Author Question: The nurse is working with a 15-year-old girl and her parents on a treatment plan for her diagnosis ... (Read 106 times)

jrubin · **on:** Jul 19, 2018

The nurse is working with a 15-year-old girl and her parents on a treatment plan for her diagnosis of attention-deficit/hyperactivity disorder (ADHD). The nurse should be sure to:

a. Encourage the parents to seek teachers for their daughter who are going to be lenient with assignment schedules because of her diagnosis.
b. Remind the parents to determine ahead of time consequences/punishment that they will give their daughter when she is not listening to them and/or teachers.
c. Teach the parents how to structure and enforce limits on their daughter's behavior that are appropriate to her condition.
d. Inform the client and her parents that medications typically used for ADHD are very safe and have few side effects.

Question 2

A patient says, I never know the answers, and My opinion doesn't count. The nurse correctly assesses that this patient had difficulty resolving which psychosocial crisis?

a. Initiative versus guilt
b. Trust versus mistrust
c. Autonomy versus shame and doubt
d. Generativity versus self-absorption

CourtneyCNorton · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Consistent limit setting is helpful to teens with ADHD because it is difficult for them to set limits for themselves. Encouraging lenient teachers violates this principle. The parents should seek teachers who are understanding of their daughter's condition but remain consistent in setting limits in their course. Positive reinforcement for appropriate behavior is more effective than punishment, and many medications for ADHD react with other medications and sometimes have serious side effects.

Answer to Question 2

C
These statements show severe self-doubt, indicating that the crisis of gaining control over the environment was not successfully met. Unsuccessful resolution of the crisis of initiative versus guilt results in feelings of guilt. Unsuccessful resolution of the crisis of trust versus mistrust results in poor interpersonal relationships and suspicion of others. Unsuccessful resolution of the crisis of generativity versus self-absorption results in self-absorption that limits the ability to grow as a person.