PEDS ; 2024 NEWEST [A+
GRADED]
CHAPTER 36 : THE CHILD WITH
A CHRONIC CONDITION,
CHAPTER 53, PSYCHOSOCIAL
PROBLEMS IN CHILDREN AND
FAMILIES,
... [Show More] CHAPTER 37
PRINCIPLES AND PROCEDURE
FOR NURSING CARE OF
CHILDREN McKINNEY.
Which sign or symptom is likely to be manifested by an
adolescent with a depressive
disorder?
a. Abuse of alcohol
b. Impulsivity and distractibility
c. Carelessness and inattention to details
d. Refusal to leave the house - ANS✔✔-ANS: A
Feedback
A Depression often manifests in conjunction with substance
abuse, so children who
abuse substances should be evaluated for depression as well.
B Impulsivity and distractibility are manifestations of
attention-deficit/hyperactivity disorder (ADHD).
C A diminished ability to think or concentrate, carelessness,
and inattention to
details is a clinical manifestation of ADHD.
D A refusal to leave the house, even to play with friends, is
characteristic of
separation anxiety disorder.
Which action is appropriate to promote a toddler's nutrition
during hospitalization?
a. Allow the child to walk around during meals.
b. Require the child to empty his or her plate.
c. Ask the child's parents to bring a cup and utensils from
home.
d. Select new foods for the child from the menu. - ANS✔✔
ANS: C
Using familiar items during mealtimes increases the toddler's
sense of security and control and may encourage eating. For
safety reasons, "roaming" while eating should not be
permitted. The child should be seated during meals. Toddlers
often use food as a source of control. Forcing a toddler to eat
only increases the child's sense of powerlessness. Toddlers
also experience food jags, a normal phenomenon when they
will only eat certain foods. Hospitalization is a stressful
experience for the toddler. It is not the time to introduce the
child to new foods.
PTS: 1 DIF: Cognitive Level: Application/Applying
The best response for the nurse to make to an adolescent who
states, "I am very sad. I wish
I was not alive." is
a. "Everyone feels sad once in a while."
b. "You are just trying to escape your problems."
c. "Have you told your parents how you feel?"
d. "Have you thought about hurting yourself?" - ANS✔✔-ANS:
D
Feedback
A This is a judgmental response that ignores the adolescent's
obvious statement
indicating a need for professional help.
B This is a judgmental response that could increase the
adolescent's sense of
isolation and rejection.
C The parents should be made aware of an adolescent's
precarious mental state;
however, this response does not address the adolescent's
statement.
D This response acknowledges the adolescent's suicide
gesture and further assesses
the adolescent's condition.
The Glasgow Coma Scale consists of an assessment of
a. Pupil reactivity and motor response
b. Eye opening and verbal and motor responses
c. Level of consciousness and verbal response
d. ICP and level of consciousness - ANS✔✔-ANS: B
Feedback
A Pupil reactivity is not a part of the Glasgow Coma Scale but
is included in the
pediatric coma scale.
B The Glasgow Coma Scale assesses eye opening, and verbal
and motor responses.
C Level of consciousness is not a part of the Glasgow Coma
Scale.
D Intracranial pressure and level of consciousness are not
part of the Glasgow
Coma Scale.
False - ANS✔✔-T/F Teach the child and family is less of a
concern in an outpatient facility than it is in an acute care
setting [Show Less]