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RN Nursing School · Pediatrics · 104 questions

Psychosocial Integrity practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Psychosocial Integrity, practise in the app.

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  1. 1A 5-year-old child with severe cognitive impairment is hospitalized for pneumonia. The child frequently rocks back and forth and hums softly while sitting in bed. The nurse observes that these behaviors decrease the child's agitation, do not interfere with medical treatment, and pose no risk of injury. The child becomes visibly distressed when staff attempt to stop the behaviors.Answer →
  2. 2A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take?Answer →
  3. 3A nurse is discussing the plan of care with the parents of a 7-year-old child recently diagnosed with stage 3 osteosarcoma and is receiving care from a pediatric oncologist team. Which of the following information regarding therapeutic relationships between the healthcare team and the client's parents should the nurse discuss with the parents? (Select all that Apply.)Answer →
  4. 4An 11-year-old hospitalized child is acting out. What nursing intervention is most appropriate?Answer →
  5. 5Providing age-appropriate explanations to a child going for a procedure helps to reduce anxiety and assures them that the procedure is not punishment. Which approach should the nurse take when describing an electrode to a 4-year-old?Answer →
  6. 6A nurse is discussing the plan of care with the parents of a 7-year-old child recently diagnosed with stage 3 osteosarcoma and is receiving care from a pediatric oncologist team. Which of the following information regarding therapeutic relationships between the healthcare team and the client's parents should the nurse discuss with the parents? (Select all that Apply.)Answer →
  7. 7ring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?Answer →
  8. 8During the admission procedure of a school age child, the child states, "I'm going to have an operation." Which response is best for the nurse to provide to this child?Answer →
  9. 9Complete the following sentence by using the lists of options. The child is likely experiencing Select ... as evidenced by the child's Select ... and Select ...Answer →
  10. 10The nurse is caring for an 8-year-old boy who has chronic epilepsy. What would be most important to address when teaching the child and parents about living with this condition?Answer →
  11. 11A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take?Answer →
  12. 12A 6-year-old is undergoing a procedure and appears anxious. The nurse wants to communicate effectively to ease the child's fears. What communication strategy would be most appropriate for the nurse to use?Answer →
  13. 13Alcohol aversive medicationAnswer →
  14. 14A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer. Which of the following statements by the guardian demonstrates positive adjustment?Answer →
  15. 15Maladaptive grief (5 years after loss)Answer →
  16. 16A 14-year-old with a chronic illness expresses a desire to participate in discussions regarding their treatment plan. The nurse recognizes the importance of respecting the patient's autonomy while still upholding the principles of beneficence. Which action by the nurse best supports both autonomy and beneficence?Answer →
  17. 17A nurse is planning care for a 15-year-old adolescent with type 1 diabetes mellitus. Which psychosocial consideration(s) should the nurse Include in the care plan? Select all that apply.Answer →
  18. 18The young adult 16-year-old female is concerned because male child appears depressed. Which finding might help you identify the reason for the child's behavior?Answer →
  19. 19Alcohol withdrawal symptomAnswer →
  20. 20Normal grief findingAnswer →
  21. 21A nurse is assessing the developmental milestones of a 2-year-old child during a well-child visit. The parents state they have concerns because the child does not speak much and is having difficulty learning to walk. Which of the following statements should the nurse make?Answer →
  22. 22A nurse is caring for a 5-year-old child from a family with specific cultural beliefs about health. The child's parents are hesitant to proceed with a recommended treatment, preferring alternative methods aligned with their cultural practices. What is the most appropriate initial action by the nurse to ensure culturally competent care?Answer →
  23. 23The nurse is assessing a 6-year-old child at a well-child visit and notices that the child has trouble following directions, is easily distracted, and often Interrupts. What should the nurse do next?Answer →
  24. 24The young adult 16-year-old female is concerned because the child appears depressed. Which finding would help you identify the reason for the child's behavior? patient and male family members?Answer →
  25. 25A nurse is providing care to a 13-year-old who has an atrial septal defect (ASD). Their caregivers raise concerns regarding mood changes, reporting the child seems more anxious and worried than usual over the past year. Considering the diagnosis of ASD, which of the following responses is appropriate for the nurse to make?Answer →
  26. 26An otherwise healthy 15-year-old states, "Everyone tells me what to do here-I have zero control." Which nursing plan best addresses loss of control?Answer →
  27. 27Abuse assessment factors (Select all that apply.)Answer →
  28. 28Prazosin side effect first actionAnswer →
  29. 29The nurse assesses an adolescent for their risk of developing substance use disorder (SUD). Which action is most important for the nurse to perform?Answer →
  30. 30Complicated griefAnswer →
  31. 31Trauma-informed ED interventionAnswer →
  32. 32Trauma-informed response to distressAnswer →
  33. 33Priority action after child loss + hopelessnessAnswer →
  34. 34A nurse is caring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?Answer →
  35. 35The young adult 16-year-old female is concerned because male child appears depressed. Which finding might help you identify the reason for the child's behavior?Answer →
  36. 36At a follow-up visit, the parents of a child with a chronic illness refuse to review the care plan, discourage staff from discussing the diagnosis in front of the child, and have missed several doses of home medications. Which conclusion should the nurse draw from these findings?Answer →
  37. 37Opioid withdrawal urgent symptomAnswer →
  38. 38A 6-year-old child is scheduled for a tonsillectomy. The child's parent appears anxious and asks many questions about the procedure. The nurse collaborates with a child life specialist to prepare the child for surgery. What is the primary purpose of involving the child life specialist?Answer →
  39. 39A nurse is caring for a client with PTSD prescribed propranolol. Which symptom cluster is it most effective in treating?Answer →
  40. 40The parent of an 18-year-old adolescent is frustrated with the child's drama over minor body imperfections. Which suggestions would you provide to enhance the child's self-esteem? Select all that apply.Answer →
  41. 41The parent of a 16-year-old female is concerned because the child appears depressed. Which finding would help you identify the reason for the child's behavior?Answer →
  42. 42The nurse is caring for a child recently diagnosed with autism. The parents' express feelings of shame and guilt about having somehow caused this problem. Which statement by the RN would best help alleviate parental guiltAnswer →
  43. 43A school nurse notices a child exhibiting withdrawn behavior. The teacher mentions that the child's peer group has recently excluded her. What is the nurse's best initial approach to help this child?Answer →
  44. 44When a parent asks the nurse to describe what is meant by a "learning disability," the nurse's most helpful response would be:Answer →
  45. 45ADHD non-stimulantAnswer →
  46. 46A family of a child with a chronic illness expresses feeling overwhelmed by the demands of care. The nurse aims to support the family holistically. What intervention would best address their concerns?Answer →
  47. 47A nurse is caring for a toddler with complex medical needs whose parent expresses concern about managing the child's feeding regimen after discharge. Which nursing action best supports family-centered care?Answer →
  48. 48Amphetamine salts emergency findingAnswer →
  49. 49A 3-year-old toddler hospitalized for pneumonia has been crying intensely and clinging to the nurse during care. The child refuses to eat and becomes increasingly restless when parents leave the room. A new nurse states, "The child is just being difficult." What is the best nursing response?Answer →
  50. 50A nurse is providing care to a 2-year-old toddler who has a cognitive impairment and was admitted for respiratory syncytial virus (RSV). The nurse is providing frequent interventions to maintain the toddler's respiratory status and notes the parents seem increasingly distressed. Which of the following intervention(s) should the nurse implement? (Select All that Apply.)Answer →
  51. 51Domestic violence priority actionAnswer →
  52. 52The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The child tells the nurse he does not want to lose his blood. What approach is best by the nurse?Answer →
  53. 53A nurse is providing care to a school-aged child who has uncontrolled asthma. The child's parent does not seem engaged in the child's treatment during the hospitalization and states that the child manages their care with little assistance from them. Which of the following nursing interventions is most appropriate?Answer →
  54. 54The parent of a 16-year-old female is concerned because the child appears depressed. Which finding would help you identify the reason for the child's behavior?Answer →
  55. 55Bobby is a 3 year-male who had been previously diagnosed with Influenza by the Pediatrician. Bobby and his family come into the Emergency Room with chief complaint of an episode of "involuntary jerking" and "staring off' for 2 minutes. The child is diagnosed with a simple febrile seizure but the parents are still crying and distraught. Which response by the nurse is most appropriate?Answer →
  56. 56A nurse is providing care to a school-aged child who has uncontrolled asthma. The child's parent does not seem engaged in the child's treatment during the hospitalization and states that the child manages their care with little assistance from them. Which of the following nursing interventions is most appropriate?Answer →
  57. 5748-hour post sexual assault conditionAnswer →
  58. 58Trauma-informed care misconceptionAnswer →
  59. 59A nurse is preparing to participate in a family meeting where a child's poor prognosis will be discussed. Which nursing action best supports effective and compassionate communication before the information is shared?Answer →
  60. 60When giving an injection to a 3-year-old child instead of saying a shot we use non-threatening word such as?Answer →
  61. 61The nurse is preparing a 10-year-old child for suturing of a lacerated forehead. Both parents and a 12-year-old sibling are at the child's bedside. Which instruction best supports this family?Answer →
  62. 62A nurse is planning care for an adolescent who is withdrawn and avoids social group activities. Which of the following interventions should the nurse plan to include?Answer →
  63. 63An adolescent with anorexia nervosa is severely malnourished and underweight and is admitted to an inpatient facility. What is the nurse's priority intervention upon admission?Answer →
  64. 64During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, "We are just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life. We are so focused on our infant that it seems like our 3-year-old child is lost in the shuffle." How does the nurse best respond?Answer →
  65. 65Depression in children vs adultsAnswer →
  66. 66The mother of a healthy 8-year-old boy is concerned about his school performance. At the last parent-teacher conference, his teacher noted that he is easily distracted and routinely fails to complete his assignments and classroom papers. His mother states that at home he also has difficulty in completing tasks and he fidgets constantly. Although the child is very talkative, he has difficulty finding the words to answer a direct question. His physical exam is significant only for fidgeting. What is the most likely diagnosis?Answer →
  67. 67An adolescent with a congenital heart defect is admitted for diagnostic testing with surgery scheduled in 3 days. Which intervention should the nurse implement to best support the client's psychosocial needs?Answer →
  68. 68The nurse is performing a routine assessment of a 3-year-old at a community health center. Which behavior by the child should alert the nurse to request a follow up for a possible autism spectrum disorder (ASD)?Answer →
  69. 69A nurse is preparing a 9-year-old for a minor procedure. The child appears anxious and expresses a preference for the nurse to explain each step. How should the nurse proceed to respect the child's autonomy?Answer →
  70. 70A nurse is preparing a care plan for a 2-year-old whose family practices specific religious dietary restrictions. The child's nutrition needs are carefully monitored due to a recent diagnosis of anemia. Which intervention would be most appropriate in providing family-centered care that respects the family's religious practices?Answer →
  71. 71Harm reduction strategyAnswer →
  72. 72An 11-year-old expresses hesitation about a medical procedure despite parental consent. The nurse wants to balance the child's wishes with medical ethics. What should the nurse prioritize in this situation?Answer →
  73. 73A nurse is providing care to a 2-year-old toddler who has a cognitive impairment and was admitted for respiratory syncytial virus (RSV). The nurse is providing frequent interventions to maintain the toddler's respiratory status and notes the parents seem increasingly distressed. Which of the following interventions should the nurse implement? (Select All that Apply.)Answer →
  74. 74A 3-year-old hospitalized for surgery frequently cries when the parents leave the room. The nurse identifies separation anxiety. Which strategy is most appropriate for managing the child's separation anxiety?Answer →
  75. 75A nurse notices that a 4-year-old patient is withdrawn and appears anxious about being in the hospital. The parents express concern over their child's behavior. What would be the nurse's best intervention to support the child during hospitalization?Answer →
  76. 76A nurse is teaching an 11-year-old child about ways to cope with stress. Which of the following statements should the nurse make?Answer →
  77. 77During rounds, the mother of a hospitalized toddler tearfully says, "This is my fault-i should have noticed sooner." What is the best initial nursing action?Answer →
  78. 78The nurse is caring for an adolescent client diagnosed with bulimia. Which of these findings support the diagnosis?Answer →
  79. 79A nurse is providing care to a school-aged child with tetralogy of Fallot. The caregivers ask the nurse if there are any mental health concerns associated with this condition that they should be aware of. Which of the following statements made by the nurse is appropriate?Answer →
  80. 80How can nurses help to increase resilience in children? Select 2 nursing actions.Answer →
  81. 81The nurse caring for a client with opioid addiction recognizes which medications are used to treat opioid dependence?Answer →
  82. 82Withdrawal symptoms (flu-like, yawning, rhinorrhea, dilated pupils)Answer →
  83. 83A 14-year-old hospitalized for 1-week and reports missing friends and team practice, appears irritable with parents, and refuses to ask nurses for help. Which plan best addresses separation-related stress?Answer →
  84. 84Prazosin dizziness first actionAnswer →
  85. 85A teenager expresses feelings of worthlessness and withdrawal from friends. What is the nurse's priority action?Answer →
  86. 86Which nursing plan best promotes optimal social development and protection from exploitation for an adolescent with moderate CI?Answer →
  87. 87The nurse admits a child with autism. How should the nurse best plan care?Answer →
  88. 88A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?Answer →
  89. 89A nurse is caring for a child suspected of having cognitive impairment (CI). Which finding is most predictive of CI?Answer →
  90. 90A nurse is caring for a child with spinal muscular atrophy (SMA) who is receiving ongoing disease-directed therapy. The family asks what additional services may help manage symptoms and support decision-making over time. Which nursing response is most appropriate?Answer →
  91. 91Denial phase of griefAnswer →
  92. 92While discussing a new life-limiting diagnosis, a parent raises their voice and says, "There has to be some other explanation." Which nursing response best demonstrates therapeutic communication?Answer →
  93. 93The young adult 16-year-old female is concerned because the child appears depressed. Which finding would help you identify the reason for the child's behavior?Answer →
  94. 94A nurse is assessing a toddler who may have autism spectrum disorder (ASD). Which finding is most consistent with ASD?Answer →
  95. 95The parent of an adolescent male is concerned about the child's irritability in the morning. Which question would you ask the adolescent during the health interview?Answer →
  96. 96A nurse is reviewing factors that can make diagnosing mental health disorders in children more difficult. Which factors can impede accurate diagnosis? (Select all that apply.)Answer →
  97. 97A 7-year-old with cognitive impairment struggles with basic self-care tasks. The nurse wants to promote skill development while respecting the child's needs. What intervention should the nurse prioritize?Answer →
  98. 98The parent of a 16-year-old female is concerned because the child appears depressed. Which finding would help you identify the reason for the child's behavior?Answer →
  99. 99A nurse is about to perform a blood draw on a 4-year-old. The child looks scared and asks, "Will it hurt?" What is the best response to address the child's concerns?Answer →
  100. 100A client with CIWA score of 18: which nursing actions are appropriate? (Select all that apply.)Answer →
  101. 101Child assessment methodAnswer →
  102. 102Which finding leads the nurse to suspect that an adolescent has bulimia?Answer →
  103. 103A parent of a child with a complex chronic condition says, "I am overwhelmed-between work, the bills, and my child's treatments, I don't know where to start." Which nursing action is the priority first step?Answer →
  104. 104A 6-year-old with leukemia asks, "Who will take care of me in heaven?" The best response for the nurse to make is:Answer →