A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

Is the child having any other complaints?

Are you crushing the sustained-release tablet?

When does the child take the last dose of medication?

Is the child taking any over-the-counter medications?

Answer and Explanation

The Correct Answer is C

Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication aﬀecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can aﬀect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.

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Correct Answer is B

Explanation

Choice A reason: This statement is incorrect because stimulants used to treat ADHD can actually cause insomnia and might reduce the amount of sleep a child gets.

Choice B reason: This is the correct statement. Parents acknowledging the potential side eﬀects of stimulant medications, such as insomnia, loss of appetite, or weight loss, indicates an understanding of the medication's eﬀects.

Choice C reason: This statement could be correct depending on the specific medication prescribed, but it does not reﬂect an understanding of the potential side eﬀects, which is crucial for managing the child's care.

Choice D reason: Regular blood level checks are not typically required for ADHD stimulant medications, so this statement does not indicate eﬀective teaching about the medication.

A. Education B. Support C. Safety D. Cognitive interventions

Correct Answer is C

Explanation

Choice A reason: While education is important, it is not the priority for a client with significantly progressed dementia, as their ability to learn new information is likely impaired.

Choice B reason: Support is crucial for clients with dementia, but it is not the immediate priority in the context of safety concerns.

Choice C reason: This is the correct choice. Safety is the priority for clients with significantly progressed dementia due to increased risk of harm from confusion, wandering, and other behaviors.

Choice D reason: Cognitive interventions may be part of the treatment plan, but they are not the priority when compared to ensuring the client's safety.

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A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 9-year-old client with atention deficit hyperactivity disorder (ADHD) has been placed on a stimulant. The nurse knows that the teaching has been eﬀective when the client's parents make which statement?

Correct Answer is B

Explanation

A client is diagnosed with dementia that has progressed significantly. Which would be the priority for this client?

Correct Answer is C

Explanation

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?

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A 9-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

A 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

The client has been diagnosed with a depressive disorder. Which statement by the client indicates an understanding of this disorder?