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 D

Explanation

D. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.
A. It's important to be vigilant for signs of suicidal ideation but sudden improvements in mood can also occur as a positive response to antidepressant medication.
B. The client's description of feeling better does not align with the symptoms of serotonin syndrome, which include agitation, confusion, rapid heart rate, high blood pressure, and hyperthermia.
C. Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment.

A. advise the client to take an anxiolytic to decrease their anxiety level. B. restrain the client to prevent self-harm. C. assist the client to identify the trigger situation and choose a coping strategy. D. encourage the client use self-harm behaviors to release emotion.

Correct Answer is C

Explanation

C. Individuals with borderline personality disorder often struggle with intense emotions and may engage in self-harming behaviors as a maladaptive coping mechanism. Helping the client identify triggers for their distress and teaching them alternative coping strategies, such as mindfulness, grounding techniques, or distress tolerance skills, can empower them to manage their emotions in healthier ways.
A. Anxiolytic medications can help alleviate anxiety symptoms but they are not typically the first-line intervention for addressing acute distress in individuals with borderline personality disorder (BPD).
B. Restraint should not be the first response to a client expressing distress or suicidal ideation. Physical restraint should only be used as a last resort in situations where there is an imminent risk of harm to the client or others and should be implemented by trained professionals following established protocols.
D. Encouraging self-harm behaviors reinforces maladaptive coping strategies and can increase the risk of harm to the client. It is essential to provide support and interventions aimed at reducing self-harming behaviors.

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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

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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