ADHD

8. Which is a diagnostic criterion for the diagnosis of ADHD? 1. Inattention. 2. Recurrent and persistent thoughts. 3. Physical aggression. 4. Anxiety and panic attacks.

1. Essential diagnostic criteria for ADHD includes inattention, along with hyperactivity and impulsivity. Children with this disorder are highly distractible and have extremely limited attention spans.

32. Which of the following stimulant medications are prescribed in the treatment of ADHD? Select all that apply. 1. Methylphenidate (Concerta). 2. Guanfacine (Intuniv). 3. Lisdexamfetamine (Vyvanse). 4. Amphetamine/dextroamphetamine (Adderall). 5. Clonidine (Catapres).

1. Methylphenidate (Concerta) is a stimulant medication used in the treatment of ADHD. 3. Lisdexamfetamine (Vyvanse) is a stimulant medication used in the treatment of ADHD. 4. Amphetamine/dextroamphetamine (Adderall) is a stimulant medication used in the treatment of ADHD.

3. Which factors does Mahler attribute to the etiology of attention deficit-hyperactivity disorder (ADHD)? 1. Genetic factors. 2. Psychodynamic factors. 3. Neurochemical factors. 4. Family dynamic factors.

2. Mahler's theory suggests that a child with ADHD has psychodynamic problems. Mahler describes these children as fixed in the symbiotic phase of development. They have not differentiated self from mother. Ego development is retarded, and impulsive behavior, dictated by the id, is manifested.

31. A client diagnosed with ADHD and juvenile diabetes is prescribed methylphenidate (Ritalin). Which nursing intervention related to both diagnoses takes priority? 1. Teach the client and family that methylphenidate should be taken in the morning because it can affect sleep. 2. Teach the client and family to report restlessness, insomnia, and dry mouth. 3. Teach the client and family to monitor fasting blood sugar levels daily at various times during treatment. 4. Teach the client and family that methylphenidate should be taken exactly as prescribed.

3. Methylphenidate lowers the client's activity level, which decreases the use of glucose and increases glucose levels. Because of this, it is necessary to monitor fasting blood sugar levels regularly.

29. A 10 year-old client prescribed dextroamphetamine (Dexedrine) has a nursing diagnosis of imbalanced nutrition: less than body requirements R/T a side effect of anorexia. Which of the following nursing interventions addresses this client's problem? Select all that apply. 1. Monitor output and sleep patterns daily. 2. Administer medications with food to prevent nausea. 3. Schedule medication administration after meals. 4. Increase fiber and fluid intake to prevent constipation. 5. Encourage frequent high-calorie snacks.

3. The nurse should administer stimulants after meals for clients to be able to consume a balanced diet before experiencing the potential side effect of anorexia.

30. A 7 year-old client has been prescribed atomoxetine (Strattera). An appropriate nursing diagnosis is imbalanced nutrition: less than body requirements R/T a side effect of anorexia. Which short-term correctly written outcome is appropriate? 1. The client will eat meals in the dining area while socializing. 2. The client will maintain expected parameters of growth over the next 6 months. 3. The client will verbalize the importance of eating 100% of all meals. 4. The client will eat 80% of all three meals throughout the hospital stay.

4. The outcome of the client eating 80% of meals is realistic, has a time frame, and is appropriate for the stated nursing diagnosis.