An adolescent diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client's task performance?
Encourage dividing tasks into smaller, attainable steps and reward successful completion.
Remove privileges if homework is not completed within a 2-hour period.
Seek a physician's order to discontinue the stimulant methylphenidate.
Mandate that the client remains in his room until all homework is complete.
The Correct Answer is A
A. Dividing tasks into smaller, attainable steps and reward successful completion aligns with the principles of behavioral therapy and is likely to be effective for improving the task performance of an adolescent with ADHD. Breaking tasks into smaller, manageable steps can help reduce overwhelm and improve focus.
B. Removing privileges if homework is not completed within a 2-hour period is punitive and may not be effective for improving the task performance of an adolescent with ADHD. Negative consequences, such as removing privileges, can lead to feelings of frustration, demotivation, and resistance to task completion.
C. Methylphenidate is a commonly prescribed stimulant medication for ADHD, and discontinuing it abruptly without medical supervision can lead to withdrawal symptoms and worsening of ADHD symptoms.
D. Mandating isolation in the room is overly restrictive and can lead to feelings of frustration, isolation, and resentment, which can further impact task performance and exacerbate ADHD symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Furosemide is a diuretic that works by increasing urine output, which in turn reduces fluid retention and swelling. By tracking the client's weight on a daily basis, the nurse can obtain a clear and consistent measure of how much fluid is being lost as a result of the medication.
A. Monitoring respiratory status but it may not be the most direct method for evaluating the effectiveness of furosemide in reducing peripheral edema.
B. Monitoring serum protein levels may provide information about the client's nutritional status and liver function, but it is not typically used as a direct measure of response to furosemide for peripheral edema.
C. Improvement in peripheral pulses may indicate a reduction in fluid overload and resolution of edema. However, changes in peripheral pulses may be influenced by factors other than diuresis, such as vascular disease or cardiac function.
Correct Answer is B
Explanation
B. The honeymoon phase occurs after the acute battering incident and is characterized by the abuser showing remorse, apologizing, and trying to reconcile with the victim. During this phase, the abuser may express love, affection, and promises to change.
A. This phase is not typically recognized as a distinct phase in the cycle of abuse.
C. The acute battering incident is the phase characterized by the actual physical or emotional abuse. It is the culmination of tension that has been building in the relationship, leading to an explosive and violent incident.
D. The tension-building phase is the initial phase in the cycle of abuse, characterized by increasing tension and conflict between the partners. During this phase, the victim may try to placate the abuser, avoid conflict, or walk on eggshells to prevent escalation.
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