A nurse is caring for a child in a psychiatric unit. Which of the following interventions should the nurse anticipate when caring for children diagnosed with ADHD? (Select all that apply)

Analgesics

Promoting less sleep

Behavior Therapy

Group Therapy

Family Therapy

Answer and Explanation

Correct Answer : C,D,E

A. Analgesics: Analgesics are medications for pain relief and are not typically used as a treatment for ADHD.

B. Promoting less sleep: Adequate sleep is important for children with ADHD; promoting less sleep is not a therapeutic intervention.

C. Behavior Therapy: Behavior therapy, such as behavioral interventions and management strategies, is a cornerstone of treatment for ADHD.

D. Group Therapy: Group therapy can help children with ADHD learn social skills and manage their behavior in a group setting.

E. Family Therapy: Involving the family in therapy helps support the child's treatment, improve communication, and address family dynamics that may contribute to ADHD symptoms.

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Correct Answer is B

Explanation

A. "Why did you feel you needed to do that at this time?": This response might come off as insensitive or judgmental. It could imply that the parents made an inappropriate decision without acknowledging their difficult situation.

B. "It must be frustrating for you to have to cancel an activity your son enjoyed.": This response validates the parents' feelings and acknowledges the emotional difficulty of making such a decision. It shows empathy and understanding of their situation.

C. "You never know. He could be ready for baseball by the spring.": This response offers false hope and may not be realistic given the child’s terminal illness. It could undermine the parents’ acceptance of the situation.

D. "Baseball can be a dangerous sport for children anyway.": This response dismisses the parents' feelings and does not acknowledge the real reason for canceling the activity. It is insensitive to the gravity of their situation.

Correct Answer is []

Explanation

Potential Condition

Bulimia nervosa: The client has a BMI of 18.5, which is on the lower end of normal, indicating possible weight issues, but not the severe underweight typical of anorexia nervosa. The client describes cycles of binge eating followed by compensatory behaviors such as purging (using laxatives), which are characteristic of bulimia nervosa. The client expresses a preoccupation with food and body weight, and feelings of embarrassment about their eating habits, which align with bulimia nervosa.

Actions to Take

1. Assess binging and purging patterns: It's crucial to understand the frequency, triggers, and methods of binging and purging to tailor interventions effectively and to monitor the severity and progression of bulimia.

2. Encourage client to identify triggers for overeating: Identifying triggers for binging can help the client develop healthier coping mechanisms and reduce the occurrence of binge eating episodes.

Parameters to Monitor

1. Electrolyte levels: Frequent use of laxatives and purging behaviors can lead to electrolyte imbalances, which are potentially life-threatening and must be monitored regularly.

2. Frequency of compensatory behaviors: Tracking the frequency of purging behaviors (such as laxative use) helps assess the effectiveness of interventions and the client’s progress in reducing harmful behaviors.

Incorrect answers:

Actions to Take:

Assess for and discourage provocative or seductive behaviour: This is more relevant to histrionic personality disorder, not bulimia nervosa.
Weigh daily for the first week: While weighing the client can be part of the monitoring process, daily weigh-ins can increase anxiety and may not directly address the core issues of bulimia.
Assess for consumption of right food items: While dietary intake is important, focusing solely on food items without addressing the psychological aspects may not be effective for treating bulimia.

Parameters to Monitor:

Attention-seeking behaviours: More relevant to histrionic personality disorder than bulimia nervosa.
Signs of infection: Not directly relevant unless there is evidence of a related health issue or a compromised immune system, which is not indicated in the provided information.
Presence of lanugo: Lanugo is more commonly associated with anorexia nervosa due to severe malnutrition, not bulimia.

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A nurse is caring for a child in a psychiatric unit. Which of the following interventions should the nurse anticipate when caring for children diagnosed with ADHD? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking with the parents of a 4-year-old child who has a terminal illness. The parents tell the nurse they have taken their son's name off the list for little league baseball next season. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

Correct Answer is []

Explanation

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