Nokea
A parent is concerned that his child might suffer from attention deficit hyperactivity disorder (ADHD). Which of the following behaviors reported by the parent would be consistent with this diagnosis?
- A. The child interrupts others.
- B. The child has been hoarding objects.
- C. The child has lots of friends.
- D. The child is excelling academically in school.
Correct Answer: A
Rationale: Interrupting others is a hallmark of ADHD, reflecting impulsivity, unlike hoarding, social success, or academic excellence.
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For which reason is it crucial for nurses to advocate for children and adolescents regarding psychiatric disorders?
- A. It is much more difficult to diagnose psychiatric disorders in children and adolescents.
- B. It is not necessary because psychiatric disorders do not occur in children and adolescents.
- C. Children and adolescents experience some of the same mental health problems as adults.
- D. Psychiatric disorders in children manifest themselves very quickly.
Correct Answer: A
Rationale: Diagnosing psychiatric disorders in children is challenging due to their developmental stages and limited communication abilities.
Which of the following are common coexisting psychiatric disorders for adults with ADHD? Select all that apply.
- A. Social phobia
- B. Bipolar disorder
- C. Obsessive-compulsive disorder
- D. Major depression
- E. Alcohol dependence
Correct Answer: A,B,D,E
Rationale: Adults with ADHD commonly have coexisting conditions like social phobia, bipolar disorder, major depression, and alcohol dependence, but not typically obsessive-compulsive disorder.
Which statement would indicate that medication teaching for the parents of a 6-year-old child with attention deficit hyperactivity disorder (ADHD) has been effective?
- A. We'll teach him the proper way to take the medication, so he can manage it independently.
- B. We'll be sure he takes Ritalin at the same time every day, just before bedtime.
- C. We're so glad that Ritalin will eliminate the problems of ADHD.
- D. We'll be sure to record his weight on a weekly basis.
Correct Answer: D
Rationale: Monitoring weight weekly addresses Ritalin's potential to suppress appetite, ensuring proper growth management.
A parent of a child with autism spectrum disorder asks the nurse if there is anything that can be done to control the child's tantrums. Which option should the nurse inform the parents that may be appropriate?
- A. Give the child rewards for resisting tantrums.
- B. Reason with the child why tantrums are not effective.
- C. Place the child in a time-out when tantrums occur.
- D. Explore the use of antipsychotic medications to control tantrums.
Correct Answer: D
Rationale: Antipsychotics like risperidone can help manage severe tantrums and related behaviors in autism, unlike reasoning or time-outs, which are less effective.
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.