Author Question: An adult with attention deficit hyperactivity disorder (ADHD) says, I've always been stupid. I never ... (Read 23 times)

armygirl · **on:** Jul 19, 2018

An adult with attention deficit hyperactivity disorder (ADHD) says, I've always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can't keep a job.

The nurse managing care should first consider:

a. Aversive therapy to extinguish negative behaviors
b. Cognitive therapy to help address internalized beliefs
c. Group therapy to allow comparison of feelings with others
d. Vocational counseling to identify needed occupational skills

Question 2

Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?

a. Acquiring knowledge of the patient's sexual roles and preferences
b. Developing an understanding of human sexual responses
c. Assessing the patient's sexual functioning
d. Clarifying the nurse's own personal values

robbielu01 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Cognitive therapy and knowledge of ADHD will make it possible for the patient to reframe the past and present in a more positive and realistic light and to challenge internalized false beliefs about self. Aversive therapy would not be useful for the patient. Group therapy may be valuable later to allow for the testing of new coping behaviors in a safe environment. Vocational counseling can help the patient explore suitable career options while pursuing treatment.

Answer to Question 2

ANS: D
Before a nurse can be helpful to patients with sexual dysfunction, he or she must be aware of and comfortable with his or her own feelings about sex and sexuality. Nurses must be comfortable with the idea that patients have a right to their own values and must avoid criticism and censure.