A father brings his child to the clinic with complaints that the ...

[iveyjurea]

A father brings his child to the clinic with complaints that the child jumps around, gestures continuously with the hands, and makes grunting noises. He wants to know if the child has attention deficit-hyperactivity disorder (ADHD).
 
  What response by the nurse is the most appropriate?
  A.
  Does your child have risks for obsessive-compulsive disorder?
  B.
  I don't think so; that sounds more like a tic disorder.
  C.
  Possibly; those are some classic symptoms of ADHD.
  D.
  Yes, that definitely sounds like ADHD to me.

Question 2

The nurse is working with the family of a child with conduct disorder (CD). The parents are very stressed and fighting a great deal. What action by the nurse is the most appropriate?
 
  A.
  Assess the family for sleep disturbances.
  B.
  Question the parents about alcohol intake.
  C.
  Refer the family to a weekend respite program.
  D.
  Suggest the parents enter couples' counseling.

[fraziera112]

Answer to Question 1

ANS: B
Tics are sudden, painless, nonrhythmic behaviors that are either motor or vocal and appear out of context. Examples include eye blinking, facial grimacing, hand gestures, jumping, throat clearing, grunting, meaningless changes in volume and pitch of speech, and echolalia. The nurse should explain to the father that these symptoms sound more like tic disorder. The other answers are inappropriate.

Answer to Question 2

ANS: C
The stress of caring for a child with CD can be overwhelming. The nurse is in an ideal position to encourage the parents to care for their needs, too, to reduce stress. One helpful intervention is to refer the family to a respite care program so the parents can experience some stress-free time without the child. Assessing sleep patterns and substance abuse may or may not be beneficial. Couples' counseling also may or may not be beneficial. Simply being away from the child for short periods of time might be the only intervention needed.

[iveyjurea]

TYSM

[nanny]

Excellent