Nokea
A child is diagnosed with attention-deficit hyperactivity disorder (ADHD). Which characteristics would the nurse assess in this child? (Select all that apply.)
- A. Social anxiety
- B. Impulsivity
- C. Hyperactivity
- D. Distractibility
- E. Inattention
Correct Answer: B,C,D,E
Rationale: ADHD is characterized by inattention, hyperactivity, impulsivity, and distractibility.
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The nurse working with children from dysfunctional families must be prepared to address what associated problem(s)? (Select all that apply.)
- A. Lack of trust
- B. Acting out
- C. Exaggerated self-confidence
- D. Blaming others for problems
- E. Depression
Correct Answer: A,B,E
Rationale: Children from dysfunctional families exhibit lack of trust, act out, and show signs of depression.
The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa. Which assessment finding(s) would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply.)
- A. Amenorrhea
- B. Severe weight loss
- C. Oily skin
- D. Hypertension
- E. Lanugo on back
Correct Answer: A,B,E
Rationale: Primary symptoms of anorexia nervosa include severe weight loss, amenorrhea, and lanugo hair over the back and extremities.
What would be the appropriate response to an adolescent who states, 'This has been the worst day of my life?'
- A. You should focus your mind on positive thoughts.'
- B. Everybody has a bad day now and then.'
- C. You're young. What could be so terrible?'
- D. Tell me about the worst day of your life.'
Correct Answer: D
Rationale: The nurse establishes a rapport with the adolescent by acknowledging his or her feelings and giving the adolescent full attention.
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. What does the nurse suspect the adolescent has used?
- A. Alcohol
- B. Cocaine
- C. Amphetamines
- D. PCP
Correct Answer: A
Rationale: Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness, combativeness, and ataxia.
How does the nurse describe a person who is bulimic?
- A. Severely underweight
- B. Alternates binge eating with purging
- C. Introverted perfectionist
- D. Has extremely close family relationships
Correct Answer: B
Rationale: Bulimia is characterized by alternating binge eating and purge behavior.