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 []

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.

A. Requiring frequent reassurance from others B. Inflated sense of self C. Lack of feelings of remorse D. Suspiciousness of others

Correct Answer is D

Explanation

A. Requiring frequent reassurance from others: This is more characteristic of dependent personality disorder, where individuals seek constant reassurance.

B. Inflated sense of self: This is a trait of narcissistic personality disorder, not paranoid personality disorder.

C. Lack of feelings of remorse: This is typical of antisocial personality disorder.

D. Suspiciousness of others: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, interpreting their motives as malevolent.

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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?

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Correct Answer is []

Explanation

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Correct Answer is D

Explanation

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