A child with attention deficit-hyperactivity disorder (ADHD) is ...

[james9437]

A child with attention deficit-hyperactivity disorder (ADHD) is in the clinic with parents, who complain that even though they are following the treatment plan, the child is not improving. What action can the nurse suggest to improve the effectiveness of
 
  A.
  Consult with the school nurse to follow through with behavior logs.
  B.
  Ensure the entire family is continuing to keep counseling appointments.
  C.
  Reassure the parents that it takes a long time to see changes in behavior.
  D.
  Teach the parents about herbal and diet therapies they can try at home.

Question 2

A mother requests information on caring for her child just adopted from a foreign orphanage. The mother has heard of reactive attachment disorder (RAD) and wants to provide an environment that is appropriate for this child.
 
  What suggestion by the nurse is the most appropriate?
  A.
  Ignore temper tantrums and crying fits.
  B.
  Post a schedule of daily activities such as meals.
  C.
  Put the child in psychotherapy.
  D.
  Teach the child stranger danger.

[jazzlynnnnn]

Answer to Question 1

ANS: A
The school nurse is in an ideal position to work with teachers and create behavior charts so the child's treatment plan is followed throughout the school day. The parents have already said they are compliant with the treatment plan, so there is no need to assess if they are still going to counseling. Although it may take some children a while to make changes in behavior, simply telling the parents this information does not provide them with information they can use to make positive changes. Diet and herbal therapies are not proven treatments for ADHD.

Answer to Question 2

ANS: B
In creating an environment supportive of a child who is at risk for RAD, the nurse must explain that these children have no concept of what basic needs will be met, if any. Posting a schedule of daily activities (wake up, meals, leave for school, bedtime) is a visual reminder to the child that those needs will be met in this home. Parents of children should respond to crying and temper tantrums with patience; they should not ignore this behavior. Families with a child diagnosed with RAD do need therapy; however, this will not help the mother immediately create a home environment conducive to this child. Children with RAD do have boundary issues; the child should be taught stranger

[james9437]

TYSM

[kishoreddi]

Excellent