A 7-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. The nurse should monitor for which desired outcome?

Refrains from manipulative behaviors

Redirection of violent behaviors

Withdraws when frustrated

Participation in play activities

Answer and Explanation

The Correct Answer is D

D. Engaging in play activities can indicate that the child is focusing their energy positively and is able to engage with their environment in a constructive way. Play can also serve as a therapeutic tool that helps children with ADHD improve their attention, reduce hyperactive behavior, and learn social skills.
A. Manipulative behaviors may not be directly related to the core symptoms of ADHD, but they can be present in some children with ADHD as a way of coping with difficulties in attention and impulse control.
B. Redirection of violent behaviors involves guiding the child towards more appropriate and non-violent ways of expressing their emotions and frustrations. Monitoring for successful redirection of violent behaviors would indicate progress in improving impulse control and emotional regulation.
C. Withdrawal when frustrated is not a desired outcome for a child with ADHD. Instead, the goal is typically to help the child develop coping strategies to manage frustration constructively and remain engaged in activities.

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Correct Answer is B

Explanation

B. This statement demonstrates progress and indicates that the client is beginning to take responsibility off themselves for the sexual assault. Acknowledging that the assault was not their fault is a crucial step in healing from trauma. It shows an acceptance of reality and a shift away from self-blame or feelings of guilt.
A. It may indicate that the client is still struggling to acknowledge the true nature of the assault and may not have fully processed their feelings and experiences related to the trauma.
C. This statement may suggest avoidance or attempts to control future situations to prevent similar experiences. While seeking support and safety measures can be beneficial, solely relying on external factors such as double dates to prevent sexual assault may not address underlying issues or promote healing from the trauma.
D. It suggests a continuation of internalized victim-blaming beliefs and may indicate that the client has not fully shifted away from feelings of guilt or responsibility for the assault.

A. Marital harmony in the household B. Being raised by multiple caregivers C. Regular prenatal care for the mother D. Developmental milestones achieved on schedule

Correct Answer is B

Explanation

B. Children who are raised by multiple caregivers may experience challenges in forming secure attachments, receiving consistent discipline and support, and maintaining stability in their environment. These disruptions can contribute to emotional insecurity, behavioral problems, and difficulties in social relationships, which are risk factors for the development of psychiatric disorders.
A. Marital harmony in the household is generally considered a protective factor rather than a predisposing factor for the development of psychiatric disorders in children.
C. Regular prenatal care for the mother is generally considered a protective factor for the child's development rather than a predisposing factor for psychiatric disorders.
D. Achieving developmental milestones on schedule indicates healthy neurological and cognitive development, as well as appropriate social and emotional functioning.

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A 7-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. The nurse should monitor for which desired outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A college student experienced a sexual assault when out on a date. After several weeks of crisis intervention therapy, which statement by the client would indicate to the nurse that the student is making progress?

Correct Answer is B

Explanation

Which predisposing factor obtained during the nursing assessment would cause the nurse to consider a child to be at risk for the development of a psychiatric disorder?

Correct Answer is B

Explanation

A physician mentions to the nurse that a child with Attention Deficit-Hyperactivity Disorder (ADHD) will begin medication therapy. The nurse should prepare a plan to teach the family about:

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