The child prescribed an antipsychotic medication to manage ...

[abarnes]

The child prescribed an antipsychotic medication to manage violent behavior is one most likely diagnosed with:
 
  a. attention deficit hyperactivity disorder.
  b. posttraumatic stress disorder.
  c. communication disorder.
  d. an anxiety disorder.

Question 2

Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?
 
  a. The child has been raised by a parent with chronic major depression.
  b. The child's best friend was absent from the child's birthday party.
  c. The child was not promoted to the next grade one year.
  d. The child moved to three new homes over a 2-year period.

[djofnc]

Answer to Question 1

ANS: A
Antipsychotic medication is useful for managing aggressive or violent behavior in some children diagnosed with attention deficit hyperactivity disorder. If medication were prescribed for a child with an anxiety disorder, it would be a benzodiazepine. Medications are generally not needed for children with communication disorder. Treatment of PTSD is more often associated with SSRI medications.

Answer to Question 2

ANS: A
Children raised by a depressed parent have an increased risk of developing an emotional disorder. Familial risk factors correlate with child psychiatric disorders, including severe marital discord, low socioeconomic status, large families and overcrowding, parental criminality, maternal psychiatric disorders, and foster-care placement. The chronicity of the parent's depression means it has been a consistent stressor. The other factors are not as risk- enhancing.