Question: A person was abducted and raped at gunpoint. The nurse observes this person is confused, talks rapidly in disconnected phrases, and is unable to concentrate or make simple decisions. What is the person’s level of anxiety?

Answer Options:

a. Minimal
b. Mild
c. Moderate
d. High

Answer: d. High

 

Question: A person was abducted and raped at gunpoint by an unknown assailant. Which assessment finding best indicates the person is in the acute phase of rape trauma syndrome?

Answer Options:

a. Confusion and disbelief
b. Decreased motor activity
c. Flashbacks and dreams
d. Fears and phobias

Answer: a. Confusion and disbelief

 

Question: A nurse interviews a person abducted and raped at gunpoint by an unknown assailant. The person says, “I can’t talk about it. Nothing happened. I have to forget!” What is the person’s present coping strategy?

Answer Options:

a. Somatic reaction
b. Repression
c. Projection
d. Denial

Answer: d. Denial

 

Question: An adolescent diagnosed with generalized anxiety disorder says, “My parents focus all their attention on my brother instead of me. He’s perfect in their eyes.” Which type of therapy might promote the greatest change in this adolescent’s behavior?

Answer Options:

a. Bibliotherapy
b. Play therapy
c. Family therapy
d. Behavior modification therapy

Answer: C

 

Question: A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child’s disorder?

Answer Options:

a. Has occasional toileting accidents.
b. Is unable to recite ABC’s.
c. Cries when separated from a parent.
d. Continuously rocks in place for 30 minutes.

Answer: D

 

Question: Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder?

Answer Options:

a. Being raised by a parent with chronic major depressive disorder
b. Moving to three new homes over a 2-year period
c. Not being promoted to the next grade
d. Having an imaginary friend

Answer: A

 

Question: A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation?

Answer Options:

a. A 4-year-old who stuttered for 3 weeks after the birth of a sibling.
b. A 9-month-old who does not eat vegetables and likes to be rocked.
c. A 3-month-old who cries after feeding until burped and sucks a thumb.
d. A 3-year-old who is mute, passive toward adults, and twirls while walking.

Answer: D

 

Question: The child most likely to receive propranolol to manage tremors is one diagnosed with which disorder?

Answer Options:

a. Attention-deficit/hyperactivity disorder (ADHD)
b. Posttraumatic stress disorder (PTSD)
c. A motor disorder
d. Separation anxiety

Answer: C

 

Question: A 12-year-old child has been the neighborhood bully for several years. The parents say, “We can’t believe anything our child says.” Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store. The child’s behaviors are most consistent with which disorder?

Answer Options:

a. Conduct disorder (CD)
b. Defiance of authority
c. Anxiety over separation from a parent
d. Attention-deficit/hyperactivity disorder (ADHD)

Answer: A

 

Question: The parent of a child diagnosed with Tourette’s disorder says to the nurse, “I think my child is faking the tics because they come and go.” Which response by the nurse is accurate?

Answer Options:

a. “Perhaps your child was misdiagnosed.”
b. “Your observation indicates the medication is effective.”
c. “Tics often change frequency or severity. That does not mean they aren’t real.”
d. “This finding is unexpected. How have you been administering your child’s medication?”

Answer: C

 

Question: An 11-year-old child, who has been diagnosed with oppositional defiant disorder (ODD), becomes angry over the rules at a residential treatment program and begins shouting at the nurse. What is the best method to defuse the situation?

Answer Options:

a. Assign the child to a short time-out.
b. Administer an antipsychotic medication.
c. Place the child in a therapeutic hold.
d. Call a staff member to seduce the child.

Answer: A

 

Question: When a 5-year-old child is disruptive, the nurse says, “You must take a time-out.” The expectation is that the child will demonstrate what behavior?

Answer Options:

a. Go to a quiet room until called for the next meal.
b. Slowly count to 20 before returning to the group activity.
c. Sit on the edge of the activity until able to regain self-control.
d. Sit quietly on the lap of a staff member until able to apologize for the behavior.

Answer: C

 

Question: A parent diagnosed with schizophrenia and her 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a shelter volunteer. The child says, “My three friends and I got an A on our school science project.” The nurse can assess that the child is demonstrating what characteristic?

Answer Options:

a. Resiliency
b. Shy temperament
c. Early posttraumatic stress disorder
d. Uses intellectualization to deal with problems

Answer: A

 

Question: A parent diagnosed with schizophrenia and 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a volunteer. The teen says, “I have three good friends at school. We talk and sit together at lunch.” What is the nurse’s best suggestion to the treatment team?

Answer Options:

a. Suggest foster home placement.
b. Seek assistance from an intimate partner violence program.
c. Make referrals for existing and emerging developmental resources in the community.
d. Encourage healthy characteristics and existing emotional supports. No other action is necessary or appropriate under the current circumstances.

Answer: D

 

Question: Which behavior indicates that the treatment plan for a child diagnosed with autism spectrum disorder was effective?

Answer Options:

a. Plays with one toy for 90 minutes.
b. Repeats words spoken by a parent.
c. Holds the parent’s hand while walking.
d. Spins around and claps hands while walking.

Answer: C

 

Question: What are the primary distinguishing factors between the behavior of children diagnosed with oppositional defiant disorder (ODD) and those diagnosed with conduct disorder (CD)? (Select all that apply.)

Answer Options:

a. ODD relives traumatic events by acting them out.
b. ODD tests limits and disobeys authority figures.
c. ODD has difficulty separating from the parents.
d. CD uses stereotypical or repetitive language.
e. CD often violates the rights of others.

Answer: B, E

 

Question: An individual with moderate intellectual developmental disorder progresses academically to about a second-grade level. What are the highest outcomes achievable for this person to demonstrate within 5 years? (Select all that apply.)

Answer Options:

a. Live in a general apartment.
b. Obtain employment in a local sheltered workshop.
c. Correctly use public buses to travel in the community.
d. Independently perform his or her own personal hygiene.
e. Complete high school or earn a general equivalency diploma (GED).

Answer: B, C, D