A 9-year-old patient with atention deficit hyperactivity disorder (ADHD) has been prescribed a stimulant. The nurse knows that the teaching has been effective when the patient's parents make which statement?
"Our child will sleep longer and could oversleep in the morning."
"Our child may have some side effects, like insomnia, loss of appetite, or weight loss."
"Our child needs to take this medication once every 12 hours."
"We'll bring our child in every week to get blood levels drawn."
The Correct Answer is B
Choice A reason: This choice is incorrect because stimulant medications used to treat ADHD are known to potentially cause insomnia rather than increased sleep duration.
Choice B reason: This is the correct choice. Common side effects of stimulant medications for ADHD include insomnia, loss of appetite, and weight loss. These side effects are well-documented and are important for parents to be aware of.
Choice C reason: This choice is incorrect. While the frequency of medication administration is important, the statement is too vague and does not reflect the common dosing schedule for ADHD stimulant medications, which can vary based on the specific medication and the individual's needs.
Choice D reason: This choice is incorrect. Routine blood level monitoring is not a standard requirement for ADHD stimulant medication therapy. Monitoring typically focuses on growth, blood pressure, heart rate, and the presence of any side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. The client's belief that "They're out to get me" is indicative of paranoia, a common symptom in schizophrenia.
Choice B reason: This choice is incorrect. Stilted language refers to an unnatural, formal way of speaking, not suspicion or guardedness.
Choice C reason: This choice is incorrect. Pressured speech is rapid and urgent speech, which is not described in the scenario.
Choice D reason: This choice is incorrect. Autistic thinking is associated with autism, not schizophrenia, and does not involve paranoia.
Correct Answer is C
Explanation
Choice A reason: Medication is not a defining feature of all mental illnesses. While medications can be a part of treatment for many psychiatric conditions, not all mental illnesses require medication. Some may be managed with psychotherapy, lifestyle changes, or other non-pharmacological interventions.
Choice B reason: Self-awareness or acknowledgment of difficulties is not a prerequisite for a mental illness diagnosis. Many individuals may not realize they have a mental health condition, especially in cases of severe mental illness or when insight is affected.
Choice C reason: The presence of difficulties in functioning that cause significant distress or impairment is a core aspect of mental illness. These difficulties can manifest in various areas such as social, work, or family activities, and are a key factor in diagnosing mental health conditions.
Choice D reason: While physiological symptoms can accompany certain mental health conditions, they are not a defining feature of all mental illnesses. Mental illness primarily involves significant changes in thinking, emotion, and/or behavior.
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