A nurse is caring for an adolescent client with Attention Deficit Disorder (ADD). Which of the following interventions should the nurse prioritize for this client?
Provide a quiet and structured environment for studying
Encourage participation in team sports to improve social skills
Administer medication as prescribed
Implement a reward system for completing tasks
The Correct Answer is A
A. Provide a quiet and structured environment for studying: This helps minimize distractions and provides the structure needed for the adolescent to focus better, which is crucial for managing ADD.
B. Encourage participation in team sports to improve social skills: While beneficial, it is not as immediately impactful for managing the core symptoms of ADD.
C. Administer medication as prescribed: Important, but it should be part of a comprehensive approach that includes behavioral interventions.
D. Implement a reward system for completing tasks: This is helpful but secondary to creating an environment conducive to learning and focus.
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Correct Answer is D
Explanation
. Use physical restraints during severe outbursts to ensure safety. Physical restraints are not appropriate for managing behavioural issues in children with ODD. They can escalate the situation, cause physical harm, and damage the trust between the child and caregivers.
B. Assign daily chores that are challenging to encourage discipline. While chores can teach responsibility, assigning challenging tasks is not appropriate for managing ODD and could lead to frustration and further defiance.
C. Encourage solitary play to reduce social stressors. Solitary play might reduce social stress but does not address the underlying behavioural issues of ODD. Social skills and interactions need to be improved rather than avoided.
D. Put into practice consistent consequences for rule-breaking behaviour. Consistent consequences help the child understand the link between behaviour and outcomes, which is crucial for managing ODD. It provides structure and clear expectations, which are essential for children with behavioral issues.
Correct Answer is B
Explanation
A. "Why did you feel you needed to do that at this time?": This response might come off as insensitive or judgmental. It could imply that the parents made an inappropriate decision without acknowledging their difficult situation.
B. "It must be frustrating for you to have to cancel an activity your son enjoyed.": This response validates the parents' feelings and acknowledges the emotional difficulty of making such a decision. It shows empathy and understanding of their situation.
C. "You never know. He could be ready for baseball by the spring.": This response offers false hope and may not be realistic given the child’s terminal illness. It could undermine the parents’ acceptance of the situation.
D. "Baseball can be a dangerous sport for children anyway.": This response dismisses the parents' feelings and does not acknowledge the real reason for canceling the activity. It is insensitive to the gravity of their situation.
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