Author Question: In the waiting room a 5-year-old child diagnosed with ADHD bounces out of a chair, runs over to ... (Read 64 times)

Mollykgkg · **on:** Jul 11, 2018

In the waiting room a 5-year-old child diagnosed with ADHD bounces out of a chair, runs over to another child, and slaps the other child. What is the nurse's best action?

a. Direct the aggressive child to stop immediately.
b. Call for emergency assistance from other staff.
c. Instruct the parents to take the child home.
d. Take the child to another waiting area.

Question 2

Select the best outcome for a patient with schizotypal personality disorder. The patient will

a. adhere willingly to program norms.
b. introduce himself or herself to a stranger in a social situation.
c. report decreased incidence of impulses to self-mutilate.
d. demonstrate fewer attempts at splitting or manipulating staff.

trampas · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
The nurse should manage the milieu with structure and limit-setting. Removing the aggressive child to another waiting area is an appropriate consequence for the aggressiveness. Directing the child to stop will not be effective. This is not an emergency situation. Intervention is needed rather than sending the child away.

Answer to Question 2

B
Schizotypal individuals have poor social skills. Social situations are uncomfortable for them. It is desirable for the individual to develop the ability to meet and socialize with others. Individuals with schizotypal personality disorder usually have no issues with adherence to unit norms, nor are they self-mutilating or manipulative.