Which activities should the nurse include in the plan of care for ...

[AEWBW]

Which activities should the nurse include in the plan of care for a child diagnosed with attention deficit/hyperactivity disorder (ADHD) to improve behavior and learning? Select all that apply.
 
  1. Asking the mother to seek a prescription for methylphenidate (Ritalin) for the child
  2. Placing the child's desk at the back of the room to reduce distractions
  3. Developing a consistent routine for the classroom
  4. Limiting the decorations in the classroom
  5. Determining areas where the child performs well and using these areas to promote self-esteem

Question 2

Which nursing actions are developmentally appropriate when caring for a hospitalized school-age child? Select all that apply.
 
  1. Knocking on the school-age child's hospital room door prior to entering
  2. Giving clear instructions about details of treatment
  3. Providing brochures regarding sexuality
  4. Offering medical equipment to play with prior to a procedure
  5. Using toys for distraction during a painful procedure

[cswans24]

Answer to Question 1

3, 4, 5
Explanation:
1. It is not the nurse's or teacher's place to suggest medications for this child.
2. The child's desk should be placed at the front of the room to promote attention.
3. Consistency is important for the child with ADD/ADHD and reduces impulsive behavior.
4. Decorations are distracting and should be limited.
5. This is appropriate and will help reduce acting out behaviors.

Answer to Question 2

1, 2
Explanation:
1. It is developmentally appropriate for the nurse to knock on the school-age child's door prior to entering the hospital room to provide care.
2. It is developmentally appropriate for the nurse to give clear instructions to the school-age child regarding details of the treatment.
3. Information regarding sexuality is more appropriate for the adolescent versus the school-age child.
4. Offering medical equipment to play with prior to a procedure is more appropriate for the preschool, not the school-age, child.
5. Using toys for distraction during a painful procedure is more appropriate for the preschool, not the school-age, child.