A nurse is assessing a child with ADHD. What is important for the nurse to
consider when assessing the child? Answer - -Break complex tasks into small
steps
-Ensure child's safety and that of others (stop unsafe behavior, provide close
supervision)
-Improved role performance (give pos feedback for meeting expectations)
-secured daily routines (establish a daily schedule)
-client/family education and support (listen to parent's feelings and
frustrations)
What are the clinical manifestations for Autism Spectrum Disorder? Select all
that apply. Answer - -few facial expressions
-avoids eyes contact
-repeats words or phases over and over
What behaviors are common with Autism Spectrum Disorder? Answer - not
responding to won name by 1 year
-doesn't show interest by pointing to object by 14 months
,-avoids eye contact
-prefers to be alone
-delayed speech & language skills
-upset by minor changes in routine
-unusual reactions to sounds, smells, or other experiences
-REPEATS WORDS OR PHRASES OVER AND OVER
What are the warning signs of autism? Select all that apply. Answer - -not
babbling by 12 months
-not point or using gestures by 12 months
-no single words by 16 months
-no two-word utterances by 24 months.
-loosing language or social skills at ANY AGE
A group of patients are being screened to see which patients would be the best
candidate for a psychotherapeutic drug trial that helps people concentrate
longer on activities. Which patient would be best suited for this trial?
A) A 28-year-old salesperson who alternates between overactivity and periods
of depression
B) A 32-year-old hyperactive nursing student who cannot focus long enough to
take a test
C) A 55-year-old physician who suddenly falls asleep during the day without
warning
D) A 16-year-old youth who say he can make the light turn on by pointing at it
and hears voices Answer - B) A 32-year-old hyperactive nursing student who
cannot focus long enough to take a test
, The nurse is presenting an in-service at a children's unit on hyperactivity. The
nurse is told that a 6-year-old on the unit is being treated with
methylphenidate (Ritalin). The presenting nurse talks about discharge teaching
for this patient and the importance of monitoring what?
A) Long bone growth
B) Visual acuity
C) Weight and complete blood count
D) Urea and nitrogen levels Answer - C) Weight and complete blood count
Methylphendiate (Ritalin) is associated with what common adverse effects?
Answer - -weight loss
-bone marrow suppression
-cardiac arrhythmias
-anorexia
-can result in slowed or absent growth
-insomnia
The mother of a child diagnosed with attention-deficit syndrome receives a
prescription for a central nervous system (CNS) stimulant to treat her child. The
mother asks the nurse, "I don't understand why we're giving a stimulant to
calm him down?" What is the nurse's best response to this mother?
A) "It helps the reticular activating system (RAS), a part of the brain, to be more
selective in response to incoming stimuli."
B) "It helps energize the child so they use up all of their available energy and
then they can focus on quieter stimuli."
C) "No one truly understands why it works but it has been demonstrated to be
very effective in treating ADHD."
D) "The drugs work really well and you will see a tremendous change in your
child within a few weeks without any other treatment." Answer - A) "It helps
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