A nurse is developing a plan of care for a school-age child who has ADHD. Which of the following interventions should the nurse include in the plan?

A. Daytime naps can interfere with the natural sleep-wake cycle, potentially causing fragmented nighttime sleep. Disrupted nighttime sleep increases the likelihood of wandering and confusion in clients with Alzheimer’s disease.

B. Installing locks at the bottom of exit doors can prevent the client from leaving unsupervised. However, this may also pose a risk of entrapment or delay emergency egress, which can compromise overall safety.

C. Placing the mattress on the floor reduces the height from which the client could fall, decreasing the risk of injury during nighttime wandering. This intervention directly addresses the physical safety of clients prone to getting out of bed at night.

D. Rubber-backed throw rugs can create uneven surfaces that increase the risk of tripping or slipping. For clients with impaired judgment or mobility, these rugs can inadvertently raise the chance of falls rather than prevent them.

A. Encourage the client to reframe their perception of stress: Reframing can be a helpful strategy for less severe anxiety, but during a panic attack, the client may be too overwhelmed to engage in cognitive techniques like reframing. Immediate support is needed first.

B. Guide the client to a location that is quiet and stay with the client: This is the best intervention. A quiet environment helps reduce external stimuli, and staying with the client provides reassurance and safety, helping to calm the overwhelming anxiety during a panic attack.

C. Help the client identify factors that are contributing to the anxiety: While identifying triggers is important for long-term management, during a panic attack, the priority is immediate relief and safety. The client may not be able to engage in reflection during peak anxiety.

D. Ask questions to clarify how the client feels and what they are thinking: During a panic attack, the client is likely to be too overwhelmed to respond meaningfully to questions. The priority is to offer comfort and a calm presence rather than focusing on understanding their thoughts at that moment.