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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 does not mean they aren't real."
D) "This finding is unexpected. How have you been administering your child's medication?"

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

Correct Answer

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A nurse prepares to lead a discussion at a community health center regarding children's health. The nurse wants to use current terminology when teaching about these issues. Which terms are appropriate for the nurse to use? (Select all that apply.)


A) Mental retardation
B) Asperger's disorder
C) Autism spectrum disorder
D) Pervasive developmental disorder
E) Intellectual development disorder

F) A) and C)
G) C) and E)

Correct Answer

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A 5-year-old child diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse's best action?


A) Call for emergency assistance from another staff member.
B) Instruct the parents to take the child home immediately.
C) Direct this child to stop, and then comfort the other child.
D) Take the child into another room with toys to act out feelings.

E) A) and D)
F) A) and B)

Correct Answer

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The health care provider prescribes medication for a child diagnosed with attention deficit hyperactivity disorder (ADHD) . The desired behavior for which the nurse should monitor is:


A) increased expressiveness in communicating with others.
B) improved ability for cooperative play with other children.
C) ability to identify anxiety and implement self-control strategies.
D) improved socialization skills with other children and authority figures.

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

Correct Answer

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A parent diagnosed with schizophrenia and 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a volunteer. The teen says, "I have three good friends at school. We talk and sit together at lunch." What is the nurse's best suggestion to the treatment team?


A) Suggest foster home placement.
B) Seek assistance from an intimate partner violence program.
C) Make referrals for existing and emerging developmental problems.
D) Encourage healthy characteristics and existing environmental supports.

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

Correct Answer

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A 15-year-old adolescent is referred to a residential program after an arrest for theft and running away from home. At the program, the adolescent refuses to participate in scheduled activities and pushes a staff member, causing a fall. Which approach by the nursing staff would be most therapeutic?


A) Neutrally permit refusals
B) Coax to gain compliance
C) Offer rewards in advance
D) Establish firm limits

E) A) and D)
F) B) and D)

Correct Answer

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A parent diagnosed with schizophrenia and her 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a shelter volunteer. The child says, "My three friends and I got an A on our school science project." The nurse can assess that the child:


A) displays resiliency.
B) has a difficult temperament.
C) is at risk for posttraumatic stress disorder.
D) uses intellectualization to deal with problems.

E) A) and B)
F) B) and D)

Correct Answer

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