A school nurse is providing care to an adolescent who reports they are having difficulty focusing and sitting still in class. Which of the following screening considerations should the nurse identify as important for diagnosing ADHD in the adolescent?
The adolescent should be evaluated for ADHD symptoms that occur in more than one setting over a period of at least six months.
If the adolescent's grades are good, we can rule out ADHD as a possible diagnosis."
Screening for ADHD is most effective when we focus solely on the adolescent's behavior in the classroom.
Since adolescents can be less hyperactive than younger children, we don't consider hyperactivity as a criterion in this age group.
The Correct Answer is A
A. ADHD diagnosis requires that symptoms of inattention, hyperactivity, or impulsivity be present in more than one setting (e.g., home, school, social situations) and persist for at least six months, ensuring that behaviors are consistent and not situational.
B. Good academic performance does not rule out ADHD; some adolescents may compensate for symptoms through intelligence, support, or coping strategies, so ADHD can still be present despite satisfactory grades.
C. Focusing only on classroom behavior is insufficient, as ADHD symptoms must be evident across multiple settings to meet diagnostic criteria.
D. While hyperactivity may decrease with age, it remains a relevant criterion for diagnosis. Symptoms may manifest as restlessness or difficulty engaging in quiet activities rather than overt hyperactivity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Arranging chairs around the perimeter of the day room does not inherently create a therapeutic environment; proper arrangement should promote interaction and engagement.
B. Allowing clients to keep personal items may enhance comfort but does not fully define the therapeutic milieu.
C. Unstructured programming alone is insufficient; a therapeutic milieu relies on structured, purposeful activities that support client growth and safety.
D. The therapeutic milieu encompasses both physical and psychosocial environmental factors, including structure, safety, social interactions, routines, and the overall atmosphere, which collectively support the client’s recovery and adaptive functioning.
Correct Answer is ["15"]
Explanation
Step 1: Convert ounces to milliliters
1 oz = 30 mL
0.5 oz × 30 = 15 mL
Step 2: Determine volume to administer
The nurse will administer the furosemide in the entire 0.5 oz (15 mL) of apple juice.
Final Answer: 15 mL
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