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.
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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.
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.
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.
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.
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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