CANS EXAM /ACTUAL EXAM WITH 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/VER, Exams of Nursing

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AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Access to Child Care: Connor's aunt usually watches him; however, sometimes she is unable to and Connor's dad has to skip his meetings to stay home with Connor. - ANS Adaptability: 5-year-old Brian has a hard time adjusting to new things when supported by his parents. He eventually will try new things out, but it takes a lot of prompting and support. - ANS Adjustment to Trauma: A 17-year-old girl was mugged late one night. She is now afraid to walk the streets at night time. Sometimes she has nightmares about the mugging. - ANS Age Differential: Brenda molested a 7-year-old girl yesterday. Brenda is 11-years-old. - ANS Aggressive Behavior: Oles is always hitting his dog; so far, his mother has been unable to get him to stop.

• ANS Agitation: 15-year-old Maria reports feeling out of control of her emotions. She experiences rapid mood shifts and has an explosive temper. In times of stress, Maria will emotionally "explode" without being able to control herself. - ANS Anger Control: A 12-year-old boy destroys property and physically harms others when he becomes angry.
• ANS Anxiety: Martha has social anxiety that interferes with her making friends at school. - ANS Anxiety: Martha has social anxiety that interferes with her making friends at school. - ANS Arrests: Virginia has been arrested 3 times in the past month. - ANS Attachment Difficulties: A 9-year-old girl cries when her mother drops her off at school, but once her mother has left, she is fine for the rest of the school day. - ANS Attachment Difficulties: An 4-year-old boy has lived in three foster homes in the past year. His foster parents feel like they cannot make a connection with him. The foster parents also feel that the boy cannot form attachments with anyone. - ANS Attention/Concentration: Denis is a 14-year-old with attention problems that interfere with his school work.
• ANS Atypical Behavior: La'Quesha's mom and dad have noticed that La'Quesha will stare at lights for hours on end. They have to snap their fingers to get her to stop. - ANS Atypical Behaviors: La'Quesha's mom and dad have noticed that La'Quesha will stare at lights for hours on end. They have to snap their fingers to get her to stop. - ANS Autism Spectrum: There is some evidence that Tammy has an Autism Spectrum Disorder but she is still high functioning in many areas. - ANS Aware of Violence Potential: Paul and his friends are bullies. Whenever they get caught beating someone up, Paul admits he was involved but always says someone else made him do it. - ANS Birth Weight: Ethel was born underweight. Her doctors fear that because of this she may suffer developmental delays. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Bullying Others: Daryl is a 4-year-old who was recently disciplined for taking the toys of another child at day care. - ANS Bullying: Darnell is a member of a gang and has been involved in intimidating other youth using violence.

• ANS Child/Youth Involvement with Care: 9-year-old Ben is not knowledgeable of his needs. - ANS Choice of Relations: Tammy has been prostituting herself in order to brag to her friends about how many sexual partners she has been with. - ANS Chronicity: 8-year-old Samantha has juvenile diabetes. - ANS Cognitive: Patricia has an IQ of 40. - ANS Commitment to Self Control: Tyler knows he has a problem with being violent. He has not decided if he wants to fix this problem or not. - ANS Communication: Donnelle has selective mutism and refuses to speak. He also refuses to point to aid in communication. - ANS Community Involvement: This past year, Jill became involved in community center activities including joining a soccer team. - ANS Community Safety: Jordan drives recklessly through the streets when he is intoxicated. - ANS Community Safety: Wilma set fire to an abandoned recreational center. - ANS Conduct: A 15-year-old has been arrested for vandalism and theft after stealing from a neighbor. - ANS Coping and Survival Skills: Don manages adversity quite well, but does not seem to have much fun. - ANS Cultural Stress: A family has recently arrived from Somalia and reports some initial difficulties adjusting to the American way of life. - ANS Curiosity: 2-year-old Lucie ignores toys presented to her and turns her face away when new objects are offered to her. - ANS Danger to Others: Bryan has been in several fights recently. In one fight last week, he broke the nose of another youth. - ANS Delinquent Behavior: Sean has been staying out past his parents' curfew. He lives in a town with no legal curfew, but his parents are upset. - ANS Depression: Denise has shifting moods that are challenging for her foster parents at home. Most days it is hard for her to get out of bed in the morning and get ready for daycare, but other times she wakes up excited and ready to take on the day. - ANS Depression: Trish is a 17-year-old girl who sometimes gets blue and a bit down on herself. She generally is able to 'snap herself out' of her funks, but sometimes needs support. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Developmental Delay: Francine achieved all developmental milestones. - ANS Developmental: A single mother has an IQ of 50 and is unable to provide the needed assistance to her child. - ANS Developmental/Intellectual Disability: A child's intellectual functioning is so poor that it prevents valid testing. - ANS Diagnostic Complexity: Damian has been in and out of the hospital for 2 years with odd symptoms. The doctors have been unable to diagnose him as of yet. - ANS Disruption of Caregiving: When 15-year-old Sara was 3 years old, she was removed from her parents' home and placed with her grandparents where she has been ever since. - ANSyes Domestic Violence: 4-year-old Xena's parents fight all the time in front of her; sometimes, the fights get physical. Neither parent has ever needed medical attention as a result of these fights - ANSyes Duration of Use: 17-year-old Melissa never drank until last weekend when she went to a party with friends. She got drunk and her parents had to take her to the hospital. - ANS Eating Disturbance: Quenzell refuses all food. He becomes aggressive when efforts are made to encourage him to eat. His weight has dropped so low that he has to be hospitalized. - ANS Eating Disturbance: Quenzell refuses all food. He becomes aggressive when efforts are made to encourage him to eat. His weight has dropped so low that he has to be hospitalized. - ANS Eating: 3 year old Guy is a picky eater. He always needs to inspect his food before ingesting it. - ANS Eating: Quenzell refuses all food. He becomes aggressive when efforts are made to encourage him to eat. His weight has dropped so low that he has to be hospitalized. - ANS Educational Attainment: Brad's father wants to be a mechanic, but has yet to sign up for trade classes. - ANS Educational Setting: 15-year-old Trumaine has recently returned home from a residential placement. No school has been identified for him at this time. - ANS Elimination: Despite his parents' teaching him how to know when the time is right to go to the washroom, 5-year-old Brian continues to wet himself constantly. Brian refuses to go back to wearing diapers and his parents are afraid to take him out in public for fear that he may have an accident. - ANS Elimination: Monica doesn't like going to the bathroom in public places. She will hold it in if she has to. Her mother reported to the doctor that Monica complains of frequent stomachaches. - ANS Emotional Abuse/Neglect: After years of humiliation at the hands of his mother, Marcus has no self- esteem and views himself as a complete failure and a worthless human being. - ANSyes Emotional Control/Temperament: Terrance has persistent temper tantrums when he does not get what he wants. It is difficult to calm him down or re-direct him. - ANS Emotional Response: 5-year-old Dustin appears to have adjusted better to his diagnosis of diabetes than either of his parents. He has been a calming influence on them. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Employment: A single father recently got laid off and is now unemployed. He has had good jobs in the past and hopes that he will be able to find a new one. - ANS Engagement in Treatment: Omar and his family are skeptical about going to an anger management therapist for Omar's anger issues. In the past, treatment has not worked for Omar. - ANS Environmental Influences: Carla's older brother engages in criminal behavior; sometimes he is home, but not often. - ANS Environmental Influences: Carla's older brother engages in criminal behavior; sometimes he is home, but not often. - ANS Failure to Thrive: Carmen was born early and was underweight for many months, but now she is in the normal range for weight. - ANS Failure to Thrive: Carmen was born early and was underweight for many months, but now she is in the normal range for weight. - ANS Family Functioning: The family is managing well. - ANS Family History of Mental Illness: Paul's sister has been diagnosed with paranoid schizophrenia. - ANSyes Family Strengths: Carmen's parental rights have been terminated; she has no other known family members. - ANS Family Stress: Martha's gluten intolerance is making it difficult for her family to decide what is and is not okay for Martha to eat. - ANS Family Stress: Sasha's asthma has his father so worried that Sasha is hardly allowed to leave the house; his parents get in frequent arguments about this. - ANS Financial Resources: Quinn's parents are able to financially provide for their family. - ANS Fire Setting: 17-year-old Doris was caught carrying matches. She said she likes to listen to music by candle light which was confirmed by her parents. - ANS Fire Setting: Michael is always playing with matches. - ANS Flight Risk: Justin used to bolt from his mother's side in stores. He has not done this in 8 months. - ANS Frustration Management: Thalia gets so frustrated with her friends that she can't control her anger. She often punches or pushes her friends, physically hurting them. - ANS Gender Identity: James reports feeling like he should have been born a girl instead of a boy. When he told his father, his father threatened to throw him out of the house if James brought it up again. James is so stressed about this that he has been losing sleep. - ANS History of Perpetrating Violence: Isaac killed his pet dog two months ago. - ANS History of Sexually Abusive Behaviors to Others: Lina was investigated last year for an incident that involved her sexually abusing her little brother. This was the only case of such behavior. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

History: For the past 2 years, Melinda has been engaging in criminal behavior; however, she has had periods of 3 months where she did not engage in any criminal behavior. - ANS History: Fredrick has been consistently setting fires for three years. - ANS Hostility: Leah always looks angry. Even though she is never rude or mean, her friends perceive her as an angry person. - ANS Household Substance Exposure: A father becomes drunk and argumentative and conflict arises. No violence has occurred. - ANSyes Hygiene & Self-Care/Daily Living Skills: Bronwyn's mom forgets to brush her teeth, but no one notices. - ANS Hypersexuality: Danielle is in a relationship but continues to seek out multiple sexual relationships. - ANS Impairment Functioning: Samantha's broken leg has made it impossible for her to be in this year's school play. - ANS Impulsivity/Hyperactivity: Deonte has trouble waiting his turn; he often blurts out answers in class. During lunch time he is always getting time outs because he does not stay at his desk to eat. - ANS Impulsivity/Hyperactivity: Edith sometimes behaves in a way that appears to be rash. - ANS Independent Living Skills: Darnell is a 16-year-old boy who will not bathe if his parents do not tell him to. His parents are worried that when he moves out one day that he will never bathe. They believe that some outside supports will be able to address the issue. - ANS Intensity of Treatment: Lavone is bed-bound and requires a feeding tube and an IV. - ANS Intention to Harm: Harriett says she didn't want to hurt anyone in the fire, but she made no efforts to control the size it grew to. - ANS Intentional Misbehavior: 16-year-old Lauren is always threatening to commit suicide so that she can be hospitalized and see her favorite therapist who works there. The therapist at the hospital knows that Lauren is not serious and Lauren is at risk of being banned from that hospital. - ANS Intentional Misbehavior: When Suzy's parents have people over, Suzy will swear to get attention. - ANS Interpersonal Skills: 4-year-old Mindy is very shy. It takes a lot of prompting for her to play with others. When prompted, she will attempt to play with the other children. - ANS Interpersonal/Social Behavior: 4-year-old Marquis has some acquaintances and can get along with peers, but has no real friends. - ANS Involvement with Care: Ben's foster parents assertively involve themselves in all of his IEP meetings. They routinely contact teachers to ensure that they are following his IEP. - ANS Job Functioning: Tommy was recently fired from his fast food job for missing work and being rude to the manager. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Judgment/Decision Making: 16-year-old Tony enjoys getting drunk and taking his parents' vehicle out for joy rides. - ANS Knowledge of Child's Needs: Maria's parents are pretty good at understanding Maria's needs. Recently, Maria has been irritable and "sleepy." This has not raised concern in the parents as of yet. - ANS Knowledge of Sex: Mark hangs out with older boys in the neighborhood, and thus knows more about sex than most kids his age. - ANS Labor and Delivery: Amber has cerebral palsy because she was deprived of oxygen when she was born. - ANS Legal Compliance: After Jerry skipped school and vandalized a local store, the court ordered him to attend school daily and also attend a treatment program to help with his truancy. Jerry has been attending school every day, but has failed to attend the treatment program. - ANS Legal: 14-year-old Don has been arrested in the past for theft, but not in the last year. - ANS Legal: Stacey's mom and dad were recently arrested for drug dealing. If convicted they might be sentenced for a long prison term. - ANS Life Threatening: 9-year-old Paul has been given less than six months to live, according to doctors. - ANS Likelihood of Future Fire-Setting: Garth admits that he would most likely set more fires if his parents weren't watching him. - ANS Living Situation: Nancy has the occasional fight at home with her parents; her parents are concerned about her behavior at home. - ANS Mania: Vicki has a history of manic behavior when she was younger but has since controlled it with medication. - ANS Masturbation: Sometimes Jen masturbates in her bedroom, but her family is unaware. - ANS Medical Health: 9-year-old Paula has leukemia and her doctors say that she might not live for more than one year. - ANS Medication Compliance: Brittany sometimes forgets to take her seizure medication, but remembers as soon as she sees the reminder she put on the fridge. - ANS Mental Health: A single mother was recently hospitalized with severe postpartum depression. - ANS Military Transitions: Daisy just relocated with her parents -- who are both in the Armed Forces -- because they had been redeployed to a nearby military base. - ANS Mobility: 4-year-old Tristan has cerebral palsy and is wheelchair-bound with fine motor challenges. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Motivation for Care: 9-year-old Erwin needs to take medication daily, but his parents usually forget and sometimes do not refill his prescriptions for more than one month. They think his medication is unnecessary and refuse to comply. - ANS Motor: 5-year-old Tilden is unable to walk but can manage hand-related tasks. - ANS Motor: 5-year-old Tilden is unable to walk but can manage hand-related tasks. - ANS Natural Supports: Natalie has neighbors who have helped her get a summer job for a few years. - ANS Oppositional Behavior: A 12-year-old boy talks back to his teachers and a few letters have been sent home about this problem. - ANS Oppositional Behaviors: A 5-year-old girl is so defiant toward her parents that they have decided to give up custody, as they feel they are no longer capable of controlling her behavior. - ANS Optimism: 17-year-old Dante plans to go to medical school. He knows if he studies hard in his classes he can do it. - ANS Organization Skills: A child misses appointments frequently as the child's parents are unable to get him to the clinic. - ANS Organizational Complexity: Oliver's medical care is provided entirely by his pediatrician. - ANS Paranoid Thinking: Julia thinks her sister is trying to get her disowned from the family. Julia requires a lot of assurance from her sister in order to believe otherwise. - ANS Parent or Sibling Problems: Serge's mom is developmentally delayed. - ANS Parental Availability: After Anthony was born, his mom was diagnosed with severe post-partum depression. - ANS Parental Incarseration: Two months ago, Tina's father was arrested for breaking and entering; he was sent to prison. Tina has gone to visit him one time. - ANSyes Parental Influences: Tom's mother often uses heroin in front of him. - ANS Parental/Caregiver Influences: Trevor's caregiver drinks on a daily basis. His caregiver states she cannot fall asleep unless she has had a drink or two. - ANS Peer Influences: 21-year-old Carmella recognizes that her drug use is bad for her but she is unwilling to change because all of her friends use drugs and she doesn't want to be left out. - ANS Peer Influences: Beth's friends are all involved in illegal activity but they are not members of any gang. - ANS Persistence: 3-year-old Richard has a limited ability to complete tasks. When his mother or teacher gets involved, this sometimes helps, but sometimes doesn't. - ANS Personal Hygiene/ Self-Care: Bronwyn forgets to brush her teeth, but no one notices. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Physical Abuse: 9-year-old Tommy came to school with bruises, but he says he fell down and his parents confirm this explanation; there is some suspicion that his older brother bullies him. - ANSyes Physical Force/Threat: Fred held his victim down and threatened to punch her during a physical attack. - ANS Physical Health: A foster mother's chronic illness has recently become life threatening. She is unable to care for her foster child. - ANS Physical Health: Cailin has asthma. She is able to take part in gym class if she has her puffer. - ANS Physical Neglect: 5-year-old Laura was found locked in the basement; she had not been given food for several days. - ANSyes Planning: Billy bought some duct tape at the store with the intention of using it on a random victim. - ANS Planning: Caleb likes to hang around kids who are in a local gang known for their criminal behavior. - ANS Planning: Zack said he had not planned to set his desk on fire, but he had brought matches to school with him that day. - ANS Positioning: 4 year old John is unable to reposition self and requires 24 hour monitoring and physical assistance from others to reposition self. - ANS Posttraumatic Reactions: Jerry's dad was in a car accident as a child and now gets nervous when driving.

• ANS Power Differential: 17-year-old Brian is dating Kylie, who is 12-years-old and in the 8th grade. They recently started to become sexually active. - ANS Pregnancy and Child Bearing: Denise is a sophomore in high school. She is 4 months pregnant with her first child. She wants to keep the baby, but is not sure where she will live after the baby is born. Her mother says she can't help Denise. - ANS Prenatal Care: Romanna's mom had only 5 doctor's visits when she was pregnant. - ANS Psychosis (Thought Disorder): A 18 year-old boy tells you that he is hearing voices telling him to get a knife and stab his mother. - ANS Re-Experiencing: After years of sexual abuse, Joshua has started to re-enact his sexual abuse on younger children. - ANS Reckless Behavior (Other Self Harm): A 16-year-old boy has received 3 speeding tickets since getting his license six months ago. - ANS Recreation/Play in Young Children: 5-year-old Patrick tends to cling to adults while other children play. When he does play, it is unimaginative. - ANS Relationship Permanence: 12-year-old Natasha is living in her third foster home. Her permanency plan calls for her to live with her mother; her mother participates fully in supervised visitation. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Relationship with Teachers: Brenden respects his teachers but rarely talks to them, which interferes with his learning. - ANS Relationship: Vimul raped a girl last week and she had to go to the hospital because of how severely she was hurt. - ANS Remorse: Kyle denies all accusations and does not seem in any way sorry about the damage he has caused. - ANS Residential Stability: Parents recently relocated twice due to job changes. - ANS Resiliency: Jen's caregiver has become interested in yoga and is starting to meditate when she is anxious or distressed. - ANS Response to Accusation: Corrina admits that she molested a young cousin, and says that "she wanted it," but she still feels bad for her behavior. - ANS Response to Accusation: Heather admits that she set the fire but says she does not feel any remorse. - ANS Response to Consequences: Whenever Judith is violent, she accepts her punishment; however, she still has trouble identifying when she will be punished. - ANS Runaway: Carmen was arrested for violating her probation by running away from a court-ordered treatment program 2 days ago. - ANS Safety: Veronica's mother is addicted to heroin. She struggles to take care of Veronica's basic needs. - ANS School Achievement: A 13-year-old boy is failing all of his classes and is at risk of not being promoted to the next grade. - ANS School Attendance: Over the past couple of months, Tremont has missed a day of school every month. - ANS School Behavior: An 8-year-old boy repeatedly talks out of turn in class. - ANS School/Day Care: A 13-year-old girl's school behavior has resulted in her being sent to see the school principal - ANS Secondary Gains from Anger: Olten constantly gets angry at his mother when she does not have dinner cooked for him at 5:00. She is now afraid to be late serving dinner. - ANS Self-Injurious Behavior: 4-year-old Ryan has been banging his head repeatedly against the floor. His skull has begun to change shape because of this behavior and he has started to have painful headaches. - ANS Self-Injurious Behaviour: 8-year-old Ryan has been banging his head repeatedly against the floor. His skull has begun to change shape because of this behavior and he has started to have painful headaches.

• ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Self-Stimulation: The smell of onions repulses David, making him shout and wring his hands. - ANS Sensory Reactivity: Ashton is an 4-year-old with Fetal Alcohol Syndrome symptoms who is easily overwhelmed by too much sensory input and becomes unable to function. - ANS Sensory Reactivity: When a sound is made, Rachel takes a longer time to direct her eyes to where the sound was made. - ANS Seriousness: Don was recently arrested for possession of cocaine. - ANS Seriousness: Leslie burned down her house when no one was home. - ANS Severity of Sexual Abuse as Victim: Preston's mother suspected that Preston's father was molesting him. It has never been proven. - ANS Severity: 20-year-old Caitlin has stopped drinking for the past 3 months. - ANS Sexual Abuse: 15-year-old Maria was molested by her step-father over a period of nine months. - ANSyes Sexual Aggression: Darrell has never been sexually aggressive. - ANS Sexual Development: Marquis is a 17-year-old boy. He has had three sexual partners in his life, ages 20, 22, and 28. - ANS Sexually Problematic Behavior: Bertha has no sexually problematic behaviors. - ANS Sexually Reactive Behavior: Tom was abused by his foster dad and now engages in sexually inappropriate touching. - ANS Sleep: Reggie is a 16-year-old who stays out late on school nights and then sleeps during class. He often does not get a full night of sleep during the week. - ANS Social Functioning: Terrance is socially withdrawn and isolated; he has minimal social interactions - ANS Social Resources: Foster Parents have a strong support network of family and friends that help out. - ANS Spiritual/Religious: 17-year-old Tracy sings in the church choir and participates in many youth activities. She states that her beliefs give her comfort and that she prays when distressed. - ANS Stage of Recovery: 14-year-old Darnell says that he doesn't use substances despite multiple arrests for possession and suspensions for showing up to school high. - ANS Substance Exposure: Frank was born addicted to cocaine. - ANS Substance Use: A substance abuse team is worried that a single mother has a substance use problem because she tends to be very sleepy at meetings. She denies any use. - ANS Substance Use: A young man is prostituting himself to pay for his growing drug habit. - ANS Success of Prior Treatment: Grace successfully completed residential therapy and is now back home with her parents. - ANS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES/VERIFID AND GRADED A+

Suicide Risk: 15-year-old Amanda was released from the hospital today after a 5 day stay resulting from her attempt to slit her wrists. She currently reports no active suicidal ideation. - ANS Supervision: Melissa's foster parents are able to adequately watch her. - ANS Talents/Interests: Sarah won the most valuable player award of her swim team and is team captain. - ANS Temporal Consistency: James was molested last month. Since that incident, James has started displaying sexually abusive behavior. - ANS Transportation: A Mother requires transportation to get her daughter to her doctor's appointments once a week. She does not have a car and needs someone to teach her how to take the bus to her daughter's appointments. - ANS Traumatic Grief/Separation: Sammy has never experienced grief. - ANS Type of Sex Act: Pauline forced a younger boy to give her oral sex. - ANS Use of Accelerants: Ronnie used body spray to accelerate the growth of his fire, but he was careful not to direct the fire toward any buildings. - ANS Violent Thinking: Sometimes when Violet is mad she imagines punching her sister in the face. - ANS Vocational: Jamie is really good at fixing things. He does not want to fix things for a living, however, he wants to be a writer. - ANS