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Review Questions

1 .
As a nurse working in obstetrics, what is one way to mitigate possible causes of intellectual disability?
  1. Explain to the parent the treatment options available.
  2. Explain to the parent environmental risks to avoid during pregnancy.
  3. Explain to the parent that genetics have a role in this disability.
  4. Explain to the parent that learning disabilities often go unnoticed until the child enters school.
2 .
Which of the major types of learning disabilities has an avoidable cause?
  1. Fragile X
  2. Down syndrome
  3. fetal alcohol syndrome
  4. Prader Willi syndrome
3 .
Bobby is a seven-year-old who attends second grade in a public school. His teacher notices that Bobby doesn’t volunteer to answer questions or talk with the other children. When he does talk, he sometimes stutters, especially if he gets nervous or thinks the other children are looking at him. What is one type of treatment that might make Bobby feel more comfortable talking in class?
  1. scheduling a conference with his mother
  2. psychodrama
  3. singing
  4. having a hearing assessment
4 .
A student nurse is trying to remember the five different types of communication disorders. They know that unspecified means that it does not fit into a specific DSM-5 diagnosis classification but cannot remember the possible causes. How can the instructor explain it?
  1. This type of disorder is often caused by genetics.
  2. This type of disorder is often caused by a traumatic brain injury.
  3. This type of disorder has no known cause.
  4. This type of disorder has a combination of genetic, environmental, and physical causes.
5 .
Nurse Stefan is caring for a ten-year-old client who has ASD. The client’s mother is concerned that her child is not getting all his homework completed and she does not want him to get behind in school. Nurse Stefan educates the client’s mother by offering several suggestions. What is the nurse’s most appropriate response?
  1. “You should encourage your son to get all his work done in one sitting.”
  2. “Creating a quiet study corner in your home will help him to focus.”
  3. “Allow him to have the TV on in the background as this sometimes helps.”
  4. “Make him sit down and complete homework as soon as he gets home.”
6 .
A student nurse is learning about ASD. What statement to the clinical instructor demonstrates that the student understands the definition of this disorder?
  1. “The signs and symptoms of this disorder go away once the child turns eighteen.”
  2. “The signs and symptoms of this disorder usually begin before age three.”
  3. “The disorder is mainly based on physical symptoms.”
  4. “This is a developmental disorder.”
7 .
A parent of a three-year-old child with ASD has called the local school district to inquire about resources available to support her child. The child’s pediatrician referred the mother to the school district. What information can the school nurse share about the primary source of support at this age?
  1. “You will need to check with the state for an early intervention program.”
  2. “Your child may be eligible to attend a developmental preschool program.”
  3. “Your child will not be eligible for services until she begins kindergarten.”
  4. “I don’t know why your pediatrician referred you to us as there is nothing we can do to help.”
8 .
Nurse John is an elementary school nurse teaching a group of parents about ADHD. What is one tip he could share that can be effectively used by the parents?
  1. using a strict discipline program to correct the student’s behavior
  2. giving plenty of options for the child to choose from when doing an activity
  3. using a sticker chart to document the child’s accomplishments
  4. creating a lively environment to make learning exciting
9 .
Jane is a nursing student living with ADHD. She knows from her own experience that this neurodevelopmental disorder affects being able to pay attention and being overly active. What is one other statement that is true about ADHD?
  1. ADHD is one of the most common neurodevelopmental disorders.
  2. ADHD rarely occurs in adults.
  3. ADHD is commonly treated with medication in children under age six.
  4. ADHD lowers the risk for childhood injuries.
10 .
A parent of a child who is newly diagnosed with ADHD wants to know where to find resources to help her better understand this condition. You are the school nurse where the child is enrolled. What could you suggest to the mother?
  1. Google ADHD on the computer to see what she finds.
  2. Check the ADHD Resource Center for more information.
  3. Wait to see how the child adjusts to school before looking for more resources.
  4. Go to the local health department to find out what they have available.
11 .
Martha is a school nurse who is assessing an only child who had an outburst in class. It has been noted by the child’s teacher that he is having difficulty focusing in class. When he gets frustrated, he sometimes loses his temper and the teacher is afraid he might hurt himself or someone else. What might some of the child’s symptoms indicate?
  1. an undiagnosed learning disability
  2. undiagnosed ADHD
  3. a normal developmental phase that the child is working through
  4. an only child who is used to getting things his way
12 .
A distraught mother brings her ten-year-old-son to the pediatrician and explains that no matter how much she tries to encourage her son to read books, he shows no interest and gets really upset when she pushes him to have reading time. In school, he gets average grades and explains that he gets frustrated because the schoolwork makes no sense. What diagnosis would the nurse suspect?
  1. dysphagia
  2. dyscalculia
  3. dysgraphia
  4. dyslexia
13 .
A nurse is talking to a parent about the steps taken to treat learning disorders. What does the nurse explain as the first priority?
  1. a full physical exam to determine if there are any vision, hearing, or medical causes
  2. a referral to a speech-language pathologist
  3. developing an individualized education program to support the child academically
  4. a “wait-and-see” approach since it may be part of normal development
14 .
A school nurse is meeting with a group of elementary school teachers to talk about motor disorders. One of the teachers raises their hand and says, “I have a student in my class who cannot stop moving her arms unless she sits on her hands. Could this be a movement disorder?” What diagnosis would the nurse suggest as a possibility for this student?
  1. a tic disorder
  2. a stereotypic movement disorder
  3. a developmental coordination disorder
  4. normal development for the student’s age
15 .
A nursing instructor is asking a student to explain the care given for tic disorders and Tourette syndrome. What statement demonstrates that the student understands the concept?
  1. “One effective type of behavioral therapy used for tics is CBIT.”
  2. “There is no current treatment for Tourette syndrome.”
  3. “Most people with tic disorders will have them for their entire lives.”
  4. “Tourette syndrome usually begins after age eighteen years old.”
16 .
Johnny is twelve-year-old boy who has had an increase in aggressive behaviors, picking fights with other students at his school. Johnny’s mother calls his doctor’s office to ask if there is medication to help decrease these behaviors. After gathering more information about the recent increase in Johnny’s outbursts, what is the best response from the nurse?
  1. “Allow more freedom at home as that may be adding to his outbursts.”
  2. “Medication may not be indicated right away; there are other options.”
  3. “Tell Johnny that his behavior is unacceptable.”
  4. “Allow Johnny to skip school if he is having a difficult time being there.”
17 .
A parent is worried about their adolescent who has been having angry outbursts for three weeks. The parent reaches out to the pediatrician’s office asking about multisystemic treatment. How can the nurse explain it?
  1. “immediate assessment for oppositional defiant disorder”
  2. “very upsetting, but just typical for teenagers”
  3. “a combination of behavior therapy training that includes the child, the family, and the school”
  4. “a course of prescription medication”

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