A nurse is providing teaching to a guardian of a child who has ADHD.
Which of the following strategies should the nurse suggest to improve the child's ability to concentrate?
Vary the child's scheduled activities each day.
Encourage the child to read a book during an outdoor school activity period.
Ask the child to complete homework in an area with minimal distractions.
Have the child write assignments by hand instead of using a computer.
The Correct Answer is C
Choice A rationale
Varying a child's scheduled activities each day is counterproductive for a child with ADHD. Children with this condition benefit significantly from structured routines and predictable schedules. A consistent daily structure minimizes the need for the child to process new information and adapt to changes, which can be overwhelming and lead to decreased concentration and increased impulsivity.
Choice B rationale
Encouraging a child with ADHD to read a book during an outdoor school activity period is not a suitable strategy. This situation places the child in an environment filled with external stimuli, such as other children playing, sounds, and visual distractions. This highly stimulating setting is precisely the opposite of what is needed to improve focus and attention in a child with ADHD.
Choice C rationale
Children with ADHD have difficulty filtering out irrelevant stimuli from their environment. Providing a designated, quiet space with minimal distractions directly addresses this core challenge. This environment reduces the number of competing sensory inputs, allowing the child to direct their limited attention resources more effectively toward a single task, such as homework, thereby improving concentration.
Choice D rationale
The mode of completing homework, whether by hand or using a computer, is less critical than the environmental context. While a computer might offer some interactive benefits, it also presents numerous potential distractions, such as internet access, games, and notifications. Having a child write by hand in a distracting environment would not be as effective as using a computer in a distraction-free zone. *.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Applying petroleum jelly to the glans of the penis is an important step in the care of a newborn who has undergone a Gomco circumcision. This acts as a protective barrier to prevent the glans from sticking to the diaper, which can cause pain and disrupt the healing process. This is done with each diaper change for the first few days.
Choice B rationale
The yellow, sticky exudate that forms on the glans is a normal part of the healing process and is composed of fibrin and serum. Wiping it off can disrupt the healing tissue and increase the risk of bleeding and infection. The parent should be instructed to allow this exudate to fall off naturally.
Choice C rationale
Applying gentle pressure with a diaper is not an appropriate intervention. The area should be kept as free from pressure as possible to promote healing and reduce discomfort. Pressure could cause bleeding, pain, or damage to the delicate new tissue that is forming.
Choice D rationale
Alcohol is a harsh astringent that can cause significant pain and irritation to the sensitive, healing tissue of the glans. It can also dry out the skin, delaying the healing process. Only warm water should be used to clean the area during diaper changes. .
Correct Answer is D
Explanation
Choice D rationale
The telephone number is considered a reliable client identifier because it is unique to the individual and typically part of their personal health record. Using multiple identifiers, such as the telephone number in conjunction with the client's name and date of birth, is a critical safety measure to prevent medication errors and ensure the right medication is administered to the right client. This process, known as the "two-identifier rule," is a cornerstone of client safety protocols and aligns with guidelines from organizations like The Joint Commission
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