A nurse is caring for an adolescent client with Attention Deficit Disorder (ADD). Which of the following interventions should the nurse prioritize for this client?

Provide a quiet and structured environment for studying

Encourage participation in team sports to improve social skills

Administer medication as prescribed

Implement a reward system for completing tasks

Answer and Explanation

The Correct Answer is A

A. Provide a quiet and structured environment for studying: This helps minimize distractions and provides the structure needed for the adolescent to focus better, which is crucial for managing ADD.

B. Encourage participation in team sports to improve social skills: While beneficial, it is not as immediately impactful for managing the core symptoms of ADD.

C. Administer medication as prescribed: Important, but it should be part of a comprehensive approach that includes behavioral interventions.

D. Implement a reward system for completing tasks: This is helpful but secondary to creating an environment conducive to learning and focus.

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Correct Answer is D

Explanation

A. Family conflict: Family conflict can contribute to suicidal ideation, but the presence of an active psychiatric disorder is a more direct risk factor.

B. Homosexuality: Sexual orientation itself is not a risk factor for suicide, but discrimination and lack of acceptance related to sexual orientation can contribute to risk.

C. Availability of firearms: Access to firearms increases the lethality of suicide attempts but is not as significant as the presence of an active psychiatric disorder.

D. Active psychiatric disorder: This is the correct answer. Conditions such as depression, bipolar disorder, and substance use disorders significantly increase the risk of suicide in adolescents.

A. Arranging for individual therapy sessions B. Encouraging the client to keep a food diary C. Administering a medication to suppress the client's appetite D. Scheduling daily weigh-ins for the client

Correct Answer is B

Explanation

A. Arranging for individual therapy sessions: While individual therapy can be beneficial for clients with bulimia, it is not the sole intervention and typically part of a broader treatment plan. Therapy should focus on cognitive-behavioral strategies to address eating behaviors and underlying emotional issues.

B. Encouraging the client to keep a food diary: Keeping a food diary is a common therapeutic intervention for bulimia. It helps clients become more aware of their eating patterns and triggers for binge eating and purging behaviors. It also assists in identifying emotional and situational triggers that can be addressed in therapy.

C. Administering a medication to suppress the client's appetite: Appetite suppressants are not typically used in the treatment of bulimia. The focus is on addressing the underlying psychological issues and behaviors rather than suppressing appetite, as bulimia involves cycles of binge eating followed by compensatory behaviors like vomiting or laxative use.

D. Scheduling daily weigh-ins for the client: Daily weigh-ins can contribute to increased anxiety and obsession with weight, which may exacerbate bulimic behaviors. Therapeutic interventions for bulimia should focus on normalizing eating patterns and addressing the psychological aspects of the disorder rather than focusing on weight.

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A nurse is caring for an adolescent client with Attention Deficit Disorder (ADD). Which of the following interventions should the nurse prioritize for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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