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leifer peds ch 33 Flashcards | StudBud
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leifer peds ch 33
leifer peds ch 33
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1
upon physical examination, the nurse notes presence of lanugo, dry skin, low BP, cold intolerance. what is this?
anorexia
compulsive eating
eczema
bulimia
2
an ongoing pattern of anger guided disobedience or hostile/defiant response to authority that last atleast 6 mos is:
disruptive mood regulation disorder
puberty
conduct disorder
ODD (oppositional defiant disorder)
3
behavior that violates the rights of others or rules of society that lasts more than 1 year is:
disruptive mood disorder
conduct disorder
ODD
ADHD
4
anorexia nervosa is characterized by an alternating binging and purging eating habit
False
True
5
which child would most likely not have ADHD?
The child who has to be reminded to quiet down several times
the child reacts poorly around sudden movements or loud noises
the child who cant wait his turn
the child who confuses left and right
6
which substance cannot be used for "huffing"?
cleaning fluid
aerosol sprays
glue
chlorine
7
since young children cannot express themselves well, the nurse will use what therapy to allow them to act out feelings ?
play therapy
art therapy
milieu therapy
family therapy
8
drug therapy can cure autism
False
True
9
an appropriate nursing intervention for a hospitalized autistic child would be
use the childs chronological age to determine best way to communicate
organize care to provide as few disruptions to the routine as possible
place the child is the most busiest part on the unit for entertainment
keep the childs room free of toys or objects she may become attached to
10
autism disorders include aspergers syndrome, retts syndrome, etc.
True
False
11
parent reports no babbling during the 12 month olds most recent visit. the nurse tells the parent
this is your fault, you need to talk to her in your baby voice more
this is an early sign of autism, we will look further into this
this is a normal delay, no further testing is required
there is no need to worry, all babies develop at different rates
12
the school nurse suggests to the teacher that the most appropriate intervention for a child with ADHD would be:
pair the child with a buddy to remind him to focus
separate the child from others to increase his focus
divide assignments into shorter periods with breaks inbetween
seat the child in the back of the classroom to prevent distractions
13
book used by professionals to aid in diagnoses of mental health conditions and defines mental disorders is the DSM-V
True
False
14
what could be a possible trigger for depression in a child?
buying the child their favorite candy
taking the child to a sports event
moving to a new community
bringing the child to her friends birthday party
15
in bulimia the binge-purge cycle is thought to be a coping mechanism for handling guilt, depression, and low self esteem
True
False
16
impairment of general mental ability that in turn impairs functioning related to everyday tasks-
mental retardation
intellectual disability
learning disability
psychotic
17
what type of infection can trigger an autoimmune response that results in OCD?
group B alpha hemolytic streptococcal infection
staph infection
group A beta hemolytic streptococcal infection
UTI
18
which child is showing signs of depression?
the teen who gives up his favorite hobby for more time with his girlfriend
the teen who spends all day studying at the library for an upcoming exam
the teen who stops hanging out with friends and stays in his room all day
the teen who withdraws all his money from the bank for concert tickets
19
which response by the nurse is appropriate for a suicidal teenager?
"dont be silly, i know you arent going to do that"
"thats ridiculous, you have a good life!"
"please tell me what has been causing you to think this way?"
"you are too young to know what suicide is"
20
ADHD refers to an inappropriate degree of gross motor activity, impulsivity, and inattention
False
True
21
SSRI drugs can be used to treat anorexia and separation anxiety
False
True
22
the most major complication of depression when left untreated is suicide
False
True
23
two siblings are fighting over the attention of their mother. What would you say they are experiencing?
sibling rivalry
social skills
jealousy
oedipus complex
24
psychological dependence is a craving and physical dependence is the need to take the drug to avoid withdrawal symptoms
False
True
25
what component is not included in HEADSSS
sexual activity
employment
hormones
suicidal ideas
26
the risk of suicide decreases when there is a plan of action, means to carry out a plan, and an absence of resources
False
True
27
which would not be an characteristic of anorexia nervosa
overeating and feeling guilty, resulting in purging
failure to maintain minimal normal weight for age and height (less than 85%
intense fear of gaining weight
amenorrhea
28
the nurse recognizes the child of an alcoholic who tries to do everything perfectly has assumed the role of the:
perfect child
super coper
flight
helper
29
the child is showing signs of dyslexia when he:
cannot spell words appropriate for his age
needs to use a calculator
struggles writing words correctly
confuses his Ds and Bs
30
which of these forms of therapy create an emotionally safe environment?
play therapy
art therapy
milieu therapy
recreation therapy
31
which statement by a child indicates the greatest risk of suicide?
"sometimes i feel like i dont want to be alive anymore"
"im going to take this full bottle of pills while im alone today"
"lately i just cant find my purpose and feel like i shouldnt be alive"
"if i can find someone to buy me a gun, i think i will commit suicide."
32
daily persistently irritable or angry mood between the ages of 6-18 years that last more than 1 year is:
disruptive mood disorder
conduct disorder
ODD
internet gaming disorder
33
which of the following is not a learning disability
dysgraphia
dysphasia
dyslexia
difficulty in mathematics
34
the nurse warns that exposure to HIV and Hep B is a major risk for persons who use
cocaine
alcohol
opiates
marijuana
35
the use of stimulants will decrease hyperactivity in autistic child but has the negative aspect of :
causing hypotension
creating fluid retention
sedating the child
impairing cognition
36
OCD can be genetic and an abnormality of the basal ganglia
False
True
37
when the mother asks what is meant by "learning disability" the nurse responds with
the childs intellectual ability limits his learning
the child has difficulty learning from brain damage
the child may have difficulty with perception, language, comprehension, etc
it is characterized by inattention, impulsiveness, and hyperactivity
38
all are causative factors for ADHD except
dopamine imbalance
genetics or harmful maternal drug abuse/exposure to toxins during gestation
hypothyroidism
family stressors (poverty, violence, undernutrition)
39
OCD is characterized by persistent thoughts (obsessive) followed by a ritual movement or activity (compulsive)
True
False
40
signs of nervous tension is stuttering, nonnutritive sucking, and aggressive behavior.
True
False
41
when does separation anxiety become abnormal?
6 months of age
by 3 years of age
2.5 years of age
1 year of age
42
which statement made by a parent of a child with anorexia indicates an understanding
"she is just trying to punish me for divorcing her father"
"dont they say you can never be too thin?"
"my daughter just doesnt have much of an appetite"
"she seems to see herself as fat even though she is below normal weight"
43
the two forms of intervention is direct/confrontational and indirect/referral.
True
False
44
what IQ level could indicate intellectual disability?
<80
<70
<75
<50
45
how is OCD diagnosed
M-CHAT
Childrens Yale-Brown pbsessive compulsive scale (CY-BOCS)
Anxiety Disorder Interview Schedule for Children (ADIS-C)
observation
46
gateway substance:
does not pose any risk of harm
can be heroin
can lead to use of stronger drugs
neurologically restructures the brain to send signals of euphoria
47
a mother of a 4 month old says she things her child may be autistic. the nurse responds that age for early diagnosis is
1-2 years
2-3 years
6-12 months
in utero
48
which one of the following is a medical doctor with special training in psychoanalytic theory?
psychiatrist
psychoanalyst
counselor
psychologist
49
what are common behaviors when dealing with children from dysfunctional families?
inattentive, overly social, hyperactivity
class clown, disrespectful, acting out
lack of trust, blaming others, depression
lack of trust, acting out, depression
50
What is the purpose of HELP (hope, empathy, loyalty, participate)?
to help someone in drug addiction
a communication strategy for parents to form parent child relationships
to calm a child during a temper tantrum
to help coping with death
51
why would the adolescent lash out and become angry when asked by the nurse if his parents drink everyday?
he does not want his peers to know about this
he does not care about what his parents do
she is not respecting his boundaries
he feels threatened by her question despite his dysfunctional family
52
the two types of dependence are physiological and social
True
False
53
ADHD does not occur alongside learning disabilities
True
False
54
learning disabilities include dysphagia, dyskinesia, and dysphonia.
True
False
55
what is the child not at risk for related to persistent vomiting?
metabolic acidosis
electrolyte imbalance
tooth erosion/loss
muscle weakness
56
when the child is asked about her relationship with her brother, she begins to have SOB demonstrating what reaction?
psychosocial
depressive
psychosomatic
anxious