A 5-year-old with ADHD bounces out of a chair in the waiting room ...

[student77]

A 5-year-old with ADHD bounces out of a chair in the waiting room and begins to slap another child. What is the nurse's best action?
 
  a. Call for emergency assistance from other staff.
  b. Direct the child to stop. Comfort the other child.
  c. Instruct the parents to take the child home immediately.
  d. Take the child to another room with toys to act out feelings.

Question 2

A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self.
 
  Select the best outcome related to this diagnosis. Within 2 weeks, the patient will: a. appropriately express angry feelings.
  b. verbalize two positive things about self.
  c. verbalize the importance of eating a balanced diet.
  d. identify two alternative methods of coping with loneliness and isolation.

[LVPMS]

Answer to Question 1

D
Use of play to express feelings is appropriate because the cognitive and language abilities of the child may require acting out of feelings if verbal expression is limited. This action also distracts the child. The distracters provide no outlet for feelings or opportunity to develop coping skills.

Answer to Question 2

D
The outcome of identifying alternative coping strategies is most directly related to the diagnosis of ineffective coping. This outcome is measurable. The distracters relate to other nursing diagnoses.