Neurodevelopmental Disorders
Depressive & Anxiety Disorders
Multiple Choice
Child Sexual Abuse & Neglect
Child Maltreatment
100
True or false: ADHD is an internalizing disorder
FALSE
100
What is the most common psychiatric illness?
Anxiety disorder
100
The nurse should include teaching of what common side effect of stimulant medication for ADHD:
1. appetite suppression
2. fatigue
3. diarrhea
4. thrombocytopenia
1. appetite suppression
100
At what age is it generally OK to start leaving children at home alone for short amounts of time in Minnesota?
1. 6 years old
2. 8 years old
3. 10 years old
4. 12 years old
2. 8 years old
100
True of false - bruises on a 4 month old is a normal finding
FALSE - why?
200
What are the three subtypes of ADHD?
Inattentive
Hyperactive/Impulsive
Combined
200
Are anxiety and depression internalizing or externalizing disorders?
Internalizing.
200
Physiological changes that occur with anxiety include:
1. increased blood glucose
2. increased HR and RR
3. decreased immune functioning
4. all of the above
4. all of the above
200
What gender is at a higher risk for sexual abuse until age 5?
Equal # girls and boys report sexual abuse until age 5. Girls have higher rates of abuse as adolescence progresses.
200
A three year old presents to clinic for a well child check. The nurse notices bruises of various healing stages on his shins and under his chin. Should they report this child for potential physical abuse?
No - developmentally appropriate injuries
300
You a seeing a child with ADHD in clinic today who is coming in for follow-up after starting stimulant medication. His mother states "I tell him to do his homework, but he still doesn't listen. Should we increase his dose?" How should the nurse respond?
-Instead of "do your homework" try breaking down the task into smaller, more manageable steps, set achievable goals, and realistic boundaries. "Get your homework folder out of your backpack and put it on your desk. Do you want to start with math or reading? When you finish your math homework you can take a break and have a snack. When you are finished with all of your homework, you can have 1 hour of screen time."
300
What is the leading cause of death in youth aged 10-24
Suicide
300
If a nurse identifies a patterned bruise on a child, the nurse should:
1. ask the parent if the child has recently fallen
2. take photos of the bruising with a measurement device
3. confirm with the parent that the bruise looks "old" d/t its yellow color
2. take photos of the bruising with a measurement device
300
The nurse notices a 7 year old girl is having trouble sitting at school and is frequently using the bathroom, complains that it hurts when she urinates. What does the nurse suspect?
Sexual abuse
300
A child makes a disclosure to the nurse that their parent spanks them on the buttocks with their hand. After a physical examination, the nurse does not see any marks or bruising. Is the nurse required to report this?
Technically, no - but calling and filing a report would not be wrong either.
400
A reliable diagnosis of autism spectrum disorder (ASD) can be made by what age?
2 years old, though most children are typically not diagnosed until 4 (think about why that might be)
400
True or false: First and second line pharmacotherapy options for anxiety and depression are typically the same.
True: SSRIs, SNRIs are typically prescribed as first line therapy for both anxiety and depression
400
A parent has concerns of her child's anger outbursts, aggressive behavior and constant arguing. These could indicate:
1. Major Depressive Disorder
2. Social Anxiety Disorder
3. Oppositional Defiant Disorder
4. Adjustment Disorder
3. Oppositional Defiant Disorder
400
What are typical physical findings of sexual abuse in children?
None 97% of SA victims have no physical findings
1- perpetrator does not cause injury so remains undiscovered
2- delayed disclosure due to threats, etc. Ano/genital area heals rapidly.
3- hymen changes rapidly throughout life
400
A break in which bone is the most indicative of a pattern of abuse?
Rib
500
A nurse engages a 10 year old child in building a puzzle. The nurse notices the child has trouble organizing the pieces and planning a strategy for completion. The child is most likely displaying difficulty with what set of cognitive processes?
Executive functioning.
Organization and planning
Anticipating problems
Forming goals
Ability to strategize to solve problems
“Working memory”
Ability to define a problem
Consider previous experience & forethought
Separate affect (feelings) from the problem
500
Treatment for depression or anxiety could include:
1. medications such as SSRIs or SNRIs
2. psychotherapy such as CBT (cognitive-behavioral therapy)
3. helping the patient to identify and express stressful
feelings
4. helping the patient to identify new coping strategies
5. all of the above
5. all of the above
500
A child has a low sensory threshold, high anxiety and poor reaction to stimuli. What diagnosis is most likely?
1. ADHD
2. Depression
3. Autism
4. Anxiety
3. Autism
500
Which of the following is NOT considered neglect in Minnesota?
1. Failing to provide needed food, clothing, shelter, medical or mental health care, education or appropriate supervision.
2. Failing to protect a child from conditions or actions that endanger the child.
3. Failing to enroll the child in education as required.
4. All of these are legally considered forms of neglect in Minnesota.
4. All of these are legally considered forms of neglect in Minnesota.
500
The mother of a child who has been hospitalized with a chronic condition has a pending CPS case. The mother knows that she must visit the child regularly. The mother arrives at the hospital at 8pm during the child's bedtime routine, and immediately goes to the back of the room to charge her cell phone. The child becomes upset, but she does not comfort her, instead plays on her phone in the back of the room. The nurse invites the mother to help bathe the child and place her in pajamas, and read her books but the mother declines. The mother leaves at 8:30 without speaking to the nurse. What should the nurse document?
Factual, non-judgemental.
"Mother present at bedside 8pm-8:30pm. Disruptive to bedtime routine. Declined to assist with cares. No questions for staff regarding plan of care."