Adult and Pediatric Psychosocial

A nurse is assessing a 15 year old patient with a diagnosis of attention deficit disorder. What behavior would you expect

• Jumps from one subject to another when talking about classes at school

• Sits quietly while nurse prepares to take vital signs

• Does not respond to questions

• Places hands over his ears when overhead speaker annouces lunch

A patient is admitted for dehydration after working in his yard in 100 degree heat. He is alert but weak on admission, 2 hours late he begins to see soldiers marching around his room and he wants to leave this "hotel." What disorder does the patient have?

• Alzheimer's

• Pick's Disease

• Padgette's

• Delirium

The mother of a child with attention deficit hyperactivity disorder wants to know the goal for his treatment. You state

• "He will learn to be quiet and shut up"

• "He will make straight A's in school"

• "We are hoping to reduce his symptoms of inattention and impulsivity"

• "We want to ensure he will be able to dress and bathe himself"

A client with Alzheimer's has lost 10 lbs in the last two months. Which nursing intervention is a priority

• Make a referral to a nutritionist

• Change the client's diet to mechanical soft

• Provide snacks and small meals throughout the day

• Off the client a greater selection of food choices

A child with autism is being admitted from the ED to the pediatric floor for appendicitis. The charge nurse knows the most appropriate room for the patient would be

• A room with a child the same age who has a broken arm

• A room close to the nurse's station

• A single bed hospital room

• A room next to the unit playroom

A client with Alzheimer's becomes upset during a chair exercise class and starts screaming, "Stop! Stop!". What is the best intervention for the nurse to provide.

• Sit next to the client and explain it will be over in 15 minutes

• Take the client away from the group and provide assurance and a quiet activity

• Take the client to her room and shut the door

• Ignore the client, she will stop

Which of the following children should be referred for a formal developmental screen?

• A 6 month old that is trying to crawl

• A 2 year old with two siblings with autism

• A 3 year old that insists that she can dress herself

• A one year old that cries whenever his mother leaves for work

A parent with a child with autism is at the pediatrician for a 3 year old well checkout. What comment by the mother is a behavior associated with autism.

• He prefers the television and radio to be on and loud

• He does not play with other children or have social interactions with them

• He jumps up and down all the time and is constantly into everything

• He has not learned to use a spoon or fork

What is the best intervention for an Alzheimer's patient?

• Taking them on trips to new places

• Keeping the TV on and tuned to the news

• Activities that are stimulating and meaningful

• Alternating care givers to give them variety

What is an observation a nurse might identify as caregiver strain?

• The partner is happy and says she has plenty of assistance

• Unintentional weight loss in the partner

• A clean and tidy home

• The caregiver asks appropriate questions and uses the information to improve the patient's health.