A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?

Expect hyperactivity as a common adverse effect.

Give the dose in the morning to help prevent insomnia.

Avoid crowds due to the increased risk for infection.

Limit caloric intake to prevent excessive weight gain.

Answer and Explanation

The Correct Answer is B

The correct answer is b.

Choice A Reason:

Expect hyperactivity as a common adverse effect. This statement is incorrect. Atomoxetine is a non-stimulant medication used to treat ADHD and does not typically cause hyperactivity. Instead, it helps improve attention and reduce hyperactivity and impulsiveness. Common side effects of atomoxetine include nausea, vomiting, upset stomach, constipation, dry mouth, loss of appetite, mood changes, feeling tired, dizziness, urination problems, or impotence.

Choice B Reason:

Give the dose in the morning to help prevent insomnia. This statement is correct. Atomoxetine should be taken in the morning to help prevent insomnia, as taking it later in the day can interfere with sleep. The medication can be taken with or without food, and if a second dose is prescribed, it is typically taken in the late afternoon or early evening.

Choice C Reason:

Avoid crowds due to the increased risk for infection. This statement is incorrect. Atomoxetine does not increase the risk of infection, and there is no need to avoid crowds while taking this medication3. Common side effects do not include an increased risk of infection.

Choice D Reason:

Limit caloric intake to prevent excessive weight gain. This statement is incorrect. Atomoxetine is more likely to cause weight loss rather than weight gain. It can decrease appetite, which may lead to weight loss in some patients. Therefore, limiting caloric intake is not necessary while taking atomoxetine.

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Correct Answer is C

Explanation

d. Speaks another language and is in need of an interpreter to translate.

The correct answer is…

c. Is accompanied by a family member who will not let the client answer questions.

Choice A Reason:

The statement that the client is from another state and says they are here on a long vacation could be a sign of human trafficking, but it is not definitive. People often travel for various reasons, and being from another state does not necessarily indicate trafficking. However, if combined with other suspicious behaviors, it could raise concerns. Traffickers often move victims to different locations to avoid detection, but this alone is not enough to suspect trafficking.

Choice B Reason:

Having a cell phone that is not working in the emergency department might be suspicious, but it is not a strong indicator of human trafficking. There could be many reasons for a non-functioning cell phone, such as technical issues or lack of service. While traffickers might control victims’ communication devices, this alone does not provide enough evidence to suspect trafficking.

Choice C Reason:

Being accompanied by a family member who will not let the client answer questions is a strong indicator of human trafficking. Traffickers often pose as family members or friends to maintain control over their victims and prevent them from speaking freely. This behavior is a red flag because it suggests that the accompanying person is trying to control the interaction and possibly hide something. Healthcare providers are trained to recognize this as a potential sign of trafficking.

Choice D Reason:

Speaking another language and needing an interpreter to translate is not a strong indicator of human trafficking. Many people who are not victims of trafficking may speak different languages and require translation services. While language barriers can complicate communication, they are not in themselves indicative of trafficking. However, if combined with other suspicious behaviors, it could contribute to the overall assessment.

A. Strong negative feelings interfere with assessment and judgment. B. Awareness protects one’s own mental health. C. Positive feelings promote the development of sympathy for clients. D. Strong positive feelings lead to underinvolvement with the victim.

Correct Answer is A

Explanation

Choice A Reason:

Strong negative feelings interfere with assessment and judgment.

This statement is the most accurate explanation for why a nurse needs to be aware of their own feelings while working with a family experiencing domestic violence. Negative emotions such as anger, frustration, or sadness can cloud a nurse’s judgment and hinder their ability to objectively assess the situation. These feelings can lead to biased decision-making, which may compromise the quality of care provided to the victim. For instance, a nurse who feels anger towards the abuser might unconsciously project these feelings onto the victim, affecting their ability to offer unbiased support and intervention. Therefore, maintaining emotional awareness is crucial for ensuring accurate assessments and effective interventions.

Choice B Reason:

Awareness protects one’s own mental health.

While it is true that being aware of one’s feelings can help protect a nurse’s mental health, this statement does not directly address the impact of these feelings on the assessment and judgment process. Emotional awareness is important for self-care and preventing burnout, but the primary rationale for emotional awareness in the context of domestic violence is to ensure that the nurse can provide objective and effective care. Therefore, this choice is not as relevant to the specific question as choice A.

Choice C Reason:

Positive feelings promote the development of sympathy for clients.

Positive feelings such as empathy and compassion are important in nursing, but they can also lead to over-identification with the client, which may result in blurred professional boundaries. While sympathy can foster a supportive relationship, it is essential for nurses to maintain a balance between empathy and professional detachment to provide objective care. This statement does not fully capture the importance of emotional awareness in preventing negative feelings from interfering with assessment and judgment.

Choice D Reason:

Strong positive feelings lead to underinvolvement with the victim.

This statement is less accurate because strong positive feelings, such as empathy and compassion, are more likely to lead to over-involvement rather than underinvolvement. Over-involvement can result in blurred boundaries and difficulty maintaining professional objectivity. However, the primary concern in the context of domestic violence is the interference of negative feelings with assessment and judgment, making this choice less relevant to the question.

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A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who is malnourished and appears exhausted. What data would cause the nurse to suspect the client is a victim of human trafficking? The client:

Correct Answer is C

Explanation

The rationale for the nurse needing to be aware of their own feelings while working with the family experiencing domestic violence is best explained as:

Correct Answer is A

Explanation

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