A school-aged patient with attention-deficit/hyperactivity disorder is entering day treatment. During the initial office visit, the mental health nurse anticipates the patient will exhibit which of the following behaviors? Select all that apply.
Able to provide a detailed account of school work
Talking excessively and interrupting
Blurting out responses or thoughts
Fidgeting and squirming in the chair
Easily distracted
Correct Answer : B,C,D,E
A: Providing a detailed account of school work is not typically associated with ADHD, as children with ADHD often have difficulty with sustained attention and organization.
B: Talking excessively and interrupting are common behaviors in children with ADHD due to impulsivity and hyperactivity.
C: Blurting out responses or thoughts is a characteristic behavior of ADHD, reflecting impulsivity.
D: Fidgeting and squirming in the chair are signs of hyperactivity, which are common in children with ADHD.
E: Being easily distracted is a hallmark symptom of ADHD, indicating difficulty with sustained attention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Telling the client that aliens do not exist dismisses their experience and can increase their distress. It is not a therapeutic response.
B: Changing the subject to the client’s daughter is not addressing the client’s immediate concern and can be seen as dismissive.
C: Suggesting that a laboratory technician drew the blood is an attempt to reorient the client to reality, but it may not be effective if the client is deeply entrenched in their delusion.
D: Acknowledging the client’s fear without validating the delusion is a therapeutic response. It shows empathy and provides an opportunity to explore the client’s feelings further.
Correct Answer is D
Explanation
A: Using seclusion should be a last resort and only used when the patient poses an immediate threat to themselves or others. It is not a proactive strategy for managing frustration.
B: Ensuring the patient understands harsh consequences for violent episodes may not be effective in preventing aggression and can increase feelings of frustration and resentment.
C: Responding to emotional outbursts with negative reinforcement can escalate the situation and is not a therapeutic approach.
D: Creating a quiet and relaxing room provides a safe space for the patient to calm down and manage their emotions. This proactive strategy helps prevent escalation and supports the patient’s ability to cope with frustration
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