Chapter 15 Disorders of Children and Adolescents
18 questions in this chapter
Chapter notesQ1Stranger anxiety typically occurs at approximately what age?
Q2During an evaluation of a 16-year-old female with substance use disorder, she confides that she is increasingly confused about her sexual orientation. An appropriate action by the PMHNP is to
Q3Cara, a 12-year-old 7th grader, is diagnosed with juvenile myoclonic epilepsy, and her seizures are well controlled on topiramate. Before her epilepsy diagnosis, Cara had been diagnosed with ADHD and treated with methylphenidate, which was discontinued when seizures began. Now Cara is failing in school, and the Vanderbilt form from her teacher demonstrates significant inattention and distraction. Cara and her mother request medication for ADHD. Which of the following is the best option for Cara?
Q4An 8-year-old boy recently diagnosed with ADHD is prescribed a methylphenidate stimulant, Ritalin SR, as an initial treatment. At the follow-up visit 2 weeks later, the mother reports some improvement in ADHD symptoms, but she has noticed the development of a tic consisting of eye blinking and neck jerking. The NP recommends
Q5When initiating methylphenidate therapy for a 9-year-old boy with ADHD, the PMHNP educates the family on the possibility of all of the following potential adverse effects EXCEPT
Q6A mother brings in her 2-year-old daughter for an evaluation at the suggestion of the pediatrician. The referral from the pediatrician reports that the child scored an 8 on the M-CHAT-R screening tool. Upon examination, the PMHNP could anticipate finding all of the following except
Q7JT is a 10-year-old male who was diagnosed with level 2 Autism Spectrum Disorder (ASD) 3 years ago by a specialty center. His family recently moved to a new town and must reestablish care and services. JT is having difficulty in his new school. Mom gets calls almost daily about his temper tantrums, and that he occasionally is poking his peers with pencils and other school tools. The PMHNP recognizes that priorities of care include
Q8Peter is a healthy 7-year-old second grader who lives with his 4-year-old sister and his parents. He is brought to the clinic by his parents, who are concerned about an 8-month history of behavioral issues. He has an explosive temper, argues with his parents, and blames others for his mistakes. The teacher reports that he often does not follow directions, and when corrected, he becomes defensive and argumentative. The teacher witnessed him repeatedly prod a pencil into a classmate's bag. When he was confronted about this, he denied doing it. You consider the most appropriate course of action is