ADHD

dextroamphetamine

Dexedrine, Adderall

methylphenidate

Ritalin, Concerta also comes in the patch Daytrana

atomoxetine

Strattera, nonstimulant

The nurse is instructing a group of pregnant mothers. One client asks if there are any risk factors for her baby developing attention deficit hyperactivity disorder (ADHD). The nurse responds with which of the following? (Select all that apply.) a. Mother smokes while pregnant b. Mother drinks alcohol during pregnancy c. Lack of folic acid in pregnancy d. Caesarean section delivery e. Post-term delivery

a. smoking during pregnancy b. alcohol during pregnancy

The nurse is planning care for a 4-year-old child with attention deficit hyperactivity disorder (ADHD) who is being hospitalized. The nurse selects risk for injury as a nursing diagnosis based on which of the following statements made by the client's parent? a. "I found my child up at the top of a tree this week." b. "My child just never sits down anymore." c. "My child doesn't listen very well to me." d. "My child seems to daydream a lot."

a. up a tree A 4-year-old who is climbing trees is at risk for injury. While the other behaviors described by the mother are common symptoms of ADHD, they do not necessarily put the child at risk for injury.

The nurse is teaching the family about reducing stimulation for their child who has been diagnosed with attention deficit hyperactivity disorder (ADHD). Which of the following activities will the nurse teach the family to limit? a. Eating with the family b. Watching television c. Playing with a sibling d. Reading books

b. TV Television has been shown to be overstimulating for the child with ADHD and should be limited and monitored. The other activities are typically helpful for a child with ADHD.

The family of a child who is experiencing attention deficit hyperactivity disorder tells the nurse that they are having difficulty dealing with the child's behavior at home. The nurse teaches the family which of the following techniques to help manage the child at home? a. Punish unwanted behaviors. b. Have routines for eating, sleeping, and recreation. c. Invite the neighborhood children over to play. d. Put the child in the yard to exercise and run to tire the child.

b. routines Having family routines helps the child to know what to expect and to build a trusting relationship. The child should not be outside without supervision, and running around is likely to increase the child's level of excitation. Inviting other children over to play may provide too much stimulation and cause the child to be more hyperactive. Punishment for unwanted behavior may decrease the child's self-esteem. The family should concentrate on positive reinforcement when the child shows desired behaviors.

The parent of a 3-year-old who seems to be overactive asks the nurse how a diagnosis of attention deficit hyperactivity disorder would be made for the child. The nurse tells the parent that a diagnosis is made by which of the following methods? a. An MRI b. Laboratory studies c. History and physical assessment d. An IQ test

c. H&P The child being evaluated for attention deficit hyperactivity disorder (ADHD) will have a history taken from pregnancy to current age, behavior history, and social and environmental conditions. A mental health specialist administers tests to the child. Laboratory studies, MRI imaging, and intelligence testing are not necessarily associated with the diagnostic process for ADHD.

A child has been diagnosed with attention deficit hyperactivity disorder (ADHD) and the physician is discussing medication administration with the family. Which of the following nonstimulant drugs, selected by the parents, does the nurse expect the physician to order? a. Opioids b. Methylphenidate c. Atomoxetine d. Amphetamines

c. atomoxetine Atomoxetine is one of the first nonstimulant treatments for ADHD that decreases hyperactivity and impulsivity. Side effects are uncommon and transient. Methylphenidate and amphetamines are stimulants, and opioids are narcotics, which are central nervous system depressants.

The home health nurse is planning care for a child with attention deficit hyperactivity disorder (ADHD). Which of the following behaviors by the child would indicate progress toward the goal of increased self-esteem? a. The child has high energy. b. The child speaks very quickly. c. The child is able to control impulse behavior. d. The child sleeps off and on at night.

c. control behavior The child with ADHD has difficulty controlling impulses. A goal of treatment would be that the child's behavior is less impulsive. High energy is not necessarily a sign of ADHD or improving behavior. Sleeping on and off and fast speech are symptomatic of ADHD.

The nurse is evaluating an 8-year-old child who demonstrates the following behaviors: daydreaming, poor school performance, constant fidgeting, interrupting others, and mood swings. The child's speech development is age-appropriate. Which disorder would the nurse suspect? a. Autism b. Depression c. Mental retardation d. Attention deficit hyperactivity disorder (ADHD)

d. ADHD Children with ADHD have difficulty completing tasks, fidget constantly, and often interrupt others. These symptoms are not seen in the other disorders mentioned.

4 side effects of psychostimulants

headaches insomnia anorexia potential for abuse

3 side effects of atomoxetine

suicidal ideation hepatic function heart disease