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A child with ADHD complains to his parents that he does not like the side effects of his medicine, Adderall. The parents ask the nurse for suggestions to reduce the medication's negative side effects. The nurse can best help the parents by offering which advice?
- A. Give the child his medicine at night.
- B. Have the child eat a good breakfast and snacks late in the day and at bedtime.
- C. Limit the number of calories the child eats each day.
- D. Let the child take daytime naps.
Correct Answer: B
Rationale: Nutritious meals and snacks help mitigate appetite suppression from Adderall, supporting adequate dietary intake.
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A mother expresses concern to the nurse that the child's regularly scheduled vaccines may not be safe. The mother states that she has heard reports that they cause autism. The most appropriate response by the nurse is.
- A. It is recommended that you wait until the child is older to vaccinate.
- B. There are safer alternative immunizations available now.
- C. There has been no research to establish a relationship between vaccines and autism.
- D. The risks do not outweigh the benefits of immunization against childhood diseases.
Correct Answer: C
Rationale: Extensive research by reputable institutions like the CDC has found no link between vaccines and autism, making this the most accurate and reassuring response.
Which of the following would be important circumstances to gather assessment data for a child with ADHD? Select all that apply.
- A. Direct observation of the child
- B. Reviewing the client's record
- C. Interviewing the client's parents
- D. Interviewing the client's teachers
- E. Assessing the client in a group of peers
Correct Answer: A,C,D,E
Rationale: Direct observation, parent and teacher interviews, and peer group assessment provide comprehensive data on ADHD behaviors, unlike record review alone.
The nurse understands that when working with a child with a mental health problem, the family must be included in the care. Which is one of the best ways the nurse can advocate for the child?
- A. Support transferring the child to a healthy living environment.
- B. Teach the parents age-appropriate expectations of the child.
- C. Reinforce the parents' expectations of the child's behavior.
- D. Interpret the child's thoughts and feelings to the parent.
Correct Answer: B
Rationale: Teaching age-appropriate expectations equips parents to support the child's development and coping effectively.
The parents of an autistic child ask the nurse, 'Will my child ever be normal?' Which would be the most appropriate response by the nurse?
- A. You seem worried about your child's future.
- B. Autistic children can fully recover with the right treatment and education.
- C. Your child should outgrow autistic traits by adolescence.
- D. Your child will probably always have some autistic traits.
Correct Answer: D
Rationale: Autism spectrum disorder traits typically persist, with varying degrees of dependence, making this the most accurate response.
Which one of the following nursing interventions should take priority for a child with ADHD?
- A. Structured daily routine
- B. Ensuring the child's safety and that of others
- C. Simplifying instructions and directions
- D. Improved role performance
Correct Answer: B
Rationale: Safety is the priority due to the impulsive and hyperactive behaviors in ADHD that can pose risks to the child and others.