A child diagnosed with ADHD shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior?
Increased expressiveness in communication with others.
Tolerates social interactions for short periods without disruption or frustration.
Improved abilities to participate in cooperative play with other children.
Abilities to identify anxiety and implement self-control strategies.
The Correct Answer is C
A. While communication may improve indirectly, the primary goal of stimulant therapy for ADHD is to reduce hyperactivity and impulsivity, not directly increase verbal expressiveness.
B. This may be a secondary benefit, but the main desired outcome is improved behavioral control during social interactions, particularly in play.
C. Stimulant medications like amphetamine salts help the child control impulsive behavior, reduce hyperactivity, and improve attention, allowing participation in cooperative play and structured activities.
D. Self-regulation skills develop with behavioral interventions and therapy, not directly from medication alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Recommending hospitalization for a patient who is dangerous to self or others is an example of appropriate professional judgment and does not constitute a tort.
B. Delays in completing a plan of care may reflect poor documentation or practice issues, but it is not automatically considered a tort.
C. Administering medication to a patient solely due to staffing issues, rather than based on clinical need or prescription, constitutes battery or negligence, which are examples of torts in healthcare law.
D. Changing a patient’s admission status based on clinical improvement is appropriate practice and not a tort.
Correct Answer is D
Explanation
A. This disorder is characterized by sudden, rapid, recurrent motor movements and vocal tics, not slow, writhing movements caused by long-term antipsychotic use.
B. This is a dangerous reduction in white blood cells, typically presenting with fever, sore throat, or infections, not abnormal involuntary movements.
C. Anticholinergic side effects include dry mouth, blurred vision, constipation, urinary retention, not the repetitive, involuntary movements seen here.
D. This condition is a late-onset side effect of long-term use of antipsychotics, especially first-generation drugs like fluphenazine. It presents as grimacing, lip smacking, and slow, writhing movements of the neck and shoulders, consistent with the patient’s symptoms.
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