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The mother of a 6-year-old boy with attention deficit hyperactivity disorder asks to speak to the nurse about her son's disruptive behavior. The nurse would be most therapeutic by saying which of the following?
- A. Your son is a cute child, but he needs to calm down.
- B. It must be difficult to handle your son at home.
- C. You need to take a firmer approach with your son.
- D. Your son sure is active.
Correct Answer: B
Rationale: Acknowledging the challenges of managing a child with ADHD validates the mother's experience and fosters a therapeutic dialogue.
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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.
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.
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.
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.
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.