Author Question: A child with ADHD had this nursing diagnosis impaired social interaction, related to excessive ... (Read 34 times)

Evvie72 · **on:** Jul 11, 2018

A child with ADHD had this nursing diagnosis

impaired social interaction, related to excessive neuronal activity, as evidenced by aggressiveness and dysfunctional play with others. Which finding indicates the plan of care was effective?
a. Improved ability to identify anxiety and use self-control strategies
b. Increased expressiveness in communication with others
c. Engages in cooperative play with other children
d. Increased responsiveness to authority figures

Question 2

During community lunch, a manic patient tells another patient, Push yourself away from the table. You're too fat for your own good How should the nurse intervene?

a. Say to the patient, You may remain at lunch only if you apologize.
b. Tell the patient, You must leave lunch and go to your room now.
c. Calmly tell the patient that insulting others is not permitted.
d. Extinguish the behavior by ignoring it.

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

Answer to Question 1

C
The goal should be directly related to the defining characteristics of the nursing diagnosis; in this case improvement in the child's aggressiveness and play. The distracters are more relevant for a child with pervasive developmental disorder or anxiety disorder.

Answer to Question 2

C
The nurse must protect vulnerable patients and keep them from being drawn into the manic patient's angry behavior. By stating that the behavior is not permitted, the nurse sets limits and does not enter into an argument. The distracters will further anger the patient, may cause escalation, or may allow for loss of control.