety and acting-out behaviors. Having a playroom with climbing structures and rolling chairs would increase the child’s risk for injury. Maintaining a routine and predictable environment would be therapeutic for the client with autism.

3.
When ADHD is present, the child will most likely exhibit which core symptoms?
A)
Highly distractible, excitable, impulsive, and excessively active
B)
Affective disturbances, autism, psychosis, and excessive talkativeness
C)
Quiet, impulsive, excessively attentive, and psychotic
D)
Overly friendly, able to follow directions, impulsive, and active
Ans:
A

Feedback:

The correct answer provides the four core symptoms associated with this disorder. Although talking excessively is an associated behavior, the other choices are not accurate. Although impulsivity and being excessively active are core symptoms, the other choices are not accurate.

4.
The mother of a 6-year-old boy reports that the child has had increasing somatic complaints that have no physical basis and disappear when he is allowed to remain home from school. The nurse should suspect what?
A)
The child has oppositional defiant disorder.
B)
The child has a school phobia.
C)
The child has ADHD.
D)
The child has a developmental disorder.
Ans:
B

Feedback:

The child’s wanting to remain home from school may be an example of parents’ explanations for some behaviors. The data in the question indicate an ongoing and progressive problem. Some aspects of the school experience are feared by the child. Separation anxiety is thought to play a role in this disorder. The data neither indicate ADHD nor suggest childhood developmental disorder.

5.
Which goal should be included in the plan of care for a child in play therapy for problems stemming from being bullied at school?
A)
The child will enjoy puppet play.
B)
The child will play with the puppets for 30 minutes.
C)
The child will engage the puppets in assertive behavior.
D)
The child will begin to play aggressively with the puppets.
Ans:
C

Feedback:

Puppet play is a therapeutic modality with more specific goals. This may be a secondary therapeutic effect. There are no data to suggest that time is of importance. Puppet play is focused on helping the child find a way to solve the problem with the bullies at school. Working this out through the puppets will assist with doing it at school. Finding ways of solving the problem with the bullies is a therapeutic effect; however, being aggressive will not solve the problem.

 

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