Nokea
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.
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When the prognosis of improvement in a child with psychiatric disorders is poor, what can the nurse do to positively influence children and adolescents and their parents?
- A. Continue to remind the child and parents that the prognosis for improvement is very poor.
- B. Encourage the parents to believe that the child will recover spontaneously.
- C. Assist the child and the parents to develop coping mechanisms.
- D. Focus on their problems instead of their strengths and assets.
Correct Answer: C
Rationale: Helping develop coping mechanisms leverages the child's developmental stage to improve long-term outcomes, focusing on strengths.
The nurse is assessing a 16-month-old child during a well-baby checkup. Which of the following behaviors would be consistent with autism spectrum disorder? Select all that apply.
- A. The child displays little eye contact with others.
- B. The child thrives on changes in routine.
- C. The child makes few facial expressions toward others.
- D. The child does not like repetition.
- E. The child answers questions verbally.
Correct Answer: A,C,D
Rationale: Autism spectrum disorder is characterized by limited eye contact, few facial expressions, and a preference for repetition, not thriving on change or verbal responses at this age.
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.
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.
A nurse asks an assigned client, 'How are you doing today?' The client responds with 'doing today, doing today, doing today.' Which speech pattern disturbance is this an example of?
- A. Reactive attachment disorder
- B. Stereotypic movement disorder
- C. Selective mutism
- D. Echolalia
Correct Answer: D
Rationale: Echolalia involves repeating the last heard words or phrases, as seen in the client's response, unlike the other disorders listed.