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 ["A","D","E"]
Explanation
A. Children with autism spectrum disorder (ASD) often demonstrate delayed or impaired language development.
B. Consistent limit testing is more characteristic of oppositional defiant disorder (ODD), not ASD.
C. A short attention span is more typical of ADHD, not ASD.
D. Repetitive motor behaviors (e.g., spinning toys, flapping hands) are hallmark features of ASD.
E. Ritualistic or rigid routines/behaviors are common in ASD, and disruptions may cause significant distress.
Correct Answer is B
Explanation
A. This is more commonly associated with phencyclidine (PCP) or alcohol intoxication, not cocaine.
B. Cocaine is a powerful stimulant that activates the sympathetic nervous system. This results in mydriasis (dilated pupils), increased heart rate, elevated blood pressure, hypervigilance, and euphoria.
C. Depression is more likely during cocaine withdrawal, not intoxication.
D. Like depression, hypersomnia is a withdrawal symptom. Intoxication typically causes insomnia and restlessness.
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