Nokea
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.
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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.
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.
Which statement would indicate that medication teaching for the parents of a 6-year-old child with attention deficit hyperactivity disorder (ADHD) has been effective?
- A. We'll teach him the proper way to take the medication, so he can manage it independently.
- B. We'll be sure he takes Ritalin at the same time every day, just before bedtime.
- C. We're so glad that Ritalin will eliminate the problems of ADHD.
- D. We'll be sure to record his weight on a weekly basis.
Correct Answer: D
Rationale: Monitoring weight weekly addresses Ritalin's potential to suppress appetite, ensuring proper growth management.
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.
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.