A client tells the nurse that he was considered hyper as a child ...

[gonzo233]

A client tells the nurse that he was considered hyper as a child and took some sort of medication
  for a few years while he was in grade school. The medication was discontinued when he was 13
  years old.
 
  He remembers being an underachiever in high school and just barely graduating. He
  describes himself now as being disorganized and having problems in occupational functioning. The
  nurse should recognize this description as being consistent with the clinical picture of
  a. borderline personality disorder.
  b. generalized anxiety disorder.
  c. stress intolerance disorder.
  d. adult attention deficit hyperactivity disorder (ADHD).

Question 2

A client is brought to the emergency department displaying disorganized behavior and incoherence
  after an acquaintance suggested a homosexual encounter. In which room should the nurse place the
  client until he can be seen by the physician?
 
  a. An interview room furnished with a desk and two chairs
  b. A small, empty storage room that has no windows or furniture
  c. The nurse's office, furnished with a desk, chairs, files, and bookcases
  d. An examining room containing an examining table, instrument storage cabinets, a
  desk, and a chair

[jackie]

Answer to Question 1

D
ADHD is usually diagnosed in early life and treated until adolescence. Treatment is often stopped
because professionals think the disorder resolves itself because the hyperactive impulsive behaviors
may diminish. The inattentive and disorganized behaviors tend to persist, however. Options A and
B: The scenario description is inconsistent with borderline personality disorder and generalized
anxiety disorder. Option C: Stress intolerance disorder is not found in the DSM-IV-TR.

Answer to Question 2

ANS: A
Individuals experiencing severe to panic-level anxiety require a safe environment that is quiet,
nonstimulating, structured, and simple. Option A provides simplicity, few objects with which he
could harm himself, and a small floor space in which the client can move about. Option B would be
like a jail cell. Options C and D may be overstimulating and unsafe.