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NURS 311 Quiz 10 GRADED A PLUS, Exams of Nursing

a 3-year old child is diagnosed with autism. which behaviors should the nurse expect when assessing this child? SATA 1. initiates orders 2. seeks physical contact 3. avoids eye to eye contact 4. engages in cooperative play 5. performs repetitive activities 6. displays interest in children rather than adults - ans3. avoids eye to eye contact 5. performs repetitive activities

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2023/2024

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NURS 311 Quiz 10
a 3-year old child is diagnosed with autism. which behaviors should the nurse expect
when assessing this child? SATA
1. initiates orders
2. seeks physical contact
3. avoids eye to eye contact
4. engages in cooperative play
5. performs repetitive activities
6. displays interest in children rather than adults - ans3. avoids eye to eye contact
5. performs repetitive activities
a 4-year-old child is diagnosed with ADHD. what information about the Childs behavior
should the nurse expect when obtaining a health history from the parents? SATA
1. Is impulsive
2. talks excessively
3. is spiteful and vindictive
4. annoys others deliberately
5. plays video games for hours
6. does not follow through or finish tasks - ans1. Is impulsive
2. talks excessively
5. plays video games for hours
6. does not follow through or finish tasks
a 6 year old child with autism is nonverbal and has limited eye contact. what should a
nurse do initially to promote social interaction?
1. encourage the child to sing songs with the nurse
2. engage in parallel play while sitting next to the child
3. provide opportunities for the child to play with other children
4. use therapeutic holding when the child does not respond to verbal interactions - ans2.
engage in parallel play while sitting next to the child
a 10 year old child who was diagnosed with autism at the age of 3 attends a school for
developmentally disabled children and lives with the parents. the child has frequent
episodes of self-biting behavior, banging of the head, and needing help with feeding and
toileting. the priority nursing goal for this child is "the child will:
1. control repetitive behaviors
2. be able to feed independently
3. remain safe from self-inflicted injury
4. develop control of urinary elimination - ans3. remain safe from self-inflicted injury
a child is diagnosed with ADHD. what is a strategy that the nurse should teach the
parents to assist in coping with this disorder?
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NURS 311 Quiz 10

a 3-year old child is diagnosed with autism. which behaviors should the nurse expect when assessing this child? SATA

  1. initiates orders
  2. seeks physical contact
  3. avoids eye to eye contact
  4. engages in cooperative play
  5. performs repetitive activities
  6. displays interest in children rather than adults - ans3. avoids eye to eye contact
  7. performs repetitive activities a 4-year-old child is diagnosed with ADHD. what information about the Childs behavior should the nurse expect when obtaining a health history from the parents? SATA
  8. Is impulsive
  9. talks excessively
  10. is spiteful and vindictive
  11. annoys others deliberately
  12. plays video games for hours
  13. does not follow through or finish tasks - ans1. Is impulsive
  14. talks excessively
  15. plays video games for hours
  16. does not follow through or finish tasks a 6 year old child with autism is nonverbal and has limited eye contact. what should a nurse do initially to promote social interaction?
  17. encourage the child to sing songs with the nurse
  18. engage in parallel play while sitting next to the child
  19. provide opportunities for the child to play with other children
  20. use therapeutic holding when the child does not respond to verbal interactions - ans2. engage in parallel play while sitting next to the child a 10 year old child who was diagnosed with autism at the age of 3 attends a school for developmentally disabled children and lives with the parents. the child has frequent episodes of self-biting behavior, banging of the head, and needing help with feeding and toileting. the priority nursing goal for this child is "the child will:
  21. control repetitive behaviors
  22. be able to feed independently
  23. remain safe from self-inflicted injury
  24. develop control of urinary elimination - ans3. remain safe from self-inflicted injury a child is diagnosed with ADHD. what is a strategy that the nurse should teach the parents to assist in coping with this disorder?
  1. orient the child to reality
  2. reward appropriate conduct
  3. suppress feelings of frustration
  4. use restraints when behavior is out of control - ans2. reward appropriate conduct A child with attention deficit-hyperactivity disorder (ADHD) often becomes frustrated and loses control. A nurse uses a variety of graduated techniques to manage disruptive behaviors. List the following interventions in order, from the least invasive to the most invasive.
  5. placing the child in a time-out
  6. monitoring behavior for cues of rising anxiety
  7. using a signal to remind the child to use self-control
  8. avoiding situations that usually precipitate frustration
  9. refocusing the Childs behavior with a specific disorder - ans4. avoiding situations that usually precipitate frustration
  10. monitoring behavior for cues of rising anxiety
  11. using a signal to remind the child to use self-control
  12. refocusing the Childs behavior with a specific disorder
  13. placing the child in a time-out a client is admitted to the acute medical unit for severe amphetamine intoxication. which medications should a nurse anticipate will be prescribed to counteract the effects of stimulant intoxication? SATA
  14. diazepam
  15. propranolol
  16. benztropine
  17. bupropion
  18. amitriptyline - ans1. diazepam
  19. propranolol a client is receiving doxepin (silenor). for which most dangerous side effect of tricyclic antidepressants should a nurse monitor the client?
  20. mydriasis
  21. dry mouth
  22. constipation
  23. urinary retention - ans1. mydriasis a client with a psychosis is receiving olanzapine (zydis). what is important for a nurse to consider when administering this drug?
  24. it can be given IM
  25. a special tyramine-free diet is required
  26. it dissolves instantly after oral administration
  27. an empty stomach increases its effectiveness - ans3. it dissolves instantly after oral administration
  1. has an early onset before 36 months of age
  2. is the only form that does not include seizures
  3. is the only form that does not include mental retardation - ans2. has an early onset before 36 months of age a nurse is assessing a child suspected of having autism. at what age does the nurse determine that the signs of autism initially may be evident?
  4. 2 years of age
  5. 6 years of age
  6. 6 months of age
  7. 1 - 3 months of age - ans1. 2 years of age a nurse is caring for a preschool-age child with a history of physical and sexual abuse. what is the most advantageous therapy for this child?
  8. play
  9. group
  10. family
  11. psychodrama - ans1. play a nurse is counseling the family of a child with school phobia. what should the parents be taught to do?
  12. accompany the child to the classroom
  13. return the child to school immediately
  14. instruct the child as to why school attendance is necessary
  15. allow the child to enter the classroom before other children - ans2. return the child to school immediately a nurse is interviewing a child with attention deficit disorder. for which major characteristic should the nurse assess this child?
  16. overreaction to stimuli
  17. continued use of rituals
  18. delayed speech development
  19. inability to use abstract thought - ans1. overreaction to stimuli a nurse is planning care for a group of hospitalized children. which age group does the nurse anticipate will have the most problem with separation anxiety?
  20. 12 - 18 years
  21. 5 - 11.5 years
  22. 6 - 30 months
  23. 36 - 59 months - ans3. 6 - 30 months a nurse is teaching parents of a child with ADHD. what should the nurse include as the most frequently prescribed medication for this disorder?
  24. lorazepam (Ativan)
  25. haloperidol (haldol)
  26. methylphenidate (ritalin)
  1. methocarbamol (robaxin) - ans3. methylphenidate (ritalin) a nurse is teaching the parents of a child with ADHD about the prescribed medication methylphenidate (Ritalin). what time should the daily dose be administered?
  2. before breakfast
  3. just after breakfast
  4. immediately before lunch
  5. as soon as the child awakens - ans2. just after breakfast a nurse uses behavior modification to foster toilet training efforts in a cognitively impaired child what reward should the nurse provide to reinforce appropriate use of the toilet?
  6. candy bar
  7. piece of fruit
  8. hug with praise
  9. choice of rewards - ans3. hug with praise a nurse works with school age children who have a conduct disorder, childhood-onset type. the nurse considers that these children are at risk for progressing to an additional disorder during adolescence. for signs of which disorder should the nurse assess their present behavior?
  10. oppositional defiant
  11. antisocial personality
  12. pervasive developmental
  13. attention deficit hyperactivity - ans2. antisocial personality an 8-year-old child is diagnosed with oppositional defiant disorder. what behavior should the nurse identify that supports this diagnosis?/
  14. is easily distracted
  15. argues with adults
  16. lies to obtain favors
  17. initiates physical fights - ans2. argues with adults an adolescent with a conduct disorder is receiving behavioral therapy to attempt to limit activities that violate societal norms. a specific outcome criterion unique for adolescents with this problem is "the client will:
  18. exhibit increased impulse control
  19. identify two positive personal attributes
  20. demonstrate respect for the rights of others
  21. use age appropriate play activities with at least one peer - ans3. demonstrate respect for the rights of others an adolescent with the diagnosis of conduct disorder since the age of 9 is placed in a residential facility. the adolescent has a history of fighting, stealing, vandalizing property and running away from home. the adolescent is aggressive, has no friends, and has
  1. this medication should help me enjoy pleasurable activities
  2. I will have to remember to take my benzotropine (congentin)
  3. restlessness can occur when I am taking this medication - ans1. I need to be careful that I do not gain too much weight
  4. this medication should help me enjoy pleasurable activities olanzapine (zyprexa) is prescribed for a client with bipolar disorder, manic episode. what cautionary advice should the nurse give the client?
  5. sit up slowly
  6. report double vision
  7. expect increased salivation
  8. take the medication on an empty stomach - ans1. sit up slowly the parent of a child with a tentative diagnosis of ADHD arrives at the pediatric clinic insisting on receiving a prescription fr medication that will control the Childs behavior. what is the nurses best response?
  9. it must be frustrating to deal with your Childs behavior
  10. have you considered any alternatives to using medication?
  11. perhaps you are looking for an says solution to the problem
  12. let me teach you about the side effects of medications used for ADHD - ans1. it must be frustrating to deal with your Childs behavior what childhood problem has legal as well as emotional aspects and cannot be ignored?
  13. school phobias
  14. fear of animals
  15. fear of monsters
  16. sleep disturbances - ans1. school phobias what is the prognosis for a normal productive life for a child diagnosed with autism?
  17. dependent on an early diagnosis
  18. often related to the Childs overall temperament
  19. ensured as long as the child attends a school tailored to meet needs
  20. unlikely because of interference with so many parameters of functioning - ans4. unlikely because of interference with so many parameters of functioning when planning activities for a child with autism, the nurse considers that autistic children respond best to:
  21. loud, cheerful music
  22. large-group activities
  23. individuals in small groups
  24. their own self-stimulating acts - ans4. their own self-stimulating acts