An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?
Forgets to turn in homework, does not follow directions, cannot stay in an assigned seat in class, and is always talking excessively and inappropriately.
Withdrawn in social contexts but energetic and engaging with family.
Stubborn, resistant to directions, and unwilling to negotiate.
Shows cruelty to animals, callousness, and lack of guilt and remorse.
The Correct Answer is A
Choice A reason: This is the correct choice. These behaviors are indicative of the inatention and hyperactivity- impulsivity symptoms of ADHD.
Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.
Choice C reason: Stubbornness and resistance to directions alone are not sufficient to diagnose ADHD.
Choice D reason: Cruelty to animals and lack of guilt are not symptoms of ADHD and may indicate other behavioral issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect as prescribing medications is not within the scope of practice for a basic- level psychiatric-mental health nurse.
Choice B reason: Conducting family therapy typically requires advanced training and is not usually within the scope of a basic-level nurse.
Choice C reason: Interpreting laboratory tests is generally not within the scope of a basic-level psychiatric-mental health nurse.
Choice D reason: This is the correct choice. Promoting symptom management is an appropriate intervention for a psychiatric-mental health nurse at the basic level of practice.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because stimulants used to treat ADHD can actually cause insomnia and might reduce the amount of sleep a child gets.
Choice B reason: This is the correct statement. Parents acknowledging the potential side effects of stimulant medications, such as insomnia, loss of appetite, or weight loss, indicates an understanding of the medication's effects.
Choice C reason: This statement could be correct depending on the specific medication prescribed, but it does not reflect an understanding of the potential side effects, which is crucial for managing the child's care.
Choice D reason: Regular blood level checks are not typically required for ADHD stimulant medications, so this statement does not indicate effective teaching about the medication.
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