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 C

Explanation

Choice A reason: This choice is incorrect. Asking questions that can be answered with one-word responses does not facilitate a deep therapeutic relationship.
Choice B reason: While involving the family can be beneficial, it is not a direct strategy for the nurse-client relationship.
Choice C reason: This is the correct choice. Active listening and summarizing are key components of building a therapeutic relationship, as they demonstrate understanding and validation of the client's feelings and thoughts.
Choice D reason: It is important to ask about suicidal behaviors or thoughts when there are indications of such risks; avoiding these questions can be detrimental to client care.

A. Instructing the staﬀ to enforce all unit rules consistently. B. Encouraging questions and discussing the client's concerns. C. Promoting social ostracism of the client exhibiting manipulation. D. Scheduling staﬀ one-on-one time with the client.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Consistent enforcement of rules prevents manipulation and maintains a stable environment for all clients.
Choice B reason: While encouraging questions and discussion is generally positive, it does not directly address manipulative behavior.
Choice C reason: Promoting social ostracism is not therapeutic and can harm the client's mental health and recovery.
Choice D reason: Scheduling one-on-one time could be beneficial, but it does not address the issue of manipulation towards the staﬀ.

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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 nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?

Correct Answer is C

Explanation

When providing care to a client who consistently atempts to manipulate the staﬀ, the nurse can best maintain the therapeutic milieu by doing what?

Correct Answer is A

Explanation

The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which action by the nurse will increase the client's sense of security?

Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

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

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

A psychiatric-mental health nurse is conducting an educational session for families of clients diagnosed with obsessive-compulsive disorder (OCD). What components should the nurse teach the families of clients diagnosed with OCD?

Which neurological function is aﬀected by the action of serotonin?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

The nurse caring for an older adult client with dementia asks the client's children to bring old photo albums when they visit. Which best describes the benefit of viewing photos when caring for the client?