Children raised by a depressed parent have an increased risk of developing an emotional disorder. Familial risk factors correlate with child psychiatric disorders, including severe marital discord, low socioeconomic status, large families and overcrowding, parental criminality, maternal psychiatric disorders, and foster-care placement. The chronicity of the parent’s depression means it has been a consistent stressor. The other factors are not as risk-enhancing.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 11-6, 7 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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16. The child prescribed an antipsychotic medication to manage violent behavior is one most likely diagnosed with a. ADHD. b. posttraumatic stress disorder (PTSD). c. communication disorder. d. an anxiety disorder.
_a
nd
ANS: A Antipsychotic medication is useful for managing aggressive or violent behavior in some children diagnosed with ADHD. If medication were prescribed for a child with an anxiety disorder, it would be a benzodiazepine. Medications are generally not needed for children with communication disorder. Treatment of PTSD is more often associated with SSRI medications.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 11-43 TOP: Nursing Process: Planning MSC: Client Needs: Physiological Integrity
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17. A child reports to the school nurse of being verbally bullied by an aggressive classmate. What is the nurse’s best first action? a. Give notice to the chief administrator at the school regarding the events. b. Encourage the victimized child to share feelings about the experience. c. Encourage the victimized child to ignore the bullying behavior. d. Discuss the events with the aggressive classmate.
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ANS: B The behaviors by the bullying child create emotional pain and present the risk for physical pain. Encouraging the victimized child to share feelings about the experience provides the nurse an opportunity to further assess the situation as well as provide support to the child. The nurse should validate the child for reporting the events. Later, school authorities should be notified. School administrators are the most appropriate personnel to deal with the bullying child. The behavior should not be ignored; it will only get worse.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 11-8, 12 TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
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