Nokea
A nurse is providing education to a group of parents who have children with ADHD. Which of the following statements would be accurate and should be included in the education? Select all that apply.
- A. Medication alone will adequately treat children with ADHD.
- B. It is important for parents of children with ADHD to learn how to rebuild their child's self-esteem.
- C. Because raising a child with ADHD can be frustrating and exhausting, it often helps parents to attend support groups that can provide information and encouragement from other parents with the same problems.
- D. ADHD is not the fault of the parents or the child, and that techniques and school programs are available to help.
- E. Children with ADHD do not qualify for special school services under the Individuals with Disabilities Education Act.
Correct Answer: B,C,D
Rationale: Educating parents on rebuilding self-esteem, support groups, and available resources, while clarifying ADHD's non-blame nature, is critical for effective management.
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A nurse asks an assigned client, 'How are you doing today?' The client responds with 'doing today, doing today, doing today.' Which speech pattern disturbance is this an example of?
- A. Reactive attachment disorder
- B. Stereotypic movement disorder
- C. Selective mutism
- D. Echolalia
Correct Answer: D
Rationale: Echolalia involves repeating the last heard words or phrases, as seen in the client's response, unlike the other disorders listed.
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 nurse is assisting a child with ADHD to complete his ADLs. Which is the best approach for nurse to use with this child?
- A. Break tasks into small steps.
- B. Let the child complete tasks at his own pace.
- C. Offer rewards when all tasks are completed.
- D. Set a time limit to complete all tasks.
Correct Answer: A
Rationale: Breaking tasks into smaller steps prevents overwhelming the child and supports task completion in ADHD.
Which of the following terms describes the repeating of one's own words or sounds?
- A. Coprolalia
- B. Palilalia
- C. Echolalia
- D. None of the above
Correct Answer: B
Rationale: Palilalia is the repetition of one's own words or sounds, distinct from coprolalia (obscene words) or echolalia (repeating others' words).
Which one of the following statements about educating parents of a child with ADHD is true?
- A. It is unimportant to educate the family members about ADHD as they already know the problem too well.
- B. Parents feel empowered and relieved to have specific strategies that can help them and their child be more successful.
- C. It is important for the nurse to spend the majority of his or her time with parents of children with ADHD in talking to the parents.
- D. If the child receives special school services under the Individuals with Disabilities Education Act, there is no need for further services.
Correct Answer: B
Rationale: Educating parents with specific strategies empowers them to manage ADHD effectively, improving outcomes for the child.