A nurse is providing teaching to the parents of a 6-year-old child who is suspected to have attention deficit hyperactivity disorder (ADHD). Which of the following statements should the nurse make to describe the diagnostic process for ADHD?
"Blood tests and scans are typically used to confirm the diagnosis of ADHD."
"We can use a computer-based test to definitively diagnose your child with ADHD."
"Clinical manifestations of ADHD must be observed for at least three months to be considered for diagnosis."
"Diagnosis of ADHD primarily relies on the results of comprehensive diagnostic studies."
The Correct Answer is D
A. "Blood tests and scans are typically used to confirm the diagnosis of ADHD.": There are no laboratory tests or imaging studies that can definitively diagnose ADHD; diagnosis is based on behavioral assessment and history.
B. "We can use a computer-based test to definitively diagnose your child with ADHD.": Computer-based or neuropsychological tests can assist in assessment but cannot independently confirm ADHD. Diagnosis requires a comprehensive clinical evaluation.
C. "Clinical manifestations of ADHD must be observed for at least three months to be considered for diagnosis.": Current guidelines require symptoms to be present for at least 6 months, not 3 months, to meet diagnostic criteria, so this statement is inaccurate.
D. "Diagnosis of ADHD primarily relies on the results of comprehensive diagnostic studies.": Comprehensive diagnostic studies" refers to the holistic collection of data. This includes standardized rating scales (like the Vanderbilt or Conners scales) completed by parents and teachers, a detailed developmental history, physical examination, and clinical observation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "A provider will explain the changes you may see in your child's body after they have died.": Nurses are often the primary professionals who prepare families for expected postmortem changes such as skin cooling, color changes, and cessation of breathing. Limiting this role to a provider is inaccurate and may delay timely, compassionate education.
B. "Several members of the team will assist you after your child dies.": After a child’s death, an interprofessional team—including nurses, providers, chaplains, social workers, and bereavement specialists—supports the family. This assistance includes emotional support, guidance through next steps, and honoring cultural or spiritual practices. Preparing families for this support helps reduce anxiety and feelings of isolation.
C. "A nurse must obtain locks of hair from the deceased child.": Creating keepsakes such as locks of hair is optional and should be guided by family preference and cultural considerations. It is never mandatory and should only be offered sensitively. Presenting this as a requirement may be distressing to families.
D. "Warming blankets can minimize the body changes in deceased children.": After death, physiologic changes such as cooling and mottling are expected and cannot be prevented with warming measures. Applying warming blankets may create false expectations or confusion. Comfort measures are directed toward the family rather than altering postmortem changes.
Correct Answer is B
Explanation
A. Limiting social interactions to reduce overstimulation during early infancy: While minimizing overstimulation is sometimes necessary, limiting social interaction can hinder the development of trust and attachment, which are critical psychosocial milestones at 4 months.
B. Responding promptly and calmly when the infant cries to foster trust and security: At 4 months, infants are developing a sense of trust versus mistrust. Consistent, sensitive responses to the infant’s needs help establish secure attachment and a foundation for healthy psychosocial development.
C. Encouraging the infant to explore objects independently without interaction: Independent exploration is limited at this age, and social interaction is crucial for developing attachment and communication skills, so this does not support expected psychosocial milestones.
D. Allowing the infant to cry for extended periods to encourage self-soothing: Infants this young are not developmentally capable of self-soothing for long periods. Ignoring their cries can undermine trust and security, which are central at this stage.
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