A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

Is the child having any other complaints?

Are you crushing the sustained-release tablet?

When does the child take the last dose of medication?

Is the child taking any over-the-counter medications?

Answer and Explanation

The Correct Answer is C

Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication aﬀecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can aﬀect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.

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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.

A. Forgets to turn in homework, does not follow directions, cannot stay in an assigned seat in class, and is always talking excessively and inappropriately. B. Withdrawn in social contexts but energetic and engaging with family. C. Stubborn, resistant to directions, and unwilling to negotiate. D. Shows cruelty to animals, callousness, and lack of guilt and remorse.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. These behaviors are indicative of the inatention and hyperactivity- impulsivity symptoms of ADHD.
Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.
Choice C reason: Stubbornness and resistance to directions alone are not sufficient to diagnose ADHD.
Choice D reason: Cruelty to animals and lack of guilt are not symptoms of ADHD and may indicate other behavioral issues.

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A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?

Correct Answer is A

Explanation

An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

Correct Answer is A

Explanation

Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

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A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?

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