Nokea
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.
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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.
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.
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 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.