CHAPTER 22

6. The nurse is assessing an adult client with ADD. The nurse expects which of the following to be present? A. Difficulty remembering appointments B. Falling asleep at work C. Problems getting started on a project D. Lack of motivation to do tasks

A. Difficulty remembering appointments

2. Teaching for methylphenidate (Ritalin) should include which of the following? A. Give the medication after meals. B. Give the medication when the child becomes overactive. C. Increase the child's fluid intake when he or she is taking the medication. D. Take the child's temperature daily.

A. Give the medication after meals.

5. Which of the following is used to treat enuresis? A. Imipramine (Tofranil) B. Methylphenidate (Ritalin) C. Olanzapine (Zyprexa) D. Risperidone (Risperdal)

A. Imipramine (Tofranil)

1. A 7-year-old child with ADHD is taking clonidine (Kapvay). Common side effects include appetite suppression. A. dizziness. B. dry mouth. C. hypotension. D. insomnia. E. nausea.

B. dry mouth. C. hypotension. D. insomnia.

2. A teaching plan for the parents of a child with ADHD should include A. allowing as much time as needed to complete any task. B. allowing the child to decide when to do homework. C. giving instructions in short simple steps. D. keeping track of positive comments that the child is given. E. providing a reward system for completion of daily tasks. F. spending time at the end of the day reviewing the child's behavior.

C. giving instructions in short simple steps. D. keeping track of positive comments that the child is given. E. providing a reward system for completion of daily tasks.

3. The nurse would expect to see all the following symptoms in a child with ADHD, except A. easily distracted and forgetful. B. excessive running, climbing, and fidgeting. C. moody, sullen, and pouting behavior. D. interrupts others and can't take turns.

C. moody, sullen, and pouting behavior.

1. A child is taking pemoline (Cylert) for ADHD. The nurse must be aware of which of the following side effects? A. Decreased thyroid-stimulating hormone B. Decreased red blood cell count C. Elevated white blood cell count D. Elevated liver function tests

D. Elevated liver function tests

7. The nurse recognizes which of the following as a common behavioral sign of autism? A. Clinging behavior toward parents B. Creative imaginative play with peers C. Early language development D. Indifference to being hugged or held

D. Indifference to being hugged or held

4. The nurse is teaching a 12-year-old with intellectual disability about medications. Which of the following interventions is essential? A. Speak slowly and distinctly. B. Teach the information to the parents only. C. Use pictures rather than printed words. D. Validate client understanding of teaching.

D. Validate client understanding of teaching.