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MISC Mental Health FINAL Exam 3 Study Guide

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A child said, "I just want to die. No one likes me. Other kids laugh at me, but I do not know why. They will always laugh at me." When asked about a suicide plan, the child replied, "I'll jump from the bridge near my home. My father threw kittens off the bridge, and they died because they couldn't swim." Suicide risk is: a. absent. b. low. c. moderate. d. high. An 11-year-old has Asperger's disorder. Which assessment finding supports this diagnosis? a. Mutism b. Tics and twitching c. Severe developmental delays d. Restricted and repetitive patterns of behavior The parent of a 4-year-old says, "My child moves constantly. I try to get him interested in toys, but he is easily distracted. He talks all the time and is awake every morning before I am. I enrolled him in preschool, but the teacher could not handle him." The child's problem meets criteria for: a. attention deficit hyperactivity disorder. b. pervasive developmental disorder. c. posttraumatic stress disorder. d. oppositional defiant disorder. A child has excessive motor activity and talking that interfere with academic performance. Which aspect of the child's care and treatment would a clinical nurse specialist, but not a nurse generalist, perform? a.Evaluating responses to nursing actions b.Formulating nursing diagnoses c.Planning nursing interventions d.Providing psychotherapy AD A nurse assesses a 4-year-old with hyperactive, impulsive behavior. Which developmental task should the child have achieved? a. Separation from parents and ability to socialize outside the family b. Forming satisfactory relationships with peers c. Ability to generate abstract ideas d. A sense of autonomy Sustained release methylphenidate (Concerta) was administered to a child with ADHD. Which finding best indicates the medication was effective? a. Increased expressiveness in communication with others. b. Improved ability to participate in play with other children. c. Ability to identify anxiety and implement self-control strategies. d. Improved socialization skills with other children and authority figures. A 5-year-old with ADHD bounces out of a chair in the waiting room and begins to slap another child. What is the nurse's best action? a. Call for emergency assistance from other staff. b. Direct the child to stop. Comfort the other child. c. Instruct the parents to take the child home immediately. d. Take the child to another room with toys to act out feelings. A 16-year-old with a conduct disorder was placed in therapeutic foster care. Which outcome should be met before discharge? a. The teen and parents create and consent to a behavioral contract with rules, rewards, and consequences. b. The teen completes an application to enter a military academy for continued structure and discipline. c. Placement with the foster family continues until the parents finish a parenting skills class. d. The teen has an absence of anger and frustration for one week.

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