Author Question: A child with attention deficit hyperactivity disorder (ADHD) has hyperactivity, distractibility, and ... (Read 46 times)

jjjetplane · **on:** Jul 19, 2018

A child with attention deficit hyperactivity disorder (ADHD) has hyperactivity, distractibility, and impaired play. The health care provider prescribed methylphenidate (Concerta). The desired behavior for which the nurse should monitor is:

a. increased expressiveness in communicating with others
b. improved ability to participate in play with other children
c. ability to identify anxiety and implement self-control strategies
d. improved socialization skills with other children and authority figures

Question 2

A 5-year-old child with attention deficit hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse's best action?

a. Call for emergency assistance from another staff member.
b. Instruct the parents to take the child home immediately.
c. Direct this child to stop, and then comfort the other child.
d. Take the child into another room with toys to act out feelings.

Cheesycrackers · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
The goal is improvement in the child's hyperactivity, distractibility, and play. The remaining options are more relevant for a child with a pervasive developmental or anxiety disorder.

Answer to Question 2

ANS: D
The use of play to express feelings is appropriate; the cognitive and language abilities of the child may require the acting out of feelings if verbal expression is limited. The remaining options provide no outlet for feelings or opportunity to develop coping skills.