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 B

Explanation

A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.

B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.

C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.

D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.

A. Advising survivors to keep the assault a secret and not seek help from anyone. B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma. C. Encouraging survivors to blame themselves for the assault to regain a sense of control, D. Discussing the importance of seeking medical attention promptly after a sexual assault.

Correct Answer is D

Explanation

A. Advising survivors to keep the assault a secret and not seek help from anyone: This advice is harmful and can exacerbate the trauma experienced by survivors. It is not evidence-based and goes against promoting recovery and safety.

B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma: Reporting or not reporting to law enforcement is a personal decision and should be supported based on the survivor's needs and wishes. However, encouraging secrecy is not supportive.

C. Encouraging survivors to blame themselves for the assault to regain a sense of control: Self-blame is detrimental to recovery and is not evidence-based. It can worsen psychological distress and hinder healing.

D. Discussing the importance of seeking medical attention promptly after a sexual assault: This is evidence-based and crucial for survivors. Seeking medical attention allows for assessment and treatment of physical injuries, prevention of sexually transmitted infections (STIs), pregnancy prevention (if applicable), and collection of forensic evidence if the survivor wishes to report the assault later.

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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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Naxlex Comprehensive Predictor Exams

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