A nurse is caring for a client who has ADHD. Which of the following findings should the nurse expect to observe?
Hypoactivity
Hypohidrosis
Hyperhidrosis
Hyperactivity
The Correct Answer is D
D. Hyperactivity is one of the hallmark symptoms of ADHD, along with impulsivity and inattention. Therefore, the nurse should expect to observe hyperactivity in a client diagnosed with ADHD. Hyperactivity may manifest as excessive fidgeting, restlessness, difficulty remaining seated, or an inability to engage in quiet activities.
A. Hypoactivity refers to reduced levels of physical activity or diminished movement. However, ADHD is typically associated with hyperactivity rather than hypoactivity.
B. Hypohidrosis refers to decreased sweating. While sweating is not a primary symptom of ADHD, it is unrelated to the core features of the disorder, such as inattention and hyperactivity. C While sweating can occur in individuals with ADHD, it is not a defining characteristic of the disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. This response politely declines the client's request while explaining the reason behind it, which is hospital policy. It maintains professionalism and boundaries.
A nurses should not provide their home address to clients, as it can compromise their privacy and potentially lead to boundary violations or safety concerns.
B. It is important for the nurse to respond to the client's request for personal information in a professional and appropriate manner.
D. It is important for nurses to communicate boundaries firmly but respectfully, without causing unnecessary distress to the client.
Correct Answer is D
Explanation
D. In the immediate aftermath of a sexual assault, the primary focus of the SANE nurse is to ensure the safety and well-being of the client. This includes providing a safe and supportive environment for the client, assessing and treating any physical injuries, addressing immediate medical needs, and offering emotional support and crisis intervention.
A, B, and C involve aspects of legal procedures and involvement of law enforcement, but they may not be appropriate or feasible for every client in every situation. Additionally, the decision to involve law enforcement or pursue legal action should be made in collaboration with the client and should prioritize their safety, autonomy, and well-being.
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