Author Question: A nurse is developing a plan for secondary prevention activities at a large urban mental health ... (Read 82 times)

londonang · **on:** Jul 19, 2018

A nurse is developing a plan for secondary prevention activities at a large urban mental health clinic.

Within this plan, the nurse develops an assessment tool to help identify children and adolescents with bipolar disorder (BPD). Why does the nurse consider this a priority?
A) Untreated BPD in childhood and adolescence sensitizes clients and predisposes them to more frequent episodes later.
B) Later identification is associated with increased incidence of comorbid thought disorders.
C) Recent studies have suggested that the use of tricyclic antidepressants helps prevent the disease from worsening.
D) BPD in children and adolescents is associated with increased incidence of social phobias later in life.

Question 2

A nurse is reviewing the plan of care for a child who has a diagnosis of attention deficit/hyperactivity disorder (ADHD). Which of the following aspects of managing a child with ADHD is often overlooked in the treatment plan?

A) Effects on school performance
B) Effects on the child's siblings
C) Effects on the parents' marriage
D) Effects on the family's lifestyle

kaykay69 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Feedback:
If BPD remains unrecognized and unchecked in the child, future episodes of illness may occur independently of any stimulus, and they will occur with greater and greater frequency (Papolos and Papolos, 1999). Therefore, early identification of bipolar disorder in the child is urgent.

Answer to Question 2

Ans: B
Feedback:
Family members of children with ADHD may experience disrupted routines and the strain of caretaking. The client may victimize siblings, who may feel unprotected because the parents are too emotionally overwhelmed to successfully deal with the situation.