Chapter 34 The Child with an Emotional or Behavioral Condition - Leifer Maternity and Pediatric Nursing

Chapter 34 The Child with an Emotional or Behavioral Condition - Leifer Maternity and Pediatric Nursing

1. A parent asks the nurse to describe what is meant by a “learning disability.” Which is the nurse’s most helpful response? a. “A child may have difficulty with perception, language, comprehension, or memory.” b. “It is characterized by inattention, impulsiveness, and hyperactivity.” c. “The child’s intellectual ability limits his learning.” d. “The child has difficulty learning because of brain damage.” ANS: A Learning disability is an educational term. Children with learning disabilities may have average to above-average intelligence, but they may experience difficulties in perception, language, comprehension, and conceptualization. DIF: Cognitive Level: Comprehension REF: p. 764 OBJ: N/A TOP: Learning Disability KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. What would be the appropriate response to an adolescent who states, “This has been the worst day of my life?” a. “You should focus your mind on positive thoughts.” b. “Everybody has a bad day now and then.” c. “You’re young. What could be so terrible?” d. “Tell me about the worst day of your life.” ANS: D The nurse establishes a rapport with the adolescent by acknowledging his or her feelings and giving the adolescent full attention. DIF: Cognitive Level: Application REF: p. 771|Nursing Tip OBJ: 10 TOP: Suicide KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 3. The nurse asks, “Do your parents drink every day?” The adolescent suddenly shouts, “I’m not going to talk about that! It’s none of your business, anyway! Leave me alone!” How does the nurse interpret the adolescent’s behavior? a. The adolescent is acting out and needs to be brought under control so the conference can continue. b. The adolescent is trying to shift the focus of the conference away from himself, and the nurse needs to refocus. c. The adolescent is demonstrating that this problem requires the assistance of a psychiatrist. d. The adolescent is responding to the discrediting of his parents, which causes anxiety. ANS: D