Nokea
The nurse advises the parents to look for which change as evidence that methylphenidate hydrochloride (Ritalin) is achieving its desired effect?
- A. The child is less easily distracted.
- B. The child does not seem fatigued.
- C. The child's moods are more stable.
- D. None of the above
Correct Answer: A
Rationale: Reduced distractibility indicates improved focus, the primary goal of Ritalin.
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If the unprescribed drug is an anabolic steroid, which other physical effect is common?
- A. Decreased lung capacity
- B. Bronzed skin
- C. Occurrence of or worsened acne
- D. Brittle nails
Correct Answer: C
Rationale: Acne is a common side effect of anabolic steroids.
After receiving the news about her pregnancy, which of the following occurrences is most beneficial to the pregnant adolescent at this time?
- A. A positive mothering instinct
- B. Making plans for marriage
- C. Financial support from her boyfriend
- D. Emotional support from her family
Correct Answer: D
Rationale: Family emotional support is critical for the teen's well-being during pregnancy.
When providing care for the 3-year-old autistic child, which behavior is the nurse most likely to note?
- A. Constant use of the words 'I' and 'me'
- B. Insensitivity to pain
- C. Flexibility in normal routine
- D. Increased interest in others' actions
Correct Answer: B
Rationale: Insensitivity to pain is common in autism.
Which suggestion is likely to be most beneficial to the mother?
- A. Give the child simple responsibilities to perform.
- B. Teach the child to print first and last names.
- C. Buy a set of mathematic flash cards that teach addition.
- D. Have the child watch children's daytime television programs.
Correct Answer: A
Rationale: Responsibilities foster independence and readiness for kindergarten.
On the basis of the principles of crisis intervention, when is the best time for the nurse to offer assistance to those most affected by this incident?
- A. After the funeral
- B. Within 6 months
- C. Immediately
- D. Six weeks later
Correct Answer: C
Rationale: Immediate intervention addresses acute distress and prevents long-term issues.