A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?
"Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use."
There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you."
"Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature."
"It's a common misconception that there is a medication available to treat every health problem."
The Correct Answer is A
A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.
B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.
C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.
D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.25"]
Explanation
Dopamine infusion calculation based on weight and concentration.
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
- Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)
Calculations:
- mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
- mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
- mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr
Answers:
- mcg/min = 150 mcg/min
- mcg/hr = 9000 mcg/hr
- mL/hr = 0.25 mL/hr
Correct Answer is C
Explanation
A. Coma: Possible in severe cases but not universally anticipated.
B. Hypothermia: Incorrect. Thyroid storms typically causes hyperthermia, not hypothermia.
C. Tachycardia. Tachycardia is a hallmark of thyroid storms due to excessive thyroid hormone levels stimulating the heart. Increased metabolic rate and sympathetic activity lead to rapid heart rate.
D. Fruity smelling breath: Not typically associated with thyroid storm.
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