Nokea
An 8-year-old with attention deficit hyperactivity disorder is jumping off the bed onto a chair. Which should be the nurse's first step?
- A. I need to talk to you.
- B. Stop that right now.
- C. You are going to hurt yourself.
- D. Why are you jumping off the bed?
Correct Answer: B
Rationale: Stopping dangerous behavior immediately is critical to ensure safety in a child with ADHD.
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Which of the following symptoms are characteristic of ADHD? Select all that apply.
- A. Enuresis
- B. Inattentiveness
- C. Encopresis
- D. Overactivity
- E. Impulsiveness
Correct Answer: B,D,E
Rationale: ADHD is defined by inattentiveness, overactivity, and impulsiveness, while enuresis and encopresis are unrelated elimination disorders.
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).
The parents of a child with ADHD express to the nurse, 'We get so frustrated when our son never minds us.' Which parenting strategies should the nurse discuss with the parents? Select all that apply.
- A. Use time-out for behavior control.
- B. Provide occasional rewards and consequences for behavior.
- C. Give verbal reprimands for negative behavior.
- D. Resist giving praise until fully compliant with requests.
- E. Use a point system for positive and negative behavior.
Correct Answer: A,C,E
Rationale: Time-outs, verbal reprimands, and point systems are effective strategies for managing ADHD behaviors consistently.
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.