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1. When assessing disturbed children, which of the following assessments would be most indicative of a severe emotional problem?

A) Behavioral outbursts B) Physical complaints C) Poor school performance D) Unresponsiveness to the environment 2. A 2-year-old child is diagnosed with autistic disorder. Behaviors specific to this disorder would include which of the following? A) Clinging, self-destructive behavior, and rudimentary attempts to communicate B) Preoccupation with objects, a personal language, and various self-stimulating behaviors C) Superior intellectual development, resistance to change, and a need to make eye contact with adults D) Twirling behavior, delusions, and hallucinations 3. An 11-year-old child talks to the school nurse about a single episode of disruptive behavior in class. The child states, I had a stomachache and felt like vomiting. I couldn't help it. I was just so mad at my dad. The most appropriate response by the nurse would be: A) I can see that you're angry. Let's look at better ways to express it. B) I can understand your anger, but you can't disrupt the classroom. C) If you can get rid of your anger, perhaps your stomachache will go away. D) Perhaps it would be helpful if you let your dad know you're angry. 4. Teaching for parents of children with pervasive developmental disorder should include which of the following? A) Maintain a structure in the child's daily activities to minimize disruption. B) Play the television or radio constantly to stimulate the child's curiosity. C) Speak in descriptive sentences to enhance the child's language development. D) Use physical touch as much as possible to hold the child's attention. 5. An 8-year-old with attention deficit hyperactivity disorder is jumping off the bed onto a chair. Initially the best response by the nurse would be: A) I need to talk to you. B) Stop that right now. C) You are going to hurt yourself. D) Why are you jumping off the bed?

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6. The mother of a 6-year-old boy with attention deficit hyperactivity disorder asks to speak to the nurse about her son's disruptive behavior. The nurse would be most therapeutic by saying which of the following? A) Your son is a cute child, but he needs to calm down. B) It must be difficult to handle your son at home. C) You need to take a firmer approach with your son. D) Your son sure is active. 7. When assessing a child for the possibility of autistic disorder, the nurse would expect to find which of the following? A) Ability to maintain a conversation B) Close interaction with other children C) Flexibility in adhering to routines D) Repetitive motor mannerisms 8. When dealing with the parents of a child diagnosed with pervasive developmental disorder, which of the following statements would be appropriate? A) Allow the child to come up with a list of routine activities. B) Encourage the child to talk when he is around other children. C) Use time-out as a way to control aggressive behavior. D) Ignore his head banging; it's just for attention. 9. When teaching the parents of a child with attention deficit hyperactivity disorder (ADHD), which of the following statements by the parents would indicate the need for further teaching? A) We'll have him do his homework at the kitchen table with his brothers and sisters. B) We'll make sure he completes one task before going on to another. C) We'll set up rules with specific times for eating, sleeping, and playing. D) We'll use simple, clear directions and instructions. 10. A child with attention deficit hyperactivity disorder is taking methylphenidate (Ritalin) in divided doses. If the child takes the first dose at 8 AM, the school nurse might expect to see which of the following behaviors at noon? A) Increased impulsivity or hyperactive behavior B) Lack of appetite for lunch C) Sleepiness or drowsiness D) Social isolation from peers

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11. Which of the following statements would indicate that medication teaching for the parents of a 6-year-old child with attention deficit hyperactivity disorder (ADHD) has been effective? A) We'll teach him the proper way to take the medication so he can manage it independently. B) We'll be sure he takes the Ritalin at the same time every day, just before bedtime. C) We're so glad that Ritalin will eliminate the problems of ADHD. D) We'll be sure to record his weight on a weekly basis. 12. In planning care for a child diagnosed with hyperactivity, the nurse would include which of the following interventions? A) Allowing the child space and autonomy to decrease energy B) Providing structure in activities C) Teaching appropriate anger expression D) Teaching relaxation exercises 13. The mother of a 15-year-old boy tells the nurse that her son is becoming more assertive in conflict situations and wants to get a job. She asks if it is healthy for a 15-year-old to be so independent. Which of the following is valid information for the nurse to give the mother? A) His behaviors reflect normal growth and development. B) He is overly independent. C) It sounds like he is trying to avoid her. D) She should observe for signs of substance abuse. 14. The nurse is teaching the parents of an adolescent with conduct disorder. Which of the following strategies will the nurse include? A) Accept the adolescent's explanations at face value to build trust. B) Decrease the adolescent's level of responsibility until he has shown he can handle more. C) Keep an open line of communication no matter what the topic. D) Use limit setting as a last resort only so the adolescent will know he is loved. 15. A 14-year-old girl is being treated for conduct disorder. She refuses to attend class today, stating that yesterday the other nurse told her she didn't have to go to class if she didn't want to. The best response by the nurse would be: A) Fine, but you're confined to your room. B) Missing class is against the rules. C) You and I both know you're lying. D) Why do you keep fighting the system?

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Answer Key
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. D B A A B B D C A A D B A C B

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