Author Question: A nurse is assessing a child with attention-deficit hyperactivity disorder (ADHD). Which ... (Read 57 times)

krzymel · **on:** Jun 27, 2018

A nurse is assessing a child with attention-deficit hyperactivity disorder (ADHD). Which manifestation should the nurse not expect to assess?

a. Talking incessantly
b. Blurting out the answers to questions before the questions have been completed
c. Acting withdrawn in social situations
d. Fidgeting with hands or feet

Question 2

Which finding noted by the nurse on a physical assessment may suggest that a child has been sexually abused?

a. Swelling of the genitalia and pain on urination
b. Smooth philtrum and thin upper lip
c. Speech and physical development delays
d. History of constipation, drowsiness, and constricted pupils

blakeserpa · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
The child with ADHD tends to be talkative, often interrupting conversations, rather than withdrawn in social situations. Talking excessively is a characteristic of impulsivity/hyperactivity. Blurting out the answers to questions before the questions have been completed is an indication of the impulse control that is often lacking in children with ADHD. The child with ADHD tends to be talkative, often interrupting conversations, rather than withdrawn in social situations.

Answer to Question 2

A
Physical indicators of sexual abuse may include swelling or itching of the genitalia and pain on urination. Other indicators may include bruises, bleeding, or lacerations of the external genitalia, vagina, or anal area. The infant with fetal alcohol syndrome may have microphthalmia or abnormally small eyes or short palpebral fissures, a thin upper lip, and a poorly developed philtrum. Children who have been emotionally abused may exhibit speech disorders, lags in physical development, failure to thrive, or hyperactive and disruptive behaviors. Opiates can cause these behaviors: detachment and apathy, drowsiness, constricted pupils, constipation, slurred speech, and impaired judgment.