An adolescent diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client's task performance?

Encourage dividing tasks into smaller, attainable steps and reward successful completion.

Remove privileges if homework is not completed within a 2-hour period.

Seek a physician's order to discontinue the stimulant methylphenidate.

Mandate that the client remains in his room until all homework is complete.

Answer and Explanation

The Correct Answer is A

A. Dividing tasks into smaller, attainable steps and reward successful completion aligns with the principles of behavioral therapy and is likely to be effective for improving the task performance of an adolescent with ADHD. Breaking tasks into smaller, manageable steps can help reduce overwhelm and improve focus.
B. Removing privileges if homework is not completed within a 2-hour period is punitive and may not be effective for improving the task performance of an adolescent with ADHD. Negative consequences, such as removing privileges, can lead to feelings of frustration, demotivation, and resistance to task completion.
C. Methylphenidate is a commonly prescribed stimulant medication for ADHD, and discontinuing it abruptly without medical supervision can lead to withdrawal symptoms and worsening of ADHD symptoms.
D. Mandating isolation in the room is overly restrictive and can lead to feelings of frustration, isolation, and resentment, which can further impact task performance and exacerbate ADHD symptoms.

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Correct Answer is C

Explanation

C. Pet therapy has been shown to have positive effects on mood by promoting feelings of happiness, calmness, and relaxation. Interacting with animals can increase the release of feel-good hormones such as oxytocin, serotonin, and dopamine, which can improve mood and reduce symptoms of stress and anxiety.
A. There is evidence to suggest that pet therapy, also known as animal-assisted therapy, can be beneficial for individuals with depression. Interacting with animals, such as petting a dog or spending time with a therapy animal, has been shown to reduce symptoms of depression, anxiety, and stress in some people.
B. Pet therapy primarily focuses on providing emotional support and companionship rather than directly targeting sensory functioning.
D. Pet therapy has been associated with reductions in blood pressure and heart rate. Interacting with animals, such as stroking a dog or cat, has been shown to have calming effects on the body and may help lower blood pressure and reduce cardiovascular reactivity to stress.

A. call for emergency assistance from other staff. B. take him to a room with toys to act out feelings. C. tell the boy's mother to take him home immediately. D. direct him to stop, then confront the other child.

Correct Answer is B

Explanation

B. Providing a safe and supportive environment for the child to express and manage their emotions is important. Taking the child to a room with toys allows them to engage in play and express their feelings in a constructive manner.
A. Emergency assistance from other staff would typically be reserved for situations posing immediate danger to the child or others, which may not be the case here.
C. Sending the child home immediately could be seen as a punitive measure and may not contribute to the child's understanding of the behavior's impact.
D. Directing the child to stop the behavior and then confronting the other child may escalate the situation and potentially lead to further conflict or aggression.

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An adolescent diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client's task performance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client asks the nurse about pet therapy. Which response by the nurse provides the client with accurate information? "Pet therapy:

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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