A)

An 11-year-old
child talks to the
school nurse
about a single
episode of
disruptive
behavior in
class. The child
states, I had a
1. stomachache
and felt like
vomiting. I
couldn't help it. I
was just so mad
at my dad. The
most
appropriate
response by the
nurse would be,
I can see that
you're angry.
Let's look at
better ways to

B)

C)

D)

express it.
I can
understand your
anger, but you
can't disrupt the
classroom.
If you can get
rid of your
anger, perhaps
your
stomachache
will go away.
Perhaps it
would be helpful
if you let your
dad know you're
angry.
2. Teaching for
parents of
children with

A)

B)

C)

pervasive
developmental
disorder should
include which of
the following?
Maintaining a
structure in the
child's daily
activities to
minimize
disruption
Playing the
television or
radio constantly
to stimulate the
child's curiosity
Speaking in
descriptive
sentences to
enhance the
child's language
development

D)

A)
B)
C)

Using physical
touch as much
as possible to
hold the child's
attention
An 8-year-old
with attention
deficit
hyperactivity
disorder is
3.
jumping off the
bed onto a chair.
Initially the best
response by the
nurse would be,
I need to talk to
you.
Stop that right
now.
You are going

D)

to hurt
yourself.
Why are you
jumping off the
bed?
The mother of a
6-year-old boy
with attention
deficit
hyperactivity
disorder asks to
speak to the
4. nurse about her
son's disruptive
behavior. The
nurse would be
most
therapeutic by
saying which of
the following?

A)

B)

C)
D)

Your son is a
cute child, but
he needs to
calm down.
It must be
difficult to
handle your son
at home.
You need to
take a firmer
approach with
your son.
Your son sure is
active.
5. When dealing
with the parents
of a child
diagnosed with
pervasive
developmental

A)

B)

C)

D)

disorder, which
of the following
statements
would be
appropriate?
Allow the child
to come up with
a list of routine
activities.
Encourage the
child to talk
when he is
around other
children.
Use time-out as
a way to control
aggressive
behavior.
Ignore his head
banging; it's just
for attention.

A)

B)

When teaching
the parents of a
child with
attention deficit
hyperactivity
disorder
(ADHD), which
6.
of the following
statements by
the parents
would indicate
the need for
further
teaching?
We'll have him
do his
homework at
the kitchen
table with his
brothers and
sisters.
We'll make sure

C)

D)

he completes
one task before
going on to
another.
We'll set up
rules with
specific times
for eating,
sleeping, and
playing.
We'll use
simple, clear
directions and
instructions.
7. A child with
attention deficit
hyperactivity
disorder is
taking
methylphenidat

A)
B)
C)
D)

e (Ritalin) in
divided doses. If
the child takes
the first dose at
8 a.m., the
school nurse
might expect to
see which of the
following
behaviors at
noon?
Increased
impulsivity or
hyperactive
behavior
Lack of appetite
for lunch
Sleepiness or
drowsiness
Social isolation
from peers

A)

B)

Which of the
following
statements
would indicate
that medication
teaching for the
parents of a 68.
year-old child
with attention
deficit
hyperactivity
disorder (ADHD)
has been
effective?
We'll teach him
the proper way
to take the
medication so
he can manage
it
independently.
We'll be sure

C)

D)

he takes the
Ritalin at the
same time every
day, just before
bedtime.
We're so glad
that Ritalin will
eliminate the
problems of
ADHD.
We'll be sure to
record his
weight on a
weekly basis.
9. The mother of a
15-year-old boy
tells the nurse
that her son is
becoming more
assertive in

A)
B)
C)

conflict
situations and
wants to get a
job. She asks if
it is healthy for
a 15-year-old to
be so
independent.
Which of the
following is valid
information for
the nurse to
give the
mother?
His behaviors
reflect normal
growth and
development.
He is overly
independent.
It sounds like he
is trying to avoid
her.

D)

She should
observe for
signs of
substance
abuse.
10. A 14-year-old
girl is being
treated for
conduct
disorder. She
refuses to
attend class
today, stating
that yesterday
the other nurse
told her she did
not have to go
to class if she
did not want to.
The best
response by the

A)
B)
C)
D)

nurse would be,

Fine, but you're
confined to your
room.
Missing class is
against the
rules.
You and I both
know you're
lying.
Why do you
keep fighting
the system?
11. The nurse is
assessing a 16
month old-child
during a wellbaby check-up.
Deficiencies in
the following

A)
B)
C)
D)
E)

areas may
indicate early
signs of autistic
disorder? (Select
all that apply)
Social
interaction
Activity
tolerance
Motor skills
Speech patterns
Reflexes
12. A mother
expresses
concern to the
nurse that the
childs regularly
scheduled
vaccines may
not be safe. The

A)

B)
C)

mother states
that she has
heard reports
that they cause
autism. The
most
appropriate
response by the
nurse is:
It is
recommended
that you wait
until the child is
older to
vaccinate.
There are safer
alternative
immunizations
available now.
There has been
no research to
establish a
relationship

D)

between
vaccines and
autism.
The risks do
not outweigh
the benefits of
immunization
against
childhood
diseases.
13. A parent is
concerned that
his child might
suffer from
Attention Deficit
Hyperactivity
Disorder
(ADHD). Which
of the following
behaviors
reported by the

A)
B)
C)
D)

parent would
further support
diagnosis?
The child
interrupts others
The child has
been hoarding
objects
The child has
lots of friends
The child is
excelling
academically in
school
14. A child is
expelled from
school for
repeated
fighting and
vandalizing

A)
B)
C)
D)

school property.
The school
nurse and
counselor meet
with the parents
to explain that
the child may
benefit from
counseling as
the child is
experiencing
signs of which
disorder?
Oppositional
Defiant Disorder
Aspergers
Syndrome
Attention Deficit
Disorder
Conduct
Disorder

A)
B)
C)

A child has been

displaying
behaviors
associated with
conduct
disorder. The
nurse should
15.
further assess
for common risk
factors seen in
children with
conduct
disorder. (Select
all that apply)
Poor family
functioning
Strict
disciplinary
practices
Family history of
substance abuse

D)
E)

A)

Possible child
abuse
Poverty
conditions
A parent of an
autistic child
asks the nurse if
there is
anything that
can be done to
control the
16. childs tantrums.
The nurse
should inform
the parents that
which of the
following
options may be
appropriate?
Give the child

B)

C)

D)

rewards for
resisting
tantrums
Reason with the
child why
tantrums are not
effective
Place the child
in a time-out
when tantrums
occur
Explore the use
of antipsychotic
medications to
control tantrums
17. A nurse asks an
assigned client,
How are you
doing today?
The client

A)
B)
C)
D)

responds with
doing today,
doing today,
doing today.
This is an
example of
which of the
following speech
pattern
disturbances?
Reactive
attachment
disorder
Stereotypic
movement
disorder
Selective
mutism
Echolalia
18. A child with

A)
B)

ADHD complains
to his parents
that he doesnt
like the side
effects of his
medicine,
Adderall. The
parents ask the
nurse for
suggestions to
reduce the
medications
negative side
effects. The
nurse can best
help the parents
with which of
the following
instructions?
Give the child
his medicine at
night
Feed the child

C)

D)

nighttime
snacks
Limit the
number of
calories the
child eats each
day
Let the child
take daytime
naps
The nurse is
assisting a child
with ADHD to
complete his
ADLs. The best
19.
approach for
nurse to use
with this child I
which of the
following?

A)
B)
C)
D)

Break tasks into

small steps
Let the child
complete tasks
at his own pace
Offer rewards
when all tasks
are completed
Set a time limit
to complete all
tasks
20. The nurse is
using limitsetting with a
child diagnosed
with conduct
disorder. Which
of the following
statements
reflects the

A)

B)

C)
D)

most effective
way for the
nurse to set
limits with the
child?
That is not
allowed here.
You will lose a
privilege. You
need to stop.
Stop what you
are doing. Go to
your room.
I would
appreciate if you
would not do
that.
Why do you do
these things?
21. A child has been

A)
B)
C)
D)

ingesting dirt
and leaves. The
nurse would be
alert to which of
the following
disorders?
Conduct
disorder
Pica
Rumination
disorder
Attention Deficit
Hyperactivity
Disorder (ADHD)
Which of the
following terms
describes the
22.
repeating of
one's own words
or sounds?

A)
B)
C)
D)

A)
B)
C)

Coprolalia
Palilalia
Echolalia
None of the
above
Which of the
following
disorders
involves
23.
problems with
forming sounds
associated with
speech?
Phonologic
disorder
Mixed receptiveexpressive
language
disorder
Expressive

D)

A)
B)

language
disorder
Stuttering
A patient with
conduct disorder
starts yelling at
another patient
and calling the
patient insulting
24.
names. Which of
the following is
the most
appropriate
response by the
nurse?
How would you
feel if someone
yelled at you
like that?
Whats the

C)

D)

matter with
you? Dont you
know any
better?
Yelling at
others is
unacceptable.
You need to let
staff know
youre upset.
Youre still
having problems
controlling your
anger.
25. . The parents of
an autistic child
ask the nurse,
Will my child
ever be
normal? The

A)

B)

C)

D)

most
appropriate
response by the
nurse would be:
You seem
worried about
your childs
future.
Autistic children
can fully recover
with the right
treatment and
education.
Your child
should outgrow
autistic traits by
adolescence.
Your child will
probably always
have some
autistic traits.

A)
B)

The parents of a
child with ADHD
express to the
nurse, We get
so frustrated
when our son
never minds
us. The nurse
26.
discusses which
of the following
as possible
helpful
parenting
strategies?
(Select all that
apply)
Use time-out for
behavior control
Provide
occasional
rewards and
consequences

C)

D)

E)

for behavior
Give verbal
reprimands for
negative
behavior
Resist giving
praise until fully
compliant with
requests
Use a point
system for
positive and
negative
behavior
27. The nurse is
meeting with a
family of a
patient with
conduct
disorder. The

A)

B)
C)

nurse discusses
changes the
parents can
make to help
their child
change
problematic
behaviors.
Which parenting
technique would
the nurse
encourage the
parents to use?
Provide
consistent
consequences
for behaviors
Set earlier
curfews than the
childs peers
adhere to
Release the
child from

D)

household
responsibilities
until he can
demonstrate
dependable
behavior
Avoid discussing
feelings and
expectations
with the child
28. The nurse
understands
that when
working with a
child with a
mental health
problem, the
family must be
included in the
care. One of the
best ways the

A)

B)

C)
D)

nurse can
advocate for the
child patient is
which of the
following?
Support
transferring the
child to a
healthy living
environment
Teach the
parents age
appropriate
expectations of
the child
Reinforce the
parents
expectations of
the childs
behavior
Interpret the
childs thoughts

and feelings to
the parent
29. The nurse has
been working
with the family
of a small child
with
oppositional
defiant disorder.
The nurse is
feeling very
frustrated
because the
parents refuse
to implement
effective
parenting skills
that the nurse
has taught.
What is the best
action for the

A)

B)

C)

D)

nurse at this
time?
Review effective
disciplinary
practices with
the parents
again
Refer the
parents to a
family therapist
Try to remember
that the parents
are trying to the
best of their
ability to carry
out the
suggestions
Explore
alternative living
arrangements
for the child

A)
B)

C)
D)

A client is
unable to
communicate
verbally. The
nurse would
30.
accurately
document this
disorder as
which of the
following?
Phonologic
disorder
Mixed receptiveexpressive
language
disorder
Expressive
language
disorder
Stuttering

Answer Key
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

A
A
B
B
C
A
A
D
A
B
A, C, D
C
A
D
A, C, D, E
D
D
B
A
A

21.
22.
23.
24.
25.
26.
27.
28.
29.
30.

B
B
A
C
D
A, C, E
A
B
C
C